Can you take Cymbalta in the morning and Trazodone at night?

In this article, we will discuss the use of Cymbalta (Duloxetine) in the morning and Desyrel (Trazodone) at night – both of which are antidepressants. We will also talk about the potential benefits and risks of this combination. 

Can you take Cymbalta in the morning and Trazodone at night?

Yes, you can take Cymbalta in the morning and Trazodone at night but only if prescribed by your healthcare provider. Both of these meds are antidepressants and can be used to manage various symptoms of anxiety and depression (1,2). 

The combination of Cymbalta and Trazodone is prescribed carefully and several patient-specific factors are considered first. However, it is important to note that this combination may not work well for every other individual, and should never be taken without having a proper prescription. 

Potential benefits of taking Cymbalta in the morning and Trazodone at night

Taking Cymbalta in the morning and Trazodone at night may offer some potential health benefits, including:

Boosted antidepressant effect

When you take Cymbalta in the morning, it starts working to improve your mood and fight depression throughout the day. It does this by influencing certain chemicals in your brain. Taking a low dose of Trazodone at night can enhance the antidepressant effect. 

Reduced insomnia

Cymbalta can sometimes disrupt sleep because of its stimulating effects on the brain. This can affect people negatively, and inadequate sleep can cause tiredness and mood disturbances. 

Taking Cymbalta early in the morning with a low dose of Trazodone at night can reverse sleep disturbances and make antidepressant treatment more comfortable (3). 

However, sleep disturbances on Cymbalta are temporary and do start to get better as the antidepressant kicks in. Some doctors only prescribe Trazodone for 4-6 weeks for better sleep until the person adjusts to the primary antidepressant. 

However, Cymbalta can also cause sleepiness in some people, as antidepressants can affect people differently.

Potential risks of taking Cymbalta in the morning and Trazodone at night

It’s important to be aware of potential risks when taking Cymbalta in the morning and Trazodone at night, including:

Additive side effects

Combining Cymbalta and Trazodone can lead to additive side effects. Both medications can cause drowsiness, dizziness, and confusion (1,2). Taking them together, especially in high doses, can intensify these side effects. 

This may result in increased sedation and impair your ability to concentrate or perform tasks that require alertness. It’s crucial to be cautious when operating machinery or driving, as these side effects can impact your safety.

Risk of serotonin syndrome

The most concerning risk when using these medications together is the potential for serotonin syndrome. Serotonin syndrome occurs when there’s an excess of serotonin in the brain, leading to a range of symptoms that can be severe and even life-threatening (4). 

These symptoms may include agitation, hallucinations, rapid heartbeat, fever, muscle stiffness, and in extreme cases, seizures (4). While the risk of serotonin syndrome is relatively low, it’s essential to monitor for any unusual symptoms and promptly report them to your healthcare provider. 

Proper dose adjustment and close supervision by a healthcare professional can help minimize this risk.

How to ensure the safe and effective use of Cymbalta in the morning and Trazodone at night?

The following points are important to ensure the safe and effective use of Cymbalta in the morning and Trazodone at night:

  • Take Cymbalta in the morning and Trazodone at night at the same times each day. Consistency helps maintain stable medication levels in your body.
  • Space out the doses to avoid taking them too close together. This minimizes the risk of potential interactions and allows each medication to work optimally.
  • If you forget a dose of one medication, don’t double up on the next dose. Instead, take the missed dose as soon as you remember, unless it’s close to the time for the next antidepressant dose.
  • Before making any changes to your medication schedule or dosage, consult your healthcare provider. 

Remember, safe and effective use of medications is an important key to achieving the desired therapeutic outcome.

Conclusion

In this article, we have discussed the use of Cymbalta (Duloxetine) in the morning and Desyrel (Trazodone) at night. We have also discussed the potential benefits and risks of this combination, and some important points to ensure safe and effective use. 

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References

1.-

Dhaliwal JS, Spurling BC, Molla M. Duloxetine. 2023 Feb 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 31747213. Bookshelf ID: NBK549806. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549806/

2.-

Shin JJ, Saadabadi A. Trazodone. 2022 Jul 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29262060. https://www.ncbi.nlm.nih.gov/books/NBK470560

3.-

Nierenberg AA, Adler LA, Peselow E, Zornberg G, Rosenthal M. Trazodone for antidepressant-associated insomnia. Am J Psychiatry. 1994 Jul;151(7):1069-72. doi: 10.1176/ajp.151.7.1069. PMID: 8010365. https://pubmed.ncbi.nlm.nih.gov/8010365/

4.-

Simon LV, Keenaghan M. Serotonin Syndrome. 2023 Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29493999. https://www.ncbi.nlm.nih.gov/books/NBK482377

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