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Suggest Treatment For Loss Of Appetite, Nightmares And Excessive Shaking Of The Body

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Posted on Tue, 29 Nov 2016
Question: I have a medical problem right now and I feel that some of the medicines may be adding to my problems. I have Lyme Disease and Fibromyalgia. Here are the medications that I take:
FUROSEDMIDE; AMLODOPINE; SERTRALINE; SINGULAIR; DULERA; METOPROLOL; LOSARTAN; JANUVIA; LANTUS INSULIN; GABAPENTIN; DOXYCYCLINE; DULOXETINE; ALLOPURINOL; AND WHEN THE PAIN GETS REALLY BAD I TAKE 1 HYDROCODONE.
I have a great deal of shaking; pain, nightmares that are horrible; appetite loss;. What do you think?
doctor
Answered by Dr. Kathy Robinson (24 minutes later)
Brief Answer:
duloxetine plus sertraline may cause problems

Detailed Answer:
Hello and thank you for your question.
I do not see a lot of drug interactions here but the combination of the duloxetine and sertraline could be a problem. It could be causing the appetite loss, the shakes and bad dreams. The combination of duloxetine and gabapentin is great for fibromyalgia so I would not stop the duloxetine. Perhaps you could talk to your doctor about tapering down the sertraline. If you need more antidepressant action, it may be possible to increase the duloxetine (depending upon your current dose).
The rest of the drugs look fine.
I hope you get some relief soon,
Dr. Robinson
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kathy Robinson (3 hours later)
Thank you so much for your answer and compassion.
doctor
Answered by Dr. Kathy Robinson (10 hours later)
Brief Answer:
You are welcome

Detailed Answer:
I wish you the best,
Dr. Robinson
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Kathy Robinson

General & Family Physician

Practicing since :1989

Answered : 3535 Questions

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Suggest Treatment For Loss Of Appetite, Nightmares And Excessive Shaking Of The Body

Brief Answer: duloxetine plus sertraline may cause problems Detailed Answer: Hello and thank you for your question. I do not see a lot of drug interactions here but the combination of the duloxetine and sertraline could be a problem. It could be causing the appetite loss, the shakes and bad dreams. The combination of duloxetine and gabapentin is great for fibromyalgia so I would not stop the duloxetine. Perhaps you could talk to your doctor about tapering down the sertraline. If you need more antidepressant action, it may be possible to increase the duloxetine (depending upon your current dose). The rest of the drugs look fine. I hope you get some relief soon, Dr. Robinson