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What helps the symptoms of Small Fiber Neuropathy?

Neuropathy | Last Active: Dec 12, 2023 | Replies (131)
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@cwallen9

I have just started Cymbalta for severe, painful small fiber neuropathy. I have pain in my feet, legs, hands, and arms constantly. I was on Effexor for anxiety/depression from the pain. I titrated off the Effexor and titrated up on the Cymbalta, and am now up to my max dose of 60mg. I haven't noticed any improvement in pain yet, but I just started the max dose. I also haven't had any bad side effects, except for a slight increase in my usual tinnitus. Do you take Cymbalta in the morning because it affects your sleep? I wasn't sure if I should take it in the morning or before bed. I really need something to help me sleep. I used to take Ambien every night, but I am now trying to get off of it.

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Replies to "I have just started Cymbalta for severe, painful small fiber neuropathy. I have pain in my..."
Chris Trout, Volunteer Mentor | @artscaping | Jan 20, 2022

Good evening @cwallen, I hope you get settled with Cymbalta. Yep....the tinnitus.....it's always there isn't it? Sometimes even seeing the word on my screen gets it ramped up.

Is 60 mg your max dose set by your clinician? I now take 90 mg and notice the improvement in my
relaxed mornings. I also used to take Ambien before my shoulder surgery. That was before I knew about tapering off the medication. I just stopped taking it and paid the price.

And finally, I don't know if Cymbalta would affect my sleep. For me, it needs to take care of my morning anxiety.

Before bed, I have 2 Gabapentin (300 mg) to keep my arms and hands from tingling all night long. For sleep, I use a 2:1 CBD/THC tincture......works beautifully.

Have you tried medical cannabis for sleep?

May you be content and healthy.
Chris

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