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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Body Pain, Depression, Sleep Disturbances. High Sed Rate And RA Markers Elevated. Prescribed Cymbalta. Will Natural Vitamins Help?

I have been prescribed Cymbalta for all over body pain and depression resulting from the pain and sleep disturbance. Currently awaiting an appointment with the rheumatologist as my sed rate was high and RA markers also elevated. Not extremely high though.. However I take herbal and natural vitamins. Can you take Cymbalta in conjunction with these vitamins and herbs?
Wed, 20 Nov 2013
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Psychiatrist 's  Response
Hello,

Some Herbal / natural products acts on neurotransmitters like serotonin and this can lead to excess of serotonin in the body because Cymbalta also acts on serotonin neurotransmitter. Excess of serotonin in the body can lead to a life threatening serotonin syndrome.

We usually recommend our patient to avoid natural/herbal products while taking Cymbalta.

If you still want to take these natural vitamins and herbs, you should take your treating doctor consent before taking them in combination with Cymbalta.

Kind regards

Vikas
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Body Pain, Depression, Sleep Disturbances. High Sed Rate And RA Markers Elevated. Prescribed Cymbalta. Will Natural Vitamins Help?

Hello, Some Herbal / natural products acts on neurotransmitters like serotonin and this can lead to excess of serotonin in the body because Cymbalta also acts on serotonin neurotransmitter. Excess of serotonin in the body can lead to a life threatening serotonin syndrome. We usually recommend our patient to avoid natural/herbal products while taking Cymbalta. If you still want to take these natural vitamins and herbs, you should take your treating doctor consent before taking them in combination with Cymbalta. Kind regards Vikas