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Decreased appetitemay include anorexiaDecreased sex drive Drowsiness or sleepiness Increased sweating Jittersnervousnessor restlessnessagitationUrinary hesitation.

Suicidal Thoughts and Behaviors in ChildrenAdolescents and Young Adultssee BOX WARNING and WARNINGS AND PRECAUTIONSHepatotoxicitysee WARNINGS AND PRECAUTIONSOrthostatic HypotensionFalls and Syncopesee WARNINGS AND PRECAUTIONSSerotonin Syndromesee WARNINGS AND PRECAUTIONSAbnormal Bleedingsee WARNINGS AND PRECAUTIONSSevere Skin Reactionssee WARNINGS AND PRECAUTIONSDiscontinuation of Treatment with CYMBALTAsee WARNINGS AND PRECAUTIONSActivation of Mania/Hypomaniasee WARNINGS AND PRECAUTIONSAngle-Closure Glaucomasee WARNINGS AND PRECAUTIONSSeizuressee WARNINGS AND PRECAUTIONSEffect on Blood Pressuresee WARNINGS AND PRECAUTIONSClinically Important Drug Interactionssee WARNINGS AND PRECAUTIONSHyponatremiasee WARNINGS AND PRECAUTIONSUrinary Hesitation and Retentionsee WARNINGS AND PRECAUTIONS

DrShiel received a Bachelor of Science degree with honors from the University of Notre DameThere he was involved in research in radiation biology and received the Huisking ScholarshipAfter graduating from StLouis University School of Medicinehe completed his Internal Medicine residency and Rheumatology fellowship at the University of CaliforniaIrvineHe is board-certified in Internal Medicine and Rheumatology.

Other Adverse Reactions Observed During The Premarketing And Postmarketing Clinical Trial Evaluation Of CYMBALTA In Adults.

The most commonly observed adverse reactions in CYMBALTA-treated patientsas defined abovewere nauseadry mouthinsomniasomnolenceconstipationdizzinessand fatigue.

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