Suggest treatment for depression and sleep disorders
Patient: my husband takes cymbalta and has for more than 10 years. He also takes three different meds for high blood pressure and two different blood thinners. Is there significant drug interactions that would cause him to stop taking the cymbalta or at the very least switch to something else. His depression has returned and he is having sleep issues. Doctor: Hi.I  understand  your  concern .Cymbalta contains  duloxetine  and it is one of the good medicines  for depression.If you are taking anti hypertensive  medicine  then need to do proper  evaluation  of class of that medicines . There are interaction  with duloxetine  but still it is safe to take it under  observations .SSRI  sertraline  /  escitalopram   are safely  used in hypertensive  patients.Sertraline  is the safest  among all in cardio vascular  compromised  patients .Lorazepam  is safest  benzodiazapine  for sleep problems.You can discuss  all these options  with your treating  doctor .Still  if  you  have  a  query  then  feel  free  to  ask .Thank  you .