Thank You For Your Advise. I Have Made Duloxetine 10

Posted on Tue, 16 Apr 2019

Question: Thank you for your advise. I have made duloxetine 10 from yesterday and feeling better. How reduction in duloxetine is helping me better, haven’t really understood. I hope it is not interfering with any other medicine and, therefore, reduction is helping me. How long should I stay on it before further reducing it (and how, as 10 mg is minimum dose available). Would wait for your advise for further course of action. Regards, Rajesh

Answered by Dr. Seikhoo Bishnoi (1 hour later)

Brief Answer:
You will see more improvement

Detailed Answer:
Hello again,

You should stop the drug completely from next weekend.

Reducing the dose is reducing the side effect load and this is helping in anxiety.

You will see more improvement in the coming days.

Thanks

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Seikhoo Bishnoi (38 hours later)

Good morning doctor - Just wanted to check with you that i haven't had duloxetine 10 as well as betacap tr 20 till now, just to see how i feel? To be honest, I am feeling quite relaxed without them and wondering if i can take a chance of not having them from today instead of waiting till Friday (11th March), what would your advise be? Thank you..

Answered by Dr. Seikhoo Bishnoi (5 hours later)

Brief Answer:
You can skip the drug.

Detailed Answer:
Hello again

Yes if you stopped the drug already and are doing good then you can skip taking the drug. Just remain relaxed. But we will not make changes in prescription for some more days.

Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Seikhoo Bishnoi (22 hours later)

Thank you doctor. Today, was the first meeting after so many years where in I did not feel nervous and anxious. Now I can say that I have recovered fully and I am indebted to you for life for helping me to recover. Thank you so so very much.
Also, doctor - I have a niece in XXXXXXX who has been suffering from schizophrenia for many years. I have advised her bother (my nephew, XXXXXXX Sharma) to book your appointment on icliniq. If you can please guide us after listening to her history.

Answered by Dr. Seikhoo Bishnoi (40 minutes later)

Brief Answer:
Just stop anticipating anything.

Detailed Answer:
Hello again

Thank you for your appreciation.

You just have to stop anticipating anything. You are healthy and will not face any issues. Just keep acceptance that you have anxiety and this is a normal thing. Every person faces anxiety.

Yes he can contact me. No problem.

Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Seikhoo Bishnoi (43 hours later)

Good evening doctor - sleep remains an issues still with multiple awakenings. Today i did not go to work as i feeling was groggy in the morning because of not a restful sleep. Pls help

Answered by Dr. Seikhoo Bishnoi (1 hour later)

Brief Answer:
Reduce the dose of Amitriptyline to 300 mg

Detailed Answer:
Hello again

You should make Amitriptyline 300 mg from today evening. Rest of prescription remains same. This will improve sleep architecture to some extent. Just try to suppress anticipatory thoughts that you will not get proper sleep.

Thanks.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar