Well, we knew it could happen. The combination of Clonazepam ODT and Cymbalta gave me a good long run, but the tingling has gradually morphed back into my usual burning cycle, and it is time for me to discuss next steps with my Neurologist. Luckily, I have our annual checkup coming up soon.
A higher dosage of Cymbalta?
My magic eight ball says “Doubtful.” I have started getting some minor muscle tremors similar to what I experienced on Effexor XR, and I think a higher dose of Cymbalta would probably make that worse.
Ramp off of Cymbalta?
This sounds like what he may suggest, but I will wait and see.
Is there anything else we can try?
Not that I have heard about, but this is why I go to a Neurologist. He keeps an eye out for me and others who suffer from Burning Mouth, and I am blessed to have such an open-minded and professional advocate.
I will let you all know what I find out at my checkup in early November.
Take care out there, and keep using your coping strategies as holidays approach and stress can increase. Remember, one of the best things you can do for your body and your pain is hydration. Keep that water or other drink handy and stay as comfortable as possible.
A Burning Journey 
Kali, I was so hoping that your combination of the two medications for our shared BMS would last and last and last. From what you wrote, it is hopeful that your specialist will provide you with the relief you have had once again.
Please keep us updated. We care.
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Thanks for your good wishes, Barbara! How is your burning mouth? Has it gotten any better?
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Similar to you, I have been on the combination of Clonazepam and Gabapentin for several years. This is under the supervision of my oralmaxillofacial doctor. Thus far, no significant burning mouth for my Type 1 BMS. My doctor, in the past, has used the term “hopefully the situation will burn out” referring to the erroneous brain signals sent to the oral cavity. One can cross their fingers (and toes) in hope.
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