I started by increasing my dose of Cymbalta to 120mg (2 x 60mg/day), under my drs care. Then Modafinil wasn?t working for my sleep apnea my specialist put me on & eventually increased me to 20 mg Adderrall [NOT XR FOR ME, instant release tabs work better> 2 x day. At first I felt invincible but after awhile I started to feel detached from reality, had a loss of interest in everything, withdrew from most people & activities and began to have hallucinations, I would think that I saw something run accross the floor or fall out of the corner of my eye, but nothing actually happened.
The Cymbalta itself caused side effects for me alone. 1) it gave me hot flashes all of the time, morning until night; 2) it made my sugar numbers go up, so much so that I had to stop drinking soda just to get the numbers to g down; 3) it increased my memory loss, I would frequently "hide stuff" from myself 4) it eventually stopped working for my chronic pain as it had before.
I stopped taking it about 2 weeks ago because all of these side effects and I started taking Serouquel 50 to 100 mg at night. The next morning for that week I woke up highly agitated, short tempered, and very tense to the point that I was a complete _itch and was yelling & screaming 24/7. My dr said go to impatient psychiatric treatment & I told her where to "get off" (I needed a new dr anyway she was a flippin MORON)
So now I just take the Adderall and I feel a lot better. I am sure that my depression & anxiety will get worse over time so I am going to talk to a psychiatrist about the right depression medicine for me. My last PCP said depression medication side effects or ineffectiveness was "out of her area o expertise" (told ya she was am _sshole).
I know Cymbalta works at first but for me it stopped after almost a year. I wish it still did work the same but its not so. I really didn?t like with the Adderall either. The Adderall makes me feel mostly normal so I'm gonn stick with it. I just hope that I can find another SSNRI or SSRI that works well with Adderall.
Summary:
If you think that you are having symptoms or side effects that you never had before please consider stopping one or the other. I would not take them together again. The sideeffects outweighed the benefits to my health.
Please keep us posted if you find something that works well together.