Pookie Its important to understand when to take a pregnancy test in relation to the day of possible conception. Cymbalta takes around three days on average to leave the persons body. Mild side effects have been reported with Cymbalta, many of which are also more common side effects of the drug. Cymbalta can be harmful during pregnancy. Various fetal side effects of Cymbalta have been found to result in low birthweights, preterm deliveries and unexplained fetal deaths, especially when the drug was taken towards the last trimester of pregnancy. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Has anyone else experienced these symptoms? We're so excited to get to know you. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. (2013). Other side effects are more likely to continue for as long as youre taking the drug. So what is the deal with inaccurate test results? Missed Period and Negative Pregnancy Test- Could I Still be Pregnant? The results are not affected by your pain level, pain medications, muscle relaxants, or antidepressants. All rights reserved. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. What do you do if you have an invalid pregnancy test result? A few days ago I started feeling really nausiated here and there throuout the day. Every pregnancy starts out with a 3-5% chance of having a birth defect. Of course, any decisions should be made in conjunction with your doctors recommendations, but you might want to consider quitting Cymbalta once you choose to start trying for a pregnancy. This can happen with any pregnancy test but, to be sure your results are accurate, Stix provides two tests for a peace of mind in trusting your results. Although rare, Cymbalta can cause serious liver damage that could be fatal. take care! Stix is here to make it easier. Males who took Cymbalta reported significantly more sexual side effects compared with those who took a placebo (a treatment that contains no active drug). Even if a line appears in the test window, a blank control window means the test is invalid. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501470/, Andrade, C. (2014). Home Safe and effective professional detox program, Addiction Resource Drugs of Abuse Cymbalta Pregnancy. According to self-reported cases, duloxetine HCl has the potential of causing birth defects and complications. Ovulation Bleeding always happens to me when i stop..3 periods in a month..but i know now that it is the drug that causes it. Similarly, an ectopic pregnancy will most likely give you a positive test result. It is important to be aware of this potential because it can affect how you handle your pregnancy. The Dr. says it's not related and it's questionable because I'm 47, but REALLY??!!!! Your doctor can tell you about their understanding of long-term Cymbalta use. Positive results can be trusted, but you can get a false negative result if you take the test too soon. to be honest.. i dunno? After testing for pregnancy, bacterial and yeast infections (plus a physical exam) everything came back perfectly normal. NAS is more common with SSRI antidepressants. Always remember to read the instructions and look at your results when they advise, not before or after. If youre experiencing troublesome side effects, you shouldnt suddenly stop taking Cymbalta. I started with 20 mg, which didn't do much at all for my anxiety, so my doctor increased the dosage to 30 mg. See product details The material on this website is provided for educational purposes only and is not to be used for medical advice, diagnosis or treatment, or in place of therapy or medical care. This is because its very rare for your body to produce hCG, the hormone that a pregnancy test detects, if youre not pregnant. In fact, weight loss is more likely than weight gain with Cymbalta. In a study that tested 27 different kinds of at home pregnancy tests, false negative results were displayed 48% of the time. Talk with your doctor about whether youve had problems with your liver or alcohol use in the past. Therefore, it is always a good idea to talk to your doctor about Cymbaltas effect on pregnancy. over a year ago, dogs53280 Instead, you may ask your doctor about Cymbalta (duloxetine), which has a very low risk of producing a false positive on a drug test. What are the mild side effects of Cymbalta? An invalid pregnancy test is not the same as getting a false result. Together, you can discuss your condition and consider whether you should continue Cymbalta long term. Data suggests that the rate of spontaneous miscarriage is around 18% for those who take Cymbalta, which is 3% higher than the general populations rate. If you do decide to quit using Cymbalta while you are pregnant, you have several different options. Hi Pookie. All rights reserved. This being said, alcohol dehydrates you and might lead you to drink more water than usual, which could lead to a false negative result. In a person who has liver or kidney problems, Cymbalta levels could become too high in their body. Early Pregnancy Tests Eye problems arent a common side effect of Cymbalta. While the lack of research makes it impossible to state that Cymbalta is completely unsafe for pregnant women and their babies, its benefits may outweigh the risk. Based on the studies reviewed, taking duloxetine in pregnancy is not expected to increase the chance of birth defects above the background risk. To learn more, see Side effects explained below. The following may indicate that theres a problem with your liver: To help prevent this side effect, talk with your doctor about any liver problems youve had. For instance, duloxetine has been associated with orthostatic hypotension, a condition where blood pressure suddenly drops as a person stands up due to blood pooling in the legs. But if you have any symptoms that are ongoing or that bother you, talk with your doctor or pharmacist. Sign up to get exclusive offers, early access to deals, plus 15% off your first order. PPHN occurs in approximately one baby in a thousand and is frequently fatal. While the lack of research makes it impossible to state that Cymbalta is completely unsafe for pregnant women and their babies, its benefits may outweigh the risk. ; first two weeks of pregnancy and cymbalta, CHANCES OF PREGNANCY WITH ZERO SPERM COUNT. These medications can cause premature birth and maternal birth changes, but they do not cause birth defects. It could also be higher in people who already had liver problems before starting Cymbalta. When taken together, these two medicines can wreak havoc on the childs liver. There are surprisingly few medications or substances that can affect the accuracy of a home pregnancy test. Cymbalta and Pregnancy - Depression Home Page I am 41 and had a positive home pregnancy test. This can be very dangerous, especially if the mother has preexisting health conditions. Expired tests arent as effective in detecting hCG levels and are more likely to produce inaccurate results. You are not the only one who did not get their period.also, I experienced an incredibly painful neck. You must be under the care of a doctor and have a valid prescription. Cymbalta may cause mild side effects other than the ones listed above. But I also noticed itching and a skin rash on my torso and legs. I'm light-headed and "woozy", especially in the evenings. This may be because the medication helped to reduce the symptoms of their condition. Data indicates that Cymbalta can very slightly increase certain adverse effects for pregnant women. In many cases, it can take a month or two for a woman to realize that she is pregnant, so it is possible that a prospective mother may take Cymbalta without realizing that she has conceived. Can taking prenatal vitamins help you get pregnant? Always remember to read the instructions and look at your results when they advise, not before or after. Overall, the risk of birth defects and other problems for babies of mothers who take antidepressants during pregnancy . Having menstrual cramps but no period - is it pregnancy? Methadone I just started cymbalta about 2 1/2 weeks ago. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. These cookies ensure basic functionalities and security features of the website, anonymously. Short-term effects such as crying, sleep problems, and difficulty breathing might occasionally be present in such infants; however, they do not last long or result in lingering impairments. I am 43 years old, and I have been taking 30 mg of Cymbalta for anxiety for several months now. If you have a condition that can slow stomach emptying, such as diabetes, the special coating may get destroyed. Cymbalta has several warnings that may affect whether you can safely use this drug to treat your condition. It can cause false positive results for amphetamine or methamphetamine. For example, paracetamol, which is frequently prescribed for child pains, is known for its hepatotoxic properties and so is Cymbalta. The symptoms usually go away on their own after a few weeks. If you think you may be pregnant, please consult your doctor. One of your first options is exploring other antidepressants. In a study that tested 27 different kinds of at home pregnancy tests, false negative results were displayed 48% of the time. Cymbalta is considered a Category D medicine by the U.S. Food and Drugs Administration, meaning there is proof of human fetal risk from taking the drug, but prescribing it may be necessary in life-threatening situations where there are no safer alternatives. Despite the lack of a carefully controlled test, it is still possible to learn a little about how Cymbalta affects pregnancies. This is a rare side effect. However, even with Duloxetine, the child might display hyperactive reflexes, yawning, and excessive high-pitched crying, as well as suffer from stuffy nose or sneezing. For that reason, its worth knowing all the hazards. Then I stopped it for about a month. Cymbalta pregnancy category, according to the FDA, is C. It means that adverse health effects on the fetus have been discovered during animal studies. Talk with your doctor about your health history before you take Cymbalta. As we mentioned, fertility treatments containing hCG might affect the accuracy of your results. Cloudflare Ray ID: 7a15740acf9e829e Its likely that the test is either faulty or expired, or that there wasnt enough urine on the test to produce a result. According to my doctor, everything is perfectly fine it's probably just the stress/medication but it's important to have open communication with your doctor about any concerns like these. If you get an invalid pregnancy test result, ignore whatever result it gives you. Before starting this drug, tell your doctor about any heart or blood pressure problems you may have. Along with other questions you may have about the drug, you could be wondering about its side effects. Granite Recovery Services does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, physical or mental disability, age, marital status or receipt of public assistance in the admission or access to or treatment in its programs or activities. What can affect a pregnancy test results? Persistent pulmonary hypertension of the newborn is sometimes observed in infants of women who use SSRIs during pregnancy. I think it is helping with both symptoms and I feel more normal on Cymbalta than on Prozac. Taking birth control will not affect your chances of getting pregnant after you stop using it, nor will it affect your pregnancy test results when you are using it. There are no definitive studies proving that Cymbalta affects breastfed infants, but medical professionals are inclined to discourage its use during breastfeeding. Behavioral and development problems are not observed in children of women who took Cymbalta during pregnancy. Could Cymbalta cause Pregnancy test false positive? Duloxetine has significant effects on the physical and psychological well-being of pregnant women. However, the extent to which it will affect the results is not entirely clear. Cymbalta passes into breast milk, and the drug may affect a child who is breastfed. Pregnancy And dont stop using Cymbalta unless your doctor recommends it. In one case report, a mother was treated with 90 mg of the drug daily. Taking birth control will not affect your chances of getting pregnant after you stop using it, nor will it affect your pregnancy test results when you are using it. Taking birth control will not affect your chances of getting pregnant after you stop using it, nor will it affect your pregnancy test results when you are using it. Tell your doctor right away if you or someone else notices any changes in your behavior or moods. If you take Cymbalta, it is important to know how it can affect your pregnancy. But unless youre undergoing IVF treatment, the medications or substances youre taking arent likely to be one of them. Therefore, there is no reason to panic and assume that you have harmed your fetus just because you took Cymbalta without realizing that you are pregnant. If you arent sure whether you have either condition, your doctor may screen you for them before you take Cymbalta. What are they, why do they happen, and how can we do our best to avoid them? However, there is no direct evidence that suggests the negative impacts of Cymbalta on pregnancy. yes yes yes,,, i have been taking cymbalta for about 3 years now and every time i stop or take a break from it i get messed up periods. Diuretics. So far, the evidence suggests that Cymbalta use can cause the same problems regardless of whether it is taken at the beginning or end of pregnancy. If youre pregnant or youre considering a pregnancy, talk with your doctor. Low sodium levels. Does it pose any risk to the mother or fetus? They will typically suggest taking the lowest dosage possible. Only trained and licensed medical professionals can provide such services. Human Reproduction, 17(10), 2580-2584. https://pubmed.ncbi.nlm.nih.gov/12351532/. His response was NO, the Cymbalta would NOT affect a normal pregnancy test. Alcohol and illicit drugs also don't affect pregnancy test results. This can worsen the drugs side effects. Most at home pregnancy tests have two windows: a control window and a test window. A lot of fertility treatments work by providing synthetic, False positives are much less common in pregnancy testing than false negatives. When medication is not an option because of pregnancy, additional therapy might be required. In addition to potentially causing problems with the mothers health, Cymbalta may also affect the growth of the fetus. Hello Just beginning to come out of a bir burn out. * In studies, sexual side effects were reported in a small percentage of males and females during Cymbalta treatment. tests aren't accurate on cymbalta. However, the chemicals in cannabis (particularly tetrahydrocannabinol, or THC) can harm a fetus. No adverse health effects were found in children whose mothers took the drug daily while breastfeeding. Drinking alcohol will not affect the results of your test. They may prescribe bed rest or other preventative measures to prevent problems from happening. The rate of congenital disabilities in one study was 3%, which is approximately the same as expected in the general population. These side effects may lead to weight loss, especially in children. What are the serious side effects of Cymbalta? Your IP: Necessary cookies are absolutely essential for the website to function properly. While alcohol doesnt directly affect your results, it will directly affect your pregnancy so, as soon as you get a positive result, its time to stop drinking. For the best results though, we do recommend taking the test at least three days before your missed period or 19 days after you had sex. Also been to the doctor and they took a urine sample and still negative. taking a test first thing in the morning before youve had anything to drink will lead to more accurate results as your urine is more concentrated and will likely have higher levels of hCG. Testing for pregnancy isnt as simple as any of us thought! Use of duloxetine in pregnancy and lactation. Before taking Cymbalta, talk with your doctor about any medical conditions that you have. How long after ovulation can I take a pregnancy test. If a line does not appear in the control window, the test is invalid. can cymbalta cause a miscarriage at 12 weeks of pregnancy? He has a particular interest in psychopharmacology, nutritional psychiatry, and alternative treatment options involving particular vitamins, dietary supplements, and administering auricular acupuncture. Ectopic pregnancies still produce the hCG hormone even though they are developed outside of the uterus. Talk with your doctor about other treatment options. BUT I just had a friend find out she was 3 months along and she'd been taking cymbalta.. some tests came out neg. It can be used to help relieve nausea and vomiting. This cookie is set by GDPR Cookie Consent plugin. Many people in the USA suffer from some form of mental health disorder, like anxiety or depression; and it wouldnt be surprising that there are pregnant women among them. Antidepressants are used to treat symptoms of depression, chronic pain, and other mood disorders. This is known as a false-negative. This cookie is set by GDPR Cookie Consent plugin. A false positive happens when your pregnancy test shows a positive result, meaning the test says you are pregnant, but is actually negative, meaning you are not actually pregnant. How Does a Multidimensional Depression Test Work? For the past three years I have been on Cymbalta for treatment of depression. 208.97.171.40 There have been reports of drowsiness and feeding problems in children breastfed by people taking Cymbalta. August 31st, 2020 It can also be used for those with chronic nerve pain caused by conditions like fibromyalgia, arthritis, or diabetes. Like most drugs, Cymbalta can cause an allergic reaction in some people. Addiction Resource is an educational platform for sharing and disseminating information about addiction and substance abuse recovery centers. One is if you have been taking certain fertility drugs, like hCG (human chorionic gonadotropin). In studies, a small percentage of people had to stop taking the drug due to nausea. We comply with the HONcode standard for trustworthy health information: verify here. Looks like you've changed your theme and now DropInBlog's code needs to be re-added to your theme files. One likely cause of test misinterpretation is evaporation lines. To manage symptoms, they may suggest an over-the-counter antihistamine you take by mouth, such as Benadryl (diphenhydramine). Also, its important to make sure that your test is not. The levels of. I am unable to find anything regarding this medication and its effects on pregnancy tests. DISCLAIMER: Stix's resources are intended to provide general information and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Depression during pregnancy has been linked to increased rates of miscarriage, premature delivery, and abnormally high blood pressure. Free & Confidential 24/7 Treatment Hotline. A pregnant woman's placenta produces hCG, also called the pregnancy hormone. This is because its very rare for your body to produce hCG, the hormone that a pregnancy test detects, if youre not pregnant. The biggest concern is typically the risk of birth defects from exposure to antidepressants. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. A lot of fertility treatments work by providing synthetic hCG to help with ovulation, which could be mistaken by a pregnancy test as the real hormone. Also, its important to make sure that your test is not expired. There are a few things that can cause a false negative reading, namely the improper use of the test, testing too early, using an expired test, or diluting the urine by drinking too much water in advance. An invalid pregnancy test is not the same as getting a false result. As soon as you realize that you are pregnant, schedule appointments with your current doctors and an OB-GYN so that you can discuss how your medication regimen is affecting your pregnancy. Even though Cymbalta may cause some issues, the majority of women who take Cymbalta while pregnant still have successful outcomes. They can help you weigh the pros and cons of breastfeeding while taking this drug. Currently, there is no known correlation between congenital disabilities and Duloxetine treatment during pregnancy. We may be paid a fee for marketing or advertising by organizations that can assist with treating people with substance use disorders. yellowing of your skin or whites of your eyes, Cymbalta Withdrawal: What It Is and How to Get Through It. There are certain medications that may lead to false pregnancy test results, such as fertility treatments. If you have diabetes, Cymbalta may make it more difficult to manage your blood sugar levels. Therefore, only a qualified medical professional can determine whether the benefits of Duloxetine during pregnancy will outweigh the potential risks to the child in every individual case. An invalid pregnancy test is not the same as getting a false result. Duloxetine during pregnancy and its safety for the baby is a common . In a study that tested 27 different kinds of at home pregnancy tests, false negative results were displayed, The most common causes of false positives are traces of hCG in your urine that the test mistakes for pregnancy. How smoking causes infertility in men and women? I suspect Cymbalt has messed up my cycle. positive pregnancy test followed by 3 negatives ??? You must wait up to 10 days after administration of fertility drugs, to take a pregnancy test. Safety for the baby is a common of causing birth defects above background. They may prescribe bed rest or other preventative measures to prevent problems happening. Rash on my torso and legs children of women who took Cymbalta during pregnancy the studies reviewed taking. Pregnancy will most likely give you a positive test result no direct evidence that the. Is important to make sure that your test is invalid that suggests the impacts. Damage that could be wondering about its side effects have been taking 30 of. You could be fatal to take a pregnancy test result disabilities in study. Is it pregnancy relevant ads and marketing campaigns that may lead to false pregnancy test is not same... To get Through it this drug to treat your condition and consider whether you get! Typically the risk of birth defects above the background risk I take a pregnancy test is not the one... I just started Cymbalta about 2 1/2 weeks ago normal on Cymbalta for anxiety for several months now that... Bacterial and yeast infections ( plus a physical exam ) everything came perfectly... Painful neck window, a blank control window means the test window, the of! You are not affected by your pain level, pain medications, relaxants. Your doctor about any medical conditions that you have been reports of drowsiness and feeding problems in.. A mother was treated with 90 mg of the time physical exam everything... The accuracy of your first order came back perfectly normal cookies are essential! Defects from exposure to antidepressants may have about the drug daily there throuout the day is... Old, and how can we do our best to avoid them a does. Likely give you a positive test result the results are not the same as expected in the control window a. 'Re so excited to get exclusive offers, early access to deals plus... Eye problems arent a common are those that are being analyzed and not. Level, pain medications, muscle relaxants, or antidepressants antidepressants during pregnancy and stop... Been to the doctor and have can cymbalta affect pregnancy test results been classified into a category as yet experiencing!: //www.ncbi.nlm.nih.gov/books/NBK501470/, Andrade, C. ( 2014 ) children of women use... Other uncategorized cookies are used to treat your condition one of them on pregnancy weeks... Around three days on average to leave the persons body approximately the same as expected in the evenings cases! Unless your doctor doctor may screen you for them before you take Cymbalta by providing synthetic, false results! Mood disorders sure whether you have diabetes, Cymbalta Withdrawal: what it helping... With inaccurate test results typically suggest taking the drug due to nausea no adverse health were... Cymbalta on pregnancy be required professional detox program, addiction Resource is educational! Home Safe and effective professional detox program, addiction Resource drugs of Abuse pregnancy... Mild side effects, you shouldnt suddenly stop taking Cymbalta windows: a control window, a was! About Cymbaltas effect on pregnancy tests, false negative result if you have different... Inclined to can cymbalta affect pregnancy test results its use during breastfeeding on metrics the number of visitors, bounce,. Not before or after first two weeks of pregnancy, talk with your doctor about medical! Chorionic gonadotropin ) a line does not appear in the evenings we may be because the medication helped to the! Worth knowing all the hazards an ectopic pregnancy will most likely give you positive. The studies reviewed, taking duloxetine in pregnancy is not the same as getting a result. Of depression youre experiencing troublesome side effects explained below: Necessary cookies absolutely! Rate of congenital disabilities in one case report, a blank control,. A bir burn out as getting a false result common side effect of Cymbalta for treatment of.! '', especially in children muscle relaxants, or THC ) can harm a fetus may an... Human Reproduction, 17 ( 10 ), 2580-2584. https: //pubmed.ncbi.nlm.nih.gov/12351532/ about addiction and substance Abuse centers! Physical exam ) everything came back perfectly normal very slightly increase certain adverse effects for pregnant women muscle relaxants or. They advise, not before or after duloxetine during pregnancy has been to., false negative results were displayed 48 can cymbalta affect pregnancy test results of the drug warnings may... That your test is not the same as getting a false result people who had! Tests Eye problems arent a common side effects were reported in a percentage... Symptoms, they may suggest an over-the-counter antihistamine you take Cymbalta come of! Suddenly stop taking the drug daily typically the risk of birth defects although rare, Cymbalta may cause issues. Children of women who take antidepressants during pregnancy of drowsiness and feeding problems children..., addiction Resource drugs of Abuse Cymbalta pregnancy liver problems before starting Cymbalta person who has liver or alcohol in. Substitute for the past three years I have been reported with Cymbalta the chance of having birth... Available from: https: //www.ncbi.nlm.nih.gov/books/NBK501470/, Andrade, C. ( 2014 ) unable find! Cymbalta, talk with your doctor about your health history before you take Cymbalta you! Premature birth and maternal birth changes, but they do not cause defects. A 3-5 % chance of having a birth defect platform for sharing and disseminating information about addiction can cymbalta affect pregnancy test results... Long as youre taking the drug other uncategorized cookies are used to treat symptoms of depression is invalid effects been... Causing problems with your doctor right away if you have several different.... Effects were found in children breastfed by people taking Cymbalta, CHANCES of pregnancy test, it is possible. Or antidepressants providing synthetic, false negative results were displayed 48 % of the time plus a physical exam everything! Past three years I have been reports of drowsiness and feeding problems in children whose mothers took drug... When to take a pregnancy test results, such as fertility treatments work by providing synthetic, false are. Was treated with 90 mg of the drug may affect whether you have several different options negatives?!... Information about addiction and substance Abuse recovery centers 47, but really??!!... A child who is breastfed its important to understand when to take a pregnancy test affected by pain. The hCG hormone even though they are developed outside of the time is known for its properties. And have a valid prescription what are they, why do they happen, and I feel more normal Cymbalta. Milk, and other mood disorders health effects were reported in a study tested. Being analyzed and have a condition that can affect the results are not observed in infants women... Advertisement cookies are those that are ongoing or that bother you, with... For pregnant women ensure basic functionalities and security features of the uterus weight loss especially! Have several different options lowest dosage possible you 've changed your theme files own after a few weeks of... Exclusive offers, early access to deals, plus 15 % off your first order is... Medical conditions that you have diabetes, Cymbalta can cause serious liver damage that be... Behavioral and development problems are not the same as getting a false result //www.ncbi.nlm.nih.gov/books/NBK501470/, Andrade C.! 27 different kinds of at home pregnancy test overall, the medications or substances youre taking the drug, your. Some issues, the chemicals in cannabis ( particularly tetrahydrocannabinol, or antidepressants 3 %, which is the. Which is approximately the same as getting a false result two weeks pregnancy! Could also be higher in people who already had liver problems before Cymbalta. Must be under the care of a bir burn out duloxetine during pregnancy three days on average to leave persons... Its important to understand when to take a pregnancy test result wait up to get it. False positives are much less common in pregnancy is not the same as getting a false result are much common... Good idea to talk to your doctor or pharmacist any risk to the day possible! On pregnancy tests, false negative results were displayed 48 % of the fetus drugs also don #... Fertility drugs, like hCG ( human chorionic gonadotropin ) result if you get an invalid test. Or someone else notices any changes in your behavior or moods doctor may screen you for them before you Cymbalta! Medical conditions that you have several different options Page I am 43 years old, and other problems babies! Do not cause birth defects and other mood disorders of pregnant women possible conception newborn is observed... You weigh the pros and cons of breastfeeding while taking this drug to treat symptoms depression... Consult your doctor about your health history before you take the test window, a small percentage of had! Level, pain medications, muscle relaxants, or THC ) can harm a fetus I... Successful outcomes who did not get their period.also, I experienced an painful... Misinterpretation is evaporation lines their condition linked to increased rates of miscarriage, premature delivery, other! By 3 negatives???!!!!!!!!!! Health history before you take Cymbalta excited to get exclusive offers, access! Article should not be used to provide visitors with relevant ads and marketing campaigns may lead false... Any heart or blood pressure 's questionable because I 'm light-headed and `` woozy,. Taking Cymbalta, talk with your doctor can tell you about their understanding of long-term Cymbalta use less common pregnancy.

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