South Africa
A 51-year-old female asked:
Can serotonin toxicity occur after taking cymbalta (duloxetine) 40 days and then changing to lexamil 20mg immediately on stopping cymbalta (duloxetine)?
1 doctor answer • 1 doctor weighed in

Dr. Qinyue Liuanswered
Specializes in Neurology
It is complex: Usually it should not have serotonin toxicity. Cymbalta (duloxetine) 40mg is not a high dose and Lexapro 20mg is a normal dose too. You took them one after another, should not cause difficulties, they are metabolized from your body. However, if you are using other chemicals or ingested things to interact with them, serotonin toxicity can't be completely rule out. You can check the symptoms of serotonin toxicit
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1.7k viewsAnswered >2 years ago
Last updated Jan 20, 2016
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