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Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in sex drive; chest pain; confusion; constipation; fainting; fast, slow, or irregular heartbeat; fever; frequent or difficult urination; hallucinations; impulsive behavior or other unusual changes in behavior; jaw, neck, or muscle spasms; mental or mood changes (eg, increased anxiety, mood swings, agitation, irritability, nervousness, restlessness); panic attacks; ringing in the ears; seizures; severe dizziness or drowsiness; sore throat; stomach pain; suicidal thinking or behavior; swelling of the testicles; tremor; trouble sleeping; trouble walking or keeping your balance; twitching of the face or tongue; uncontrolled movements of arms and legs or stiffness; unusual bleeding or bruising; worsening of depression; yellowing of the skin or eyes.

Changes in weight and appetite are common side effects of selective serotonin and norepinephrine reuptake inhibitors (SSNRIs), the class of drugs that includes Cymbalta (duloxetine).

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In addition, she takes medications and reads self-help publications, such as Tinnitus: Turning the Volume Down, by Kevin Hogan, and Tinnitus Today, which featured William Shatner, a tinnitus sufferer.

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Tell your doctor about all medicines you use, and those you start or stop using during your treatment with nortriptyline.

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Noticed significant synergistic effects when combined with Ativan and Vicodin.

Possible pharmacokinetic (increased systemic exposure to nortriptyline) interaction with quinidine.

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According to clinical trials performed during the testing phase for Cymbalta, the side effects reported include dizziness, fatigue, headache, insomnia, somnolence, increase in appetite, constipation, diarrhea, dry mouth, and nausea.

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