Case Study on Cymbalta, and Side Effects

Cymbalta

Written by

02 Oct 2024

One patient’s story on side effects and recovery

Cymbalta (duloxetine) is a medication that doctors often prescribe for depression, anxiety, nerve pain, and fibromyalgia. It works by changing the levels of certain chemicals in the brain. For many, it helps. But for some, it creates new problems, including serious side effects and difficult withdrawal.

This article follows Jane’s personal experience with Cymbalta. Her story highlights what can go wrong and why it’s important to be fully informed before starting or stopping this drug.

Table of Contents

What Is Cymbalta?

Cymbalta is a type of antidepressant called an SNRI (serotonin-norepinephrine reuptake inhibitor). It helps balance brain chemicals related to mood and pain.

Doctors prescribe it for:

  • Major depressive disorder
  • Generalized anxiety disorder
  • Diabetic nerve pain
  • Fibromyalgia
  • Chronic muscle or joint pain

Jane learned that while an effective treatment and can improve symptoms, it is not for everyone.

Jane’s Story: Hope Turned Into Harm

When Jane first started taking Cymbalta, she felt hopeful. Her doctor said it could help ease her anxiety and improve her mood. At first, she noticed some improvement. But after a few weeks, things changed.

Instead of feeling better, Jane began to feel:

  • Extremely tired
  • Foggy and disconnected from reality
  • More anxious at times
  • Physical pain in her muscles and joints

Her daily life became harder. She couldn’t focus. She stopped enjoying things. Relationships became strained. She started to feel worse than before the treatment.

“It was like living in a fog, I was there, but I didn’t feel like myself anymore.”

Janes Struggle to Quit

Eventually, Jane decided to stop taking Cymbalta. But quitting wasn’t simple.

She experienced severe withdrawal symptoms, including:

  • Brain zaps (electric shock sensations in the head)
  • Dizziness
  • Mood swings
  • Nausea
  • Trouble sleeping

These symptoms came quickly and hit Jane hard. They lasted for weeks. Some days were so difficult that Jane thought about going back on the drug just to feel normal again.

“Coming off Cymbalta was worse than anything I’d ever experienced with anxiety, I felt trapped.”

Jane didn’t know how serious withdrawal could be. Her doctor had not warned her about how hard it might be to stop the drug.

Jane’s Hard Road To Recovery

Despite the overwhelming struggles Jane faced, she didn’t give up. Her journey wasn’t quick or easy, but with time and persistence to get better, she found ways to rebuild her life and regain control over her mental health.

After going through the intense withdrawal, Jane took action. She started by researching alternatives to medication that could support her mental well-being, such as mindfulness meditation, cognitive behavioral therapy, and exercise. She also found an online support group where others shared similar experiences, which helped her feel less isolated in her recovery.

“I felt so alone when I was in the fog, but finding a community and talking to people who understood made all the difference. It wasn’t about the medication anymore—it was about me taking back control.”

Jane found professional therapy wasn’t enough and she had to work closely with a psychiatrist to explore non-medication-based treatments for her anxiety.

What Went Wrong For Jane?

Jane believes her biggest issue was a lack of information. She didn’t know:

  • The side effects could be so intense
  • Stopping the drug could lead to such painful symptoms
  • There were other options available

Her experience felt like a betrayal, not from the drug itself, but from a medical system that didn’t fully prepare her for the effects.

Cymbalta Treatment
Cymbalta Treatment

What You Should Know About Cymbalta

Cymbalta is a powerful drug that does work for serious conditions that are hard to treat but the side effects may make a user think twice before starting on this path.

The below symptoms are common and can be severe. Always work with a doctor when stopping Cymbalta.

Side Effects (During Use)

Common Side Effects of Cymbalta

  • Most common side effects (often occurring in ≥5% of users):
  • Nausea
  • Dry mouth
  • Sleepiness (somnolence) or sometimes insomnia
  • Dizziness
  • Fatigue
  • Constipation
  • Loss of appetite
  • Increased sweating
  • Sexual dysfunction: decreased libido, delayed ejaculation, or anorgasmia
  • Headache

These side effects often occur when first starting the medication and may subside with continued use.

Less Common but Possible Side Effects

  • Increased blood pressure
  • Weight changes (typically weight loss initially; long-term use may lead to weight gain)
  • Agitation or anxiety
  • Tremors
  • Blurred vision
  • Liver enzyme elevation (rare but requires monitoring)
  • Urinary hesitation or retention

Serious Side Effects (Seek medical attention)

  • Serotonin syndrome (especially when taken with other serotonergic drugs)
  • Symptoms: confusion, rapid heart rate, fever, muscle rigidity, or seizures
  • Suicidal thoughts or behaviors (particularly in young adults under 25)
  • Severe liver problems (rare)
  • Stevens-Johnson Syndrome (extremely rare skin reaction)
  • Manic episodes in those with bipolar disorder

Withdrawal Symptoms (After Stopping)

  • Brain zaps
  • Anxiety
  • Confusion
  • Nausea
  • Sweating
  • Trouble sleeping
  • Irritability
  • Mood swings

Safe Ways to Stop Cymbalta

Stopping Cymbalta should be done slowly and carefully. Doctors call this tapering, which means reducing the dose little by little over time.

This method helps:

  • Lessen withdrawal symptoms
  • Give the brain time to adjust
  • Avoid shocks to the nervous system

Never stop Cymbalta “cold turkey” on your own.

Are There Alternatives to Cymbalta?

Yes. If Cymbalta isn’t right for you, other options exist. These include:

  • Other medications like SSRIs
  • Therapy such as cognitive behavioral therapy
  • Natural treatments like exercise or stress reduction
  • Online or in-person support groups

Talk to your doctor about what might work better for your body and mind.

Final Thoughts

Jane’s story is one of many. Cymbalta helped some parts of her condition, but the side effects and withdrawal symptoms made her feel worse overall. She felt unprepared and unsupported.

If you’re thinking about starting or stopping Cymbalta, know that:

  • It can work well for some people
  • Side effects and withdrawal are real risks
  • Your experience may be different, but it’s valid
  • You deserve full information before making a choice

You are not alone. Help is available, and many people have found better paths to healing after tough experiences with medications like Cymbalta.

Need help with mental health or addiction? Contact us or visit our outpatient Addiction Treatment Programs page for more information.

Opioid addiction is becoming a rising concern in the USA. If you know someone that is struggling with opioids, visit our Opioid Addiction page for more information.

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If you are struggling with addiction, our team is here to help. Heartfelt Recovery Centers are one of the top Drug Rehabs in Hudson NY. Our personalized, evidence-based treatment offers the support you need for lasting recovery.
Author Profile
Dr. Mitchell G Cohen, MD
MD Mitchell Grant Cohen
Internal Medicine & Addiction Specialist – Nashua, NH | Website

Dr. Mitchell G. Cohen is a board-certified Internal Medicine specialist with over 34 years of experience in patient-centered healthcare. A graduate of Hahnemann University School of Medicine, Dr. Cohen completed his internship at the University Health Center of Pittsburgh, where he gained invaluable hands-on experience. He is also a certified addiction specialist, holding membership with the American Society of Addiction Medicine (ASAM).

Currently based in Nashua, NH, Dr. Cohen is affiliated with Saint Joseph Hospital, where he provides comprehensive care focusing on both internal medicine and addiction treatment. His expertise includes prevention, diagnosis, and management of adult diseases, as well as specialized care for individuals facing substance use disorders.

Dr. Cohen is committed to fostering open communication, ensuring his patients are fully informed and empowered to make confident decisions about their health and treatment options.

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