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lleksam

lleksam - 60mg cymbalta taper

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lleksam

Hey, 

 

I've been taking cymbalta for 5 years, I dropped from 120mg to 60mg without issue but when trying to drop to 30mg things went badly. 

 

My doctor is great and offered me 50mg (20 + 30) of generic, but I've had bad experiences with generic brands so I thought I would taper. 

 

I am just having difficulty understanding all the measurements, I am really terrible at maths. 

 

I have some questions?

 

Do I remove 10% of the weight from each capsules? 

Are all the beads the medication or are some "filler"

 

Thank you, 

 

- lleksam

 

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Gridley

Welcome to SA, Ileksam.

 

It is common for problems to arise when you get to the lower doses if you tapering too fast.  Are you now at 60mg Cymbalta?

 

We recommend tapering by more than 10% of current dose every four weeks.

 

 http://survivingantidepressants.org/index.php?/topic/1024-why-taper-by-10-of-my-dosage/

 

This link is specifically about tapering Cymbalta and takes you step-by-step through the process.  

 

Tips for tapering off Cymbalta (duloxetine)

 

For weighing, many members use the AWS Gemini-20 scale, available on Amazon.

 

This is your Introductory topic, where you can ask questions and connect with other members.  We're glad you found your way here.

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lleksam

Hey Gridley,

 

I am currently taking 60mg.

 

Where I get confused is that the capsules content is not actually 60mg, it is more. I guess there is 60mg of the drug and some filler?

 

Are all the beads the drug with filler?

 

Thanks,

 

lleksam

 

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Gridley
1 hour ago, lleksam said:

Where I get confused is that the capsules content is not actually 60mg, it is more. I guess there is 60mg of the drug and some filler?

 

Yes.  The 60mg refers to the drug, which we call active ingredient (ai).  The capsule weighs more because each of the beads contains filler.  The total weight is called pill weight (pw).   Generally there is much more filler than active ingredient. 

 

For example, I am now taking 1.6mgai of Lexapro but the weight is 16mgpw.

 

 

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Guilietta

Hello Ileksam,

 

Welcome from another duloxetine survivor-to-be.

 

In the USA, the generic is available as 20, 30 and 60. Generic  has about 100 beads (avg) per 20 mg capsule.  I believe trade cymbalta has larger beads and far fewer of them.  If you can get the same mfr of generic consistently - that might work for you. Between generics there can be up to 30% difference in strength/formulation, etc. That is permissible in the state I live in in the US. Maybe this is why you are sensitive to generics (many of us are for htis reason).

 

For your taper - if I could repeat getting off duloxetine - I would use the beads. I had an unintentional and unfortunate (almost? CT) back in December 2018 (20 mg). I was on the drug since 2015 - up to a dose of 60 mg. Like you - I did OK coming down to 20 mg. 

 

Welcome.

 

Giuilietta

 

 

 

 

 

 

 

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