system
Taking cymbalta for fibromyalgia. Trouble sleeping. Is there a tricyclic antidepressant which would not cause weight gain?
human
Hi. I spoke to a Dr.yesterday about trouble sleeping taking cymbalta for fibromyalgia and wondered if I could go back to the amytriptolene that I took before that was ok. I wanted to take it at night to sleep and the cymbalta in the daytime, He said the combo could be a problem with seratonin syndrom. Therefore after I am off the cymbaltra I will go back to amytriptolene. I was trying to lose weight on cymbaltra which I did 10lbs. But I couldn t sleep and ached and got depressed. Is there a tricyclic antidepressant that doesn t cause weight gain? I plan to see my Dr. this week. Thankyou
gpt
Hello Welcome to Health Care Magic Cymbalta belongs to SNRI group and it has no effect on weight. While almost all of TCAs will have weight gain as side effect but they cause sedation so help in sleep. And combination will definitely result in Serotonin Syndrome. Other option you can discuss with your Psychiatrist regarding addition of some sedative drug for sleep for some time and continue taking Duloxetine for your problem of fibromyalgia. Thanks Dr. Seikhoo Bishnoi, MD