I am taking 90 mg duloxetine to treat facial pain for 7 months. Duloxetine reduced pain intensity from level 6-9, 24/7 to 0-1. Doctor described the my pain as a result of somatic symptoms disorder esp pain disorder. Doctors didn't find any organic causes for my facial pain. Can I taper duloxetine completely? Will tapering bring back pain to initial level? Do I have to take medicine for whole life?
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90 mg duloxetine is undoubtedly a high dose. Interventional pain options like sphenopalatine ganglion/ trigeminal ganglion block can be tried to find out what best suits in your case. Once effect of intervention, duloxetine can be slowly tapered off.
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90 mg fluoxetine is surely high. I am anesthesiologist intensive care consultant, fipm pain medicine, interventional pain specialist ,cancer pain specialist any pain in my experience will not decrease to 0 by any medice in my experience. Too high dose is never good, kindly decrease it to first 60 mg and observe for 15 days if it's still low at least 2-3 decrease it to 40 mg and observe for 1 month preferably get your complete blood count, liver function test, renal function tests done you can contact your doctor or me.
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