Recognizing the Symptoms of Depression
Craving Carbs: Is It Depression?
Does a bad day at the office or a tiff with your spouse send you marching to the cookie jar or the corner bakery?
Or do you find yourself at the vending machine every day precisely at 4 p.m. for some crackers or candy?
Understand the symptoms of depression, from sadness to hopelessness to headache.
If either scenario fits, you're not alone. Many people crave carbohydrates -- especially cookies, candy, or ice cream -- when they feel upset, depressed, or tired.
"Carb craving is part of daily life," says Judith Wurtman, PhD, a former scientist at the Massachusetts Institute of Technology and co-author of The Serotonin Power Diet. She and her husband, MIT professor Richard J. Wurtman, have long researched carbohydrates and their link to mood and depression.
The Wurtmans published a landmark article about carbs and depression in Scientific American in 1989. They are convinced that the carbohydrate craving is related to decreases in the feel-good hormone serotonin, which is marked by a decline in mood and concentration.
Other experts aren’t so sure. Some wonder if depressed mood and reaching for carbs are both related to an external event -- such as the stock market decline -- or to simply habit.
Carbohydrate Cravings: What's Known? What's Debated?
Carb cravings seem to be related to decreases in serotonin activity, says Wurtman.
"We discovered years and years ago that many people experience the 'universal carbohydrate craving time' between 3:30 p.m. and 5 p.m. every day," she says. "I suspect the tradition of English tea with its carb offering is a ritual developed to fill this need."
"It's a real neurochemical phenomenon," she says.
The Wurtmans’ work, however, has its skeptics.
Edward Abramson, PhD, a psychologist and professor emeritus at California State University, Chico, wrote the book Emotional Eating. He does not think the link is strong and clear-cut.
"You could be down because of loss of money in the stock market," he says. "The depression is triggered by an external event, not by [only] a dip in serotonin. It may be the external event causing the dip in serotonin, not the dip occurring, then the craving, he says.
Another possibility, says Abramson, is that carb craving may be just a habit, learned early. For instance, a woman brought up to believe that anger is not an acceptable emotion may turn to eating treats such as cookies instead -- because that's what she did as a kid and perhaps was encouraged to do by a parent.
Carb cravings can also result from diets, says Evelyn Tribole, RD, a dietitian in Newport Beach, Calif., and author of Healthy Homestyle Cooking.
She sees quite a few dieters who crave carbohydrates, especially if they’re on one of the high-protein, low-carb diets.
"You don't want to kill for a piece of broccoli, but you'd kill for a piece of bread. It's a clear signal,” she says, “that your body needs more carbs. It’s not an abnormal craving.”
Important Safety Information About Cymbalta
The most important information you should know about Cymbalta:
Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Suicide is a known risk of depression and some other psychiatric disorders. Call your doctor right away if you have new or worsening depression symptoms, unusual changes in behavior, or thoughts of suicide. Be especially observant within the first few months of treatment or after a change in dose. Approved only for adults 18 and over.
Cymbalta® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you:
- have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI) or Mellaril® (thioridazine)
- have uncontrolled narrow-angle glaucoma (increased eye pressure)
Before taking Cymbalta, talk with your healthcare provider:
- about all your medical conditions, including kidney or liver problems, glaucoma, diabetes, seizures, or if you have bipolar disorder. Cymbalta may worsen a type of glaucoma or diabetes
- about all your prescription and nonprescription medicines. A potentially life-threatening condition has been reported when Cymbalta was taken with certain drugs for migraine, mood, or psychotic disorders
- if you are taking NSAID pain relievers, aspirin, or blood thinners. Use with Cymbalta may increase bleeding risk
- about your alcohol use
- about your blood pressure. Cymbalta can increase your blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
- if you are pregnant or plan to become pregnant during therapy, or are breast-feeding
While taking Cymbalta, talk to your healthcare provider right away:
- if you have itching, right upper-belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of liver problems. Severe liver problems, sometimes fatal, have been reported
- if you have high fever, confusion and stiff muscles, which may be symptoms of a potentially life-threatening condition
- if you have skin blisters, serious or peeling rash, hives, mouth sores, or any other allergic reaction. These may be serious, possibly life-threatening, skin reactions
- if you experience dizziness or fainting upon standing. This tends to occur in the first week or when increasing the dose, but may occur at any time during treatment
- before you stop Cymbalta or change your dose
- if you experience headache, weakness, confusion, problems concentrating, memory problems, or feel unsteady, which may be signs of low sodium levels
- if you develop problems with urine flow
Most common side effects of Cymbalta (this is not a complete list):
- nausea, dry mouth, sleepiness, fatigue, constipation, dizziness, decreased appetite, and increased sweating
You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Other safety information about Cymbalta:
- Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you should not drive a car or operate hazardous machinery.
- People age 65 and older who took Cymbalta reported more falls, some resulting in serious injuries.
How to take Cymbalta:
Take Cymbalta exactly as directed by your healthcare provider. Cymbalta should be taken by mouth. Do not open, break or chew capsule; it must be swallowed whole. Cymbalta can be taken with or without food.
Cymbalta is available by prescription only.
See Prescribing Information, including Boxed Warning about antidepressants and risk of suicide, and Medication Guide.
DD CON ISI 28NOV2011
©Lilly USA, LLC 2012. All rights reserved.
Cymbalta is a registered trademark of Eli Lilly and Company.
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Depression Glossary
- Antidepressant: Drugs to be used to treat depression...
- Dysphoria: An emotional state marked by anxiety, depression, and restlessness ...
- Dysthymia: Chronic depression that is less severe than major depression ...
- Major Depression: Depression that lasts for at least two weeks and interferes with daily life ...
- Psychotherapy: Treatment by talking about emotional problems ...
- View All Terms
