Talk to your prescriber before changing your dose
Do not stop Cymbalta suddenly unless your prescriber tells you to
Follow a gradual taper plan based on your current dose and how long you have taken it
Reduce the dose step by step, usually over weeks to months
Use the lowest available capsule strengths as directed
Ask about bead-counting only if your prescriber or pharmacist approves it
Take each lower dose consistently for the planned time before the next reduction
Slow the taper if withdrawal symptoms appear
Contact your prescriber if you have severe dizziness, nausea, anxiety, irritability, insomnia, or flu-like symptoms
Seek urgent help if you have suicidal thoughts, severe mood changes, or signs of a serious reaction
Keep follow-up appointments during the taper
Avoid alcohol and other substances that may worsen side effects
Do not change other psychiatric medicines without medical guidance