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He dose of Celexa and Cymbalta should be duloxetine 30 mg capsule reduced when therapy is discontinued to prevent symptoms of withdrawal. The usual starting dose is 20 mg in the morning or evening.Pregnant women with fibromyalgia are at increased risk for adverse maternal and infant outcomes including preterm premature rupture of membranes, preterm birth, small for gestational age, intrauterine growth restriction, placental disruption, and venous thrombosis.

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Risk cannot be ruled out during pregnancy.503 of the patients who received CYMBALTA in 13-week, placebo-controlled trials for chronic pain due to OA discontinued treatment due to an adverse reaction, compared with.

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