toomanymeds which one might be causing my nausea?

[toomanymeds]

Hi All,

Well woke up with nausea today at 4 am. Ugh!

[Altostrata]

Prior to moving the Cymbalta, when did you usually have nausea?

 

You may need to take Cymbalta at the same time each day for more than 4 days to see a clear pattern emerge.

[toomanymeds]

Always starts when I wake up. Should I keep moving it back?

[Altostrata]

What time are you taking Cymbalta now?

[toomanymeds]

I was going to take it now at 1:30 ish.

[Altostrata]

Okay, do that. Is it convenient for you to take it at 1:30ish for the next week?

[toomanymeds]

Rather 2:30, did what you suggested and went from 8:30 pm to 6:30 then 4:30 yesterday and 2:30 today. Had a great day yesterday with no nausea. Now today nausea.

[toomanymeds]

Yes I can take it at 2:30 for the next week if you think that would work.

[Altostrata]

Yes, why don't you try that? It takes at least 4 days for your nervous system to register a dosage pattern.

[toomanymeds]

Lots of anxiety today and some nausea. Hopefully this change will work.

[Altostrata]

What time of the day did you have nausea? These patterns are important.

[toomanymeds]

Nausea as I woke up and throughout the morning, anxiety pops through when nausea subsides. Took Cymbalta today at 2:30 again.

[toomanymeds]

I can toss and turn all night but don't feel nauseous until about 4:30 ish every morning. I know that it is 4:30 because that's when the nausea wakes me up.

[toomanymeds]

When the doctors gave me meds in January 2014 my major complaint was anxiety at 4:30 in the morning. Now oi have nausea and anxiety. Could it be interdose withdrawal of the Klonopin?

[Altostrata]

If the pattern hasn't changed since you moved the Cymbalta, it's probably not the Cymbalta.

 

Interdose benzo withdrawal is a possibility. See http://survivingantidepressants.org/index.php?/forum/29-members-only-benzo-tapering-discussion/

[JanCarol]

Alto knows better than me, but my first impression upon reading Tilly's kind post of interactions was:  it's not just this drug or that drug - it's the drugs together.

 

I "rescued" a friend from Chicago who was so polydrugged she couldn't hold a cup of coffee and drink from it (tardive dyskenisia).  Now, she is still on quite a few drugs, but not so much - and is running marathons.

 

So there is hope.  ALL of these drugs are AWESOME at destroying the gut flora, and the happy little cilia in the intestines (not a medical statement, just my lay understanding).  So Fresh said, slippery elm (it is not psychoactive) and greek yogurt is not a bad place to start.  If your gut is unhappy, then your pancreas and liver and stomach are likely unhappy too.  And your brain.  (most of your serotonin is in your gut!)

 

This may be a long process.  I'm glad you found SA.  I sent you a PM about your question to me.  Alto will have the best answers - I agree strongly with her "interdose benzo withdrawal anxiety," as a possibility.  

 

Have a look here - Don't taper ANYthing yet, let's get you stable first - but look here to start getting ideas about what should go first.  Sounds like Cymbalta is an evil one, and your other drugs will "cushion" that difficult taper somewhat.   Save the benzos - or at least the clonozepam (because it's longer acting) for last:  Polydrugs?  Taper off the Antidepressant First!

[toomanymeds]

I feel worse today than ever. Severe nausea all day. I think moving the cymbalta to 2:30 has made me worse. I feel like I'm Gonna die

[Altostrata]

I doubt you can blame Cymbalta for this. Please go to http://survivingantidepressants.org/index.php?/forum/29-members-only-benzo-tapering-discussion/to discuss interdose benzo withdrawal.

 

What time of day do you take your other drugs?

[toomanymeds]

Found a new doctor. She increased my Klonopin to .5 mg three times a day. Had previously been on 1mg 4 times a day, last summer. The nausea subsided for two days and is back again. Should I increase the K more. Or work on getting off cymbalta? Is it possible that one of the meds is causing the nausea and once I'm off it will subside.

[toomanymeds]

I have never been able to stablize even with a slow withdrawal. Does stablize mean symptom free. The only time is during very short windows in the evening.

[Altostrata]

What did your new doctor say about the dangerous number of psychiatric drugs you're taking?

 

Interactions between your selected drugs

mirtazapine ↔ duloxetine

Applies to: Remeron (mirtazapine), Cymbalta (duloxetine)

Using mirtazapine together with DULoxetine can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Severe cases may result in coma and even death. You should seek immediate medical attention if you experience these symptoms while taking the medications. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

clonazepam ↔ lamotrigine

Applies to: Klonopin (clonazepam), Lamictal (lamotrigine)

Using clonazePAM together with lamoTRIgine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

clonazepam ↔ mirtazapine

Applies to: Klonopin (clonazepam), Remeron (mirtazapine)

Using clonazePAM together with mirtazapine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

clonazepam ↔ duloxetine

Applies to: Klonopin (clonazepam), Cymbalta (duloxetine)

Using clonazePAM together with DULoxetine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

gabapentin ↔ mirtazapine

Applies to: Neurontin (gabapentin), Remeron (mirtazapine)

Using gabapentin together with mirtazapine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

gabapentin ↔ duloxetine

Applies to: Neurontin (gabapentin), Cymbalta (duloxetine)

Using gabapentin together with DULoxetine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

lamotrigine ↔ duloxetine

Applies to: Lamictal (lamotrigine), Cymbalta (duloxetine)

Using lamoTRIgine together with DULoxetine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

gabapentin ↔ lamotrigine

Applies to: Neurontin (gabapentin), Lamictal (lamotrigine)

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed. 

For clinical details see professional interaction data.

 

[Pugknows]

(((tmm)))

 

Gabapentin is notorious for nausea when it turns on you. I had it for a solid year, with doctors telling me it was the opiates. Nope, I got off the opiates and the nausea remained. Had my gallbladder removed, nausea still remained. CT'd the gabapentin a month later, no more nausea after three months of acute WD. Still no nausea after 10 months off gabapentin. Doesn't take a rocket scientist (or four doctors) to figure it out. Gabapentin nausea is famous while you're taking the drug. Insomnia is famous when you're in gabapentin WD.

 

Hope this helps.

 

Love, Pug

[Pugknows]

My suggestion, tmm, is to taper the gabapentin until you find the "sweet spot" where the nausea goes away. Then hold there and start tapering a different drug so you can still sleep. Gabapentin helps you sleep. Leave Gabapentin till the end of your tapering, so you won't have to deal with the insomnia. If you go slowly in your taper of the gabapentin, you may never experience the insomnia.

 

I used to get 5-6 hours of sleep during the first 7 months in acute WD. Then poof! insomnia hit me. No sleep for two months!

 

At 10 months out, my sleep is just now starting to come back. It's still broken sleep, but I'll take it.

 

Pug

[toomanymeds]

I'm not sure how to go down on my gabapentin. I am taking 2 300mg caps 3 times a day.

[Petunia]

 

What did your new doctor say about the dangerous number of psychiatric drugs you're taking?

 

Here is our gabapentin topic:

 

Tips for tapering off Neurontin (gabapentin)

[toomanymeds]

My new doctor has been no help at all. Wants me to take 13 supplements while tapering off of cymbalta. I'm down to 43 beads. Still struggling with nausea and anxiety. Want to lower Neurotin because that may be causing the nausea.

[Altostrata]

That is a questionable number of supplements.

 

You may wish to hold on tapering Cymbalta and start carefully reducing gabapentin, to see if that helps.

[ChessieCat]

Hi TMM

 

Sorry, I've got no idea re: whey protein.  I only looked up undenatured whey protein to find out what it is.  There is a discussion topic here.  Alto's post

 

The best way to search SA is to Google "survivingantidepressants.org subject" so for this I Googled "survivingantidepressants.org whey protein".  CC

[toomanymeds]

Has anyone been nauseous throughout the whole time you were on lamictal? Not only while tapering?

[Fresh]

Please could you update your signature so we understand what you're currently taking at what doses , how your gabapentin taper is going etc.

Without dates there's no context. Instructions for filling out your signature are here

http://survivingantidepressants.org/index.php?/topic/893-please-put-your-withdrawal-history-in-your-signature/

 

See post 57 , it's hardly surprising you've felt nauseous on all these meds.

[Altostrata]

Nausea is a common side effect of lamotrigine when the dosage is too high for your system.

 

When did you go on it, how much are you taking, etc.? Please update your signature.

 

Also, please fill us in about your situation since last December.

[leahy]

TMM,

 

I have been nauseous for a year and a half. It feels like a severe hangover with headache and nausea. I blame it on Remeron withdrawal but I am always looking for any other culprits contributing to this relentless nausea. 

 

I have up dosed Remeron the past two weeks as I am switching to liquid very cautiously. I am no longer nauseous and I am sleeping well. Go figure. Any of these meds could cause nausea.

 

Hope you have a good day today.

 

L