Morning Cat,
The thing different about Savella is as a SNRI (seratonin, norepinephrine reuptake inhibitor) It has the unique ability to hold back the reuptake of norepinephrine MORE then seratonin. Actually 3x more then any other med.
THAT is what made it the right fit for me, as I failed Cymbalta seriously....(brain buzzes, dizziness, gait issues and I felt under water....) I kept saying i know the seratonin levels are GOOD with me, I don't need more! (I didn't want to swallow this class of med).
Well, the caution with this is to NOT USE THE START PAK.
Ask for the 12.5 mg tablet. Start slow , there is no rule on starting a med....I can't even take it twice a day as asked for. It will keep me up.
I only take 12.5 to (2) 25mg a day. Depending how into the week I am and how I am feeling. It is amazing the painfree state I received when i did the dose pak, but I was wired and couldn't sleep. I didn't need that much.
Now you may be able to go up to 25 and maybe twice a day is OK for you. It is a standard dose of 50mg twice a day.....and I HAVE SEEN HIGHER in a patient (well one patient).
Talk it over with the doc...less is more (always).
I would say re-assess every week for a benefit and adjust. They increase day by day in the pak....I just don't want you to get scared with side effects. My B/P absolutely took a hit. I am on more meds to get it in line, but I NEED my little blue pill....
Wait til you see how small this is and yet so powerful. Now if by day 3 you are not seeing anything different and no side effects move to the 25mg dose.
I truly know that this is where my 8 hour window of wellness comes from. It also goes with the conversation we had with Dr P about Adrenal fatigue........with the years of running the ICU and being in a stress world...I can see me being fatigued!
OK, any other questions...give me a shout out. But I wish you luck and I hope with my heart is the perfect med like for me," "The bow on my box!*"
All my best, Nancy B