I am new to the forum, decided to join because I think I might be experiencing some duloxetine discontinuation syndrome symptoms. I have taken duloxetine for almost 4 years, for major depressive order. It was part of my medication cocktail, which at one point I was taking 4-5 different medications daily. Stimulants, antidepressants (both SSRI and SNRI together), antipsychotics and mood-stabilizers.
Nothing has really helped with my depressive symptoms, not even a course of ECT treatments, so I made the decision to start coming off my medications. No sense in staying on them if they aren't doing much. Duloxetine is what I am removing from my treatment plan now. I was on 120mg for about 2-3 years, so I am coming down slowly. 120mg to 90mg to 60mg went reasonably well. I noticed I was having more sleepiness during the day, needed naps more often, and was also experiencing insomnia as well when I went from 90mg to 60mg, but it was mostly tolerable. Now I am starting to fall alseep most nights again, whereas before I couldn't sleep until like 4am, and then I was up at 7:30am with my daughter. My doctor feels that since I am still on a therapeutic dose of citalopram (30mg), that I shouldn't experience withdrawal symptoms from the duloxetine.
Anyway, since starting the 30mg, I have noticed I have a tingling and numbness (sometimes pain) in my arms and hands, which is at it's worst in the morning when I wake up. I thought at first maybe I slept on my arm wrong, since it started with the right arm, but it has been going on for about a week. Now both hands/arms are affected, and the numbness seems to last most of the day as well. It also affects my hand strength, and changing position or rest doesn't ease the numbness or tingling. I thought maybe a pinched nerve in my neck or upper back, but that would have gotten better by now I think? Could this be a symptom of discontinuation of duloxetine, peripheral neuropathy? I am getting ready to see a doctor about this numbness and tingling, but I don't know if I should see my primary care doctor, my psychiatrist, my pain management doctor, or orthopedics in case it is carpal tunnel. Who I see kind of depends on what is causing this numbness and tingling, and I am wondering if it is duloxetine related since that is the only change I have had to my health recently.
Any suggestions or advice would be appreciated. Thank you very much.