First I would like to say how grateful I am that people are actively helping people with this medication. I could not believe there was a whole site dedicated to this purpose!
So, I started switching from Citalopram (taken for 13 years) to Duloxetine as follows;
Week 1 20mg Cit / 30mg Dulox
Weeks 2-3 10mg / 60mg
Weeks 4-5 5mg / 60mg
Weeks 6-11 10mg / 60mg
Weeks 12 10mg / 30mg
I moved the Citalopram back up as I thought it was that which was causing the physical symptoms, but they have since remained. I reduced the Dulox last week as I thought I was at risk of serotonin syndrome.
I had bad anxiety week 3, which is normal for dropping citalopram, but then weeks 6, 8, 10 and 12, I have had repeated symptoms of dizziness, fatigue and nausea. They don't let up or reduce in severity. I can understand that week 12 was expected from the drop to 30mg, but this was also due to the onset of chronic diarrhea/stomach cramps, which has lasted for over 3 weeks now. I sent a sample to the hospital for analysis, but they appeared to have lost it, so I am waiting under orders for it to turn up. Not helping my mental wellbeing.
Is this the Duloxetine disagreeing with me? Should I cross-taper back to Citalopram?
I am really worried about my stomach problems and thinking it could be colitis or something sinister. I cannot judge whether Dulox is better for me mentally as the reoccurring physical symptoms just set my depression/anxiety off each time. I feel trapped in a very viscous circle.
Any help would be very gratefully received. Bless you all.