Delights of Duloxetine

I don't even want to think how long I have been taking the anti depressant, 'Citalopram' for. Perhaps a decade?

I guess that the efficacy of most medications decreases after long periods of time, although I have never heard this theory in relation to anti d's so cannot claim that this is the case.

However, last week, suffocated by a thickening black fog, I stumbled into the doctor's surgery (not a place I frequent unless death feels imminent) and admitted I had no desire to be alive anymore.

I sat hollowed and empty, crying without feeling the sensation of tears on my cheeks.
I answered questions that I can't remember, without being able to form coherent sentences.

A change in medication has been suggested before but I have always felt too anxious about the upheaval of such change. This time, I simply no longer cared.

I didn't care much about anything actually.

Didn't care when a man who had been staring at me in his car got out and followed me to a secluded area of woodland.

Didn't even care when he tried to make a move on me.

Nothing happened and I suppose I was lucky.

Either way, I find myself, a week into stopping Citalopram, a week into weaning onto Duloxetine (more famously, Cymbalta).

The effects have been good in terms of my mood, though at this point, it could well be a combination of factors, not least of which would be my return to work after the fraught Easter "Holiday" where I lived two weeks as a fugitive. Alternating between hideouts in the gym, supermarket car parks, retail outlets and coffee shops... Anywhere to avoid the pressure of food.

The downside is the side effects.
I haven't slept a full night for two weeks.
The pressure in my right ear is, at times, immense. My eardrum seems to oscillate constantly, and I am drive crazy by the fruitless attempts at yawning.
My stomach is bloated and rock solid. I am almost bent double from the acid pain that spreads from one end of my diaphragm to the other.
That kind of thing.

I have a huge amount going on in my mind but I feel unable to express any of it.

So what's new? I ask myself.