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Monday, September 01, 2008 mmuse, Community Member, asks

Q: is it alright to take cymbalta 60mg twice a day?


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Answers (1)
Dr. Diana L Walcutt, Health Guide
9/ 3/08 10:14pm

Hi mmuse:

You really didn't give us much information in order to answer your question fully. I am not a physician but many of my patients take Cymbalta,which is in the category of SSNRI's or Selective Serotonin Norepinephrine Reuptake Inhibitors. That's a bunch of words that simply mean that more serotonin and norepinephrine are available to you in your brain when you are taking the medication. Doctors don't give Cymbalta just for some pain, since it's generally prescribed for depression. That being said, they DO use it for severe pain and is approved for things like diabetic neuropathy pain. They also use Cymbalta with pain medications, especially very strong ones, because they often cause depression.

Usually doctors prescribe Cymbalta in either one or two doses a day, depending on the problem they are treating. Much of the literature has indicated that doses higher than 60 mg a day may not be much more beneficial than 30 mg twice a day.  That being said, have you seen benefits, and can you tolerate the side effects? Also, do you trust your doctor? If not, then find another physician. If you do, then ask him why he is treating you with this dose.

Finally, I would suggest that you find a pain management specialist who can help you learn how to reduce your pain and cope better with it. There are many counselors trained in this and you can find one locally through Psychology Today.


I hope this helps,

Dr. Diana Walcutt

The Stress Masters


*Dr. Walcutt is a Psychologist, not a Psychiatrist. Psychiatrists prescribe medications. Psychologists study them, but the majority of Psychologists are not authorized to prescribe meds or give you specific advice about them. Dr. Walcutt's answers are not intended to diagnose or treat any medical or mental disorder. Any information given in a post about medication is for educational purposes only, and primarily to aid you in having an informed discussion with your own Psychiatrist/Physician.






wendy, Community Member
2/20/12 3:46pm

i have a great dr who i see tomorrow but the pain is chronic and i seem to be having lots of it today so i was wondering for today willit hurt to take one before bed as the other was around 7a this morning,


please let me know

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By mmuse, Community Member— Last Modified: 05/21/14, First Published: 09/01/08