Skin Issues With Withdrawal
Posted 25 November 2018 - 09:47 PM
Posted 26 November 2018 - 09:25 AM
Well I see two issues with this. One is obviously the skin issues and he other is the withdrawal technique.
As far as the skin is concerned I have a question. Did these issues start when you started taking the Cymbalta or when you started the withdrawal?
As far as your withdrawal technique is concerned I would suggest the method recommended by the FDA. Cymbalta has a 12 hour half life so when you take a 30 mg capsule you spike the Cymbalta level in your blood. After 3 days you only have 1 1/2% of that left in your blood stream and you start getting the withdrawal from that 30 mg. When you take the next 30 mg you start the whole process over again. The FDA recommends the bead counting method. Open one of your capsules and count the number of beads inside. Each brand has a different number of beads but usually around 300 beads. Each day remove 1% more beads then the day before. So if you start with 300 beads you will remove 3 beads the first day and take the other 297. The second day 294, etc.
Now your situation is a little different in that you are already down to 300 beads a week. That is an average around 40 beads a day. I would start on that dose until you see where you stabilize at and then adjust from there. DO NOT UNDERESTIMATE THE LAST 40 BEADS. These last beads usually (but not always) cause a severe withdrawal reaction. Some people have to go to dropping one bead a week but many can handle dropping one bead every 3 or 4 days. Obviously your numbers may be a little different depending on how many beads in your brand.
This is a lot to take in so please fell free to come back and answer questions.
Posted 26 November 2018 - 06:09 PM
All I am thinking on this line is the interaction between histamine receptors. Fishing Hat will know more, but whilst these are blocked during administration of the Cymbalta, the level in the central nervous system could spike when the cymbalta is reduced, thereby causing skin flares.
I had something similar when I was taken off my Citalopram last year. Hives, bumps, itches. It cleared as soon as the level of Citalopram was back to what it was.
Sorry I cannot be of more help, but I would sincerely think about addressing the withdrawal first in the method outlined above, and hopefully when the spikes reduce in severity, the skin issues will abate.
Posted 27 November 2018 - 11:27 AM
Posted 27 November 2018 - 12:19 PM
I'm just thinking 'Hat... is there a possibility that the op could have developed an intolerance for something unrelated whilst on the cym, and it was the H-blockers were counteracting on the skin symptoms?
These sort of reactions can be so difficult to pinpoint a cause. Just like the wife's rhinitis. So many tests, and still no-one knows. Wakes up every morning sneezing a lung out and a non-stop snot-box.
It could simply be the stress of the withdrawal still - as I said, this happened the exact same way for me when I came off Citalopram the last time.
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