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What happens if I overdose Cymbalta? Lilly is a WebMD sponsor. Other medications can affect the removal of from your body, which may affect how oxycodone works. symbicort legal canada symbicort

What should i avoid while taking cymbalta

In the past, few options were available to manage this condition. Now, new such as Savella milnacipran HCI are providing renewed hope. Cymbalta addiction and it said that some people actually go to a treatment center to get help with withdrawals. Wow! Each person reacts individually to the positive and negative effects of antidepressants. Statistically, they all have about the same success rate but which ones work for one person is individual and so are the side effects. Do not drive or operate machinery if this medicine makes you drowsy or impairs your judgement. Avoid alcohol. Before using this medication, women of childbearing age should talk with their doctors about the risks and benefits. Tell your doctor if you are or if you plan to become pregnant. generic nortriptyline american express

Cymbalta warnings

Swallow the tablets whole. not break, crush, chew, or dissolve the tablets. It may slow recovery and cause new problems. In most cases, you will be expected to start normal, nonstrenuous activity such as walking within 24 hours to 72 hours. After that, controlled exercise or may be helpful. Patients had a mean baseline pain rating of 6 on a numerical rating scale ranging from 0 no pain to 10 worst possible pain. After 12 weeks of treatment, patients taking CYMBALTA 60 mg daily had significantly greater pain reduction compared to placebo.

Indications and usage of cymbalta

The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Taking broken, crushed, chewed, or dissolved extended-release oxycodone could cause a fatal overdose. But it can also limit the effectiveness of some medications. No specific laboratory tests are recommended. ibuprofen



MRHD in rats; 2 times the MRHD in rabbits

You can help prevent further back injury by learning -- and doing -- gentle and proper lifting techniques, and maintaining good posture. In the 1980s, 5-HTP were associated with a serious illness called eosinophilia-myalgia syndrome EMS. Taking duloxetine with other drugs that make you sleepy or slow your breathing can increase these effects. Ask your doctor before taking duloxetine with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures. AFTER I've stayed up a few nights. It just happens out of the blue. Before you start taking this medication, ask your doctor or pharmacist if you should stop or change how you use your other medications. Duloxetine may also be used for purposes not listed in this medication guide. Both studies compared CYMBALTA 60 mg once daily or 60 mg twice daily with placebo. DPNP-1 additionally compared CYMBALTA 20 mg with placebo. A total of 457 patients 342 CYMBALTA, 115 placebo were enrolled in DPNP-1 and a total of 334 patients 226 CYMBALTA, 108 placebo were enrolled in DPNP-2. Treatment with CYMBALTA 60 mg one or two times a day statistically significantly improved the endpoint mean pain scores from baseline and increased the proportion of patients with at least a 50% reduction in pain scores from baseline. For various degrees of improvement in pain from baseline to study endpoint, Figures 3 and 4 show the fraction of patients achieving that degree of improvement. The figures are cumulative, so that patients whose change from baseline is, for example, 50%, are also included at every level of improvement below 50%. Patients who did not complete the study were assigned 0% improvement. Some patients experienced a decrease in pain as early as week 1, which persisted throughout the study. Hg diastolic in placebo-treated patients. There was no significant difference in the frequency of sustained 3 consecutive visits elevated blood pressure. In a clinical study designed to evaluate the effects of CYMBALTA on various parameters, including blood pressure at supratherapeutic doses with an accelerated dose titration, there was evidence of increases in blood pressure at doses up to 200 mg twice daily. Pooled analyses of short-term placebo-controlled trials of antidepressant drugs SSRIs and others showed that these drugs increase the risk of suicidal thinking and behavior suicidality in children, adolescents, and young adults ages 18-24 with major depressive disorder MDD and other psychiatric disorders. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction with antidepressants compared to placebo in adults aged 65 and older. My heart goes out to all who suffer with these meds--been there. General information about the safe and effective use of Cymbalta. Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. CYMBALTA increased the risk of elevation of serum transaminase levels in development program clinical trials. Underlying risk appears to increase steadily with age. As elderly patients tend to have a higher prevalence of risk factors for falls such as medications, medical comorbidities and gait disturbances, the impact of increasing age by itself on falls during treatment with CYMBALTA is unclear. Continued What Are the Potential Side Effects of Savella?



When a drug flyer says, "Taper off slowly

Talk about a reason to be depressed! This tool does not provide medical advice. Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. For various degrees of improvement in pain from baseline to study endpoint, Figures 7 and 8 show the fraction of patients in CLBP-1 and CLBP-3 achieving that degree of improvement. The figures are cumulative, so that patients whose change from baseline is, for example, 50%, are also included at every level of improvement below 50%. Patients who did not complete the study were assigned the value of 0% improvement. It wasn't until the 10th day that I began feeling slightly "normal" again. All symptoms slowly began subsiding; every day was better than the last. It gave me the additional hope that I desperately needed after feeling, mentally, like I just fought Mike Tyson for 10 rounds. This was also a pleasant surprise since so many posts and reports indicated these symptoms could last up to 5 weeks. Preclinical studies have shown that duloxetine is a potent inhibitor of neuronal and norepinephrine and a less potent inhibitor of reuptake. No suicides occurred in any of the pediatric trials. There were suicides in the adult trials, but the number was not sufficient to reach any conclusion about drug effect on suicide. CYMBALTA-treated patients and at a rate of at least twice that of placebo. Open-angle glaucoma is not a for angle-closure glaucoma. Patients with clinically evident hepatic impairment have decreased duloxetine metabolism and elimination. After a single 20 mg dose of CYMBALTA, 6 cirrhotic patients with moderate liver impairment Child-Pugh Class B had a mean plasma duloxetine clearance about 15% that of age-and gender-matched healthy subjects, with a 5-fold increase in mean exposure AUC. Cases of liver failure, including fatalities, have been reported. The majority of cases were reported in patients with past or current risk factors for liver injury, including alcohol abuse, hepatitis, or exposure to drugs with known adverse effects on the liver. Nevertheless, if a decision is made to increase the dose beyond 60 mg once daily, increase dose in increments of 30 mg once daily. The safety of doses above 120 mg once daily has not been adequately evaluated. Combining these with Savella may increase your risk of abnormal bleeding. adapalene



Side effects of cymbalta

Unfortunately, there is not always a direct correlation between the findings on imaging studies and the amount of back pain. Many people have findings on CT scans and MRI, yet do not have back pain. What Are the Treatments for Back Pain? In Study OA-1, for various degrees of improvement in pain from baseline to study endpoint, Figure 7 shows the fraction of patients achieving that degree of improvement. The figure is cumulative, so that patients whose change from baseline is, for example, 50%, are also included at every level of improvement below 50%. Patients who did not complete the study were assigned the value of 0% improvement. Aggression and anger have been reported particularly early in treatment or after treatment discontinuation. In extremely acidic conditions, CYMBALTA, unprotected by the enteric coating, may undergo hydrolysis to form naphthol. Swallow Cymbalta whole. Do not chew or crush Cymbalta. Report any problems with bleeding or bruising to your doctor, also report any unexplained skin changes such as blisters or rashes problems with urination, eye pain or swelling, and vision changes to your doctor. Initiate CYMBALTA at a dose of 30 mg once daily for 2 weeks before considering an increase to 60 mg. The recommended dose range is 30 to 60 mg once daily. Some patients may benefit from doses above 60 mg once daily. If a decision is made to increase the dose beyond 60 mg once daily, increase dose in increments of 30 mg once daily. The maximum dose studied was 120 mg per day. The most frequently observed adverse reactions in the clinical trials included nausea, headache, decreased weight, and abdominal pain. Decreased appetite and weight loss have been observed in association with the use of SSRIs and SNRIs. This Medication Guide summarizes the most important information about Cymbalta. If you wouldlike more information, talk with your healthcare provider. You may ask your healthcare provider or pharmacist for information about Cymbalta that is written for healthcare professionals. The good part is that at least I'm not crazy and I'm not alone. If anyone else has any ideas to help through the process I would appreciate it. Thank you!



Use of cymbalta

Cymbalta, I decided to taper off. I skipped a day took a pill, skipped a day took a pill, then skipped two days, took a pill. After that I thought this is crazy I am just stopping, which I did. I had never heard of the problems ppl had with stopping Cymbalta but everytime I turned my head it made me dizzy and I started having crazy dreams when I did sleep which wasn't much so I started to research. I have been Cymbalta free for 5 days but can't say anything is getting any better. I feel lightheaded and can cry at the drop of a hat, my head hurts and I would love to have a night of good sleep. I have thought of going back on but I want off of Cymbalta and I know this has to come to an end some time. Good luck. In case of acute overdose, treatment should consist of those general measures employed in the management of overdose with any drug. The efficacy of CYMBALTA in the treatment of pediatric patients 7 to 17 years of age with generalized anxiety disorder GAD was established in 1 flexible-dose randomized, double-blind, placebo-controlled trial in pediatric outpatients with GAD based on DSM-IV criteria. Cym Battle is by far the worse thing ige ever dealt with in my life. ASK yourself next time you take it. why is cymbattle legal but weed is not. ive tried weed in the past. it does make me have these side effects. it makes you eat lol so get fat. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. In the US, the FDA recommends flushing this down the toilet or pouring into a drain. Consult your or local waste disposal company. And the emotional roller coaster of feeling like the world is against you. and have tears for no reasons. THEN BY ALL MEANS. Learn what to look for and steps to take to help find the best fibromyalgia doctor for you. SSNRI for oral administration. american sotalol store



Where can I get more information?

Perahia DG, Kajdasz DK, Desaiah D, Haddad PM. Symptoms following abrupt discontinuation of duloxetine treatment in patients with major depressive disorder. J Affect Disord. Try to take the medicine at the same time each day. Follow the directions on your prescription label. Events for which there was a significant dose-dependent relationship in fixed-dose studies, excluding three MDD studies which did not have a placebo lead-in period or dose titration. Cymbalta for Major Depressive Disorder, Generalized Anxiety Disorder, and PTSD. This medication has rapidly stabilized my condition and greatly contributed to better mood regulation. In less than a week, Cymbalta alleviated suicidal thoughts and my level of distress in response to triggers. Over the past several years I have tried different medicines. For my PTSD and depression. After a great choice made by my doctor and I based in Phoenix, AZ the Cymbalta works wonders. Cymbalta helps a lot with my symptoms of PTSD by having me be more relaxed and I'm less stressed. I'm doing quite better on Cymbalta. It puts me more in a positive mood.



Cymbalta dosing information

Those treated with Cymbalta also reported a greater reduction in their perception of their low back pain and its interference in their daily lives. MRHD did not alter mating or fertility. In this study, the starting dose was 30 mg once daily for 2 weeks. Further dose increases in 30 mg increments up to 120 mg once daily were allowed based on investigator judgment of clinical response and tolerability. Cymbalta may cause serious skin reactions that may requirestopping its use. This may need to be treated in a hospital and may be life-threatening. Callyour healthcare provider right away or get emergency help if you have skin blisters, peelingrash, sores in the mouth, hives or any other allergic reactions. Tell your healthcare provider about all the medicines that you take, including prescriptionand over-the-counter medicines, vitamins, and herbal supplements. Cymbalta and somemedicines may interact with each other, may not work as well, or may cause serious sideeffects. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. There is a pregnancy registry that monitors the pregnancy outcomes in women exposed to CYMBALTA during pregnancy. To enroll, contact the CYMBALTA Pregnancy Registry at 1-866-814-6975 or www. When switching from another antidepressant to Cymbalta your healthcare provider may want to lower the dose of the initial antidepressant first to potentially avoid side effects. If is related to muscle tension or spasm, may be effective for lessening pain intensity, decreasing drug use, and improving quality of life. Biofeedback may help you train your muscles to respond better to stress or movement. Keep all follow-up visits with your healthcare provider as scheduled. Call your healthcare provider between visits as needed, especially if you have concerns about symptoms. The day I decided to take my self off my 30 mg prescription of Cymbalta. I knew It was going to be terrible coming off because I have been out for a few days before and had terrible side affects. I spoke to someone who said that maybe having babies has depleted me of nutrients. I found a multivitamin that supports brain function and I take it twice a day as recommended for improved brain function. I have been exercising and taking naps during the day when I can and I feel far less withdrawals than I normally do. Today is my 6th day off. We will see how it goes from here. As for my Mom, I am going to talk to my Dad and figure out what to do. Maybe we will consult a treatment center on helping to wean my Mom off and get her real medicine for her fibromyalgia. The mean dose for completers at endpoint in the flexible-dose studies was 104. Thank God was with me when I made that decision--- after researching this medas I have learned to always do I will NEVER go on it for anything. The efficacy of CYMBALTA for the management of fibromyalgia was established in two randomized, double-blind, placebo-controlled, fixed-dose studies in adult patients meeting the American College of criteria for fibromyalgia a history of widespread pain for 3 months, and pain present at 11 or more of the 18 specific tender point sites. Study FM-1 was three months in duration and enrolled female patients only. Study FM-2 was six months in duration and enrolled male and female patients. Approximately 25% of participants had a comorbid diagnosis of major depressive disorder MDD. FM-1 and FM-2 enrolled a total of 874 patients of whom 541 62% completed the studies. Physical therapy is often recommended to help ease fibromyalgia pain and teach self-management skills. Learn more about the different types of physical therapy for fibromyalgia. Hyponatremia - Advise patients that hyponatremia has been reported as a result of treatment with SNRIs and SSRIs, including CYMBALTA. aciphex may 25



Common side effects of cymbalta

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. Where can I get more information? Dr. next week. I still sweat a little more than usual but I have lost interest in many things and and while not extremely depressed, I am not happy that often. So maybe she will talk about going back on another anti-depressant. I do look forward to the weekends. After I work out and do a few errands, I shower and tap a mid-day nap which can last 2-4 hours. I will see what the future brings. Do not use duloxetine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. After you stop taking duloxetine, you must wait at least 5 days before you start taking an MAOI. Wort is clinically warranted, patients should be made aware of a potential increased risk for serotonin syndrome, particularly during treatment initiation and dose increases. Treatment with CYMBALTA and any concomitant serotonergic agents, should be discontinued immediately if the above events occur and supportive should be initiated. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. These improvements were reported in measurements of pain, and mental state. Efficacy was not demonstrated in two 10-week, placebo-controlled trials with 800 pediatric patients with MDD, age 7 to 17. Neither CYMBALTA nor an active control indicated for treatment of pediatric depression was superior to placebo. The safety and effectiveness in pediatric patients less than 7 years of age have not been established.



I'll bet THEY don't take them!

Depression and other serious mental illnesses are the most important causes of suicidal thoughts or actions. Some people may have a particularly high risk of having suicidal thoughts or actions. These include people who have or have a familyhistory of bipolar illness also called -depressive illness. Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. Cymbalta is a delayed-release product. Swallow Cymbalta capsules whole, do not crush or chew. Do not open the capsule and sprinkle of foods or liquids, as this may affect the way the contents of the capsule are absorbed. Duloxetine steady-state plasma concentration was comparable in children 7 to 12 years of age adolescents 13 to 17 years of age and adults. The average steady-state duloxetine concentration was approximately 30% lower in the pediatric population children and adolescents relative to the adults. The model-predicted duloxetine steady state plasma concentrations in children and adolescents were mostly within the concentration range observed in adult patients and did not exceed the concentration range in adults. What should I tell my healthcare provider before taking Cymbalta? After reading your experience, I was encouraged and motivated. I don't feel up to doing the treadmill, but my fiancee and I are going to go swimming at the indoor pool in our apartment complex later, and I am feeling like I do possess the inner strength to make it through this. I want to thank you for sharing your story, and I am encouraged to do the same once I beat this, so that the next person can find something a little less bleak when they search the Internet for advice. Side Effects List Cymbalta side effects by likelihood and severity. Omega's. I drank between 1 - 2 gallons of water per day to ensure I kept my system flushed. R-and S-warfarin were not altered by duloxetine. Older adults may be more sensitive to the side effects of this medication. Plasma TCA concentrations may need to be monitored and the dose of the TCA may need to be reduced if a TCA is co-administered with CYMBALTA. Wow was I wrong. Falls were reported more commonly in patients 65 years of age or older. Bitter I, Filipovits D, Czobor P. Adverse reactions to duloxetine in depression. Expert Opin Drug Saf. trandate



What are the ingredients in Cymbalta?

Cymbalta trumped the placebo at pain reduction and overall improvement. Hg diastolic up to 12 hours after dosing. Duloxetine is also used to treat fibromyalgia a chronic pain disorder or chronic muscle or joint pain such as low back pain and osteoarthritis pain. Disclaimer: Every effort has been made to ensure that this information is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This drug information does not endorse drugs, diagnose patients or recommend therapy. It is an informational resource designed as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugs. Also includes initial insomnia, insomnia, middle insomnia, and terminal insomnia. Cymbalta for depression. I took the med for about 2 years with remission and, with my psychiatrist, weaned slowly from 60 mg per day to zero over about 6 weeks. For several reasons, the depression returned about 6 months later and I again responded positively to restarting Cymbalta at 30 mg. It helps me with anxiety, negative thinking and improves sleeping. In post marketing experience, cases of urinary retention have been observed. Concomitant use of duloxetine 40 mg once daily with paroxetine 20 mg once daily increased the concentration of duloxetine AUC by about 60%, and greater degrees of inhibition are expected with higher doses of paroxetine. All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases.



Cymbalta dosage

The efficacy of CYMBALTA for the management of neuropathic pain associated with diabetic was established in 2 randomized, 12-week, double-blind, placebo-controlled, fixed-dose studies in adult patients having diabetic peripheral neuropathic pain for at least 6 months. Study DPNP-1 and Study DPNP-2 enrolled a total of 791 patients of whom 592 75% completed the studies. Patients enrolled had Type I or II with a diagnosis of painful symmetrical sensorimotor polyneuropathy for at least 6 months. CYMBALTA-treated patients. In most patients, the median time to detection of the transaminase elevation was about two months. The most commonly observed adverse reactions in CYMBALTA-treated patients as defined above were nausea, dry mouth, insomnia, somnolence, constipation, dizziness, and fatigue. Cymbalta until it is the right dose for you. One of these is radiofrequency ablation, a process of delivering electrical stimulation to specific nerves to make them less sensitive to pain, or by delivering enough electricity to actually destroy the nerve to prevent further pain. More research is needed to see if this approach is effective. Cymbalta or when increasing the dose. can i buy trileptal pharmacy



How to take cymbalta

Elevated cerebrospinal fluid substance p concentrations in PTSD and major depression. PLEASE don't take anything without checking it out THOROUGHLY on this website because your doctors might not know or even tell you about the withdrawal. You have to stay active. I know it sounds daunting but I forced myself on the treadmill for 30 minutes every morning. I also found that socializing helped, which was ironic because the absolute last thing I wanted to do was be social. HCl, which corresponds to a molecular weight of 333. Unless you are totally immobilized from a back injury, your doctor probably will test your range of motion and nerve function and press on your back to locate the area of discomfort. Table 6 provides the incidence of treatment-emergent adverse reactions in MDD and GAD pediatric placebo-controlled trials that occurred in greater than 2% of patients treated with CYMBALTA and with an incidence greater than placebo. Difference drug minus placebo in least-squares mean change from baseline. This medication has been prescribed for your current condition only. Do not use it later for another condition unless told to do so by your doctor. A different medication may be necessary in that case. In the CYMBALTA clinical trials database, three CYMBALTA-treated patients had liver injury as manifested by ALT and total bilirubin elevations, with evidence of obstruction. Women did not experience the side effects during these trials. The patient should inform a health care professional if this side effect develops. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Cymbalta only for the indication prescribed. For patients for whom tolerability is a concern, a lower starting dose may be considered. Whether any of the symptoms described above represent such a conversion is unknown. Monitor your blood pressure before starting and throughout treatment.



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Cymbalta or when increasing the dose


Reviews for cymbalta

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs. dokter online prednisone prednisone

Cymbalta consumer information

Food and Drug Administration. Cymbalta Duloxetine Hydrochloride Capsules. Detailed View: Safety Labeling Changes Approved By FDA Center for Drug Evaluation and Research CDER June 2015. Patients had a mean baseline pain rating of 6 on a numerical rating scale ranging from 0 no pain to 10 worst possible pain. After 13 weeks of treatment, patients taking CYMBALTA had significantly greater pain reduction. Subgroup analyses did not indicate that there were differences in treatment outcomes as a function of NSAIDs use. Decreased appetite and weight loss have been observed in association with the use of SSRIs and SNRIs.

It may also ease fibromyalgia pain

If symptoms of urinary hesitation develop during treatment with CYMBALTA, consideration should be given to the possibility that they might be drug-related. Cymbalta for about 8 months now after being on 150mg of Effexor XR 450mg Effexor XR 5 years ago but I tapered down myself. But NEVER totally get off of it if you have been at a high dosage for a year or more, I thought the world was coming to an end, crying etc. Then I took a 75mg from my Psy and in a couple hours I was ok. The Cymbalta I started 8 months ago was a 60mg pill by my family Dr. replacing the 150mg Effexor XR Burn out or tolerance and the change over was no problem and it did benefit I think, it's hard to tell. faqp.info diphenhydramine

Cymbalta drug interactions

Mellaril. Mellaril together with Cymbalta can cause serious heart rhythmproblems or sudden death. Treatment with Cymbalta also had a slight, but not significant, effect on disability scores. Check the labels on all your medicines such as or -and-cold products because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. Chronic low back pain is defined as any pain in the low back that lasts more than 12 weeks. Researchers say the problem is difficult to treat because the cause is often unclear.

CYMBALTA should be swallowed whole and should not be chewed or crushed, nor should the capsule be opened and its contents be sprinkled on food or mixed with liquids. All of these might affect the enteric coating. People who take Cymbalta close in time to an MAOI may have a serious problem called Serotonin Syndrome see “What are the possible side effects of Cymbalta? An adequate airway, oxygenation, and ventilation should be assured, and cardiac rhythm and vital signs should be monitored. Induction of emesis is not recommended. Gastric lavage with a large-bore orogastric tube with appropriate airway protection, if needed, may be indicated if performed soon after ingestion or in symptomatic patients.

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