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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are Savella S Advantages And Disadvantages?

i have been on cymbalta for 2 years. i cant really say it helps. i feel so tired and run down ,all i want to do is sleep. iam thinking of savella .my dr. told me about it ,but never switched me over. what are the advantages and disadvantages of savella ? i also have gained weight and have decresed libido.
Mon, 20 Jun 2016
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Psychiatrist,  's  Response
Dear service user,
Thank you for writing to healthcare magic.
I understand your concern about your medications on your sleep, sexual dysfunction and weight gain.
Savella (Milnacipran) and Cymbalta (duloxetine) can cause sleep disturbance and erectile dysfunction. Sleep disturbance and erectile dysfunction both are seen in depression and anxiety disorders also.
I recommend to discuss this with your psychiatrist.
Savella can be replaced gradually with Mirtazapine 15 mg at bedtime.
It will take care of sleep also. Short time benzodiazepine gruop of medications like Lorazepam or Clonazepam can be helpful.
Warm regards.
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What Are Savella S Advantages And Disadvantages?

Dear service user, Thank you for writing to healthcare magic. I understand your concern about your medications on your sleep, sexual dysfunction and weight gain. Savella (Milnacipran) and Cymbalta (duloxetine) can cause sleep disturbance and erectile dysfunction. Sleep disturbance and erectile dysfunction both are seen in depression and anxiety disorders also. I recommend to discuss this with your psychiatrist. Savella can be replaced gradually with Mirtazapine 15 mg at bedtime. It will take care of sleep also. Short time benzodiazepine gruop of medications like Lorazepam or Clonazepam can be helpful. Warm regards.