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Serotonin syndrome symptoms may include mental status changes (e.g., agitation, hallucinations, coma), autonomic instability (e.g., tachycardia, labile blood pressure, hyperthermia), neuromuscular aberrations (e.g., hyperreflexia, incoordination) and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea) (see <>section-7.7 PRECAUTIONS, Drug Interactions]). doctors health care <a href=http://vegweb.com/index.php?action=profile;u=120975>viagra can</a> Fluoxetine and norfluoxetine have been shown to have no genotoxic effects based on the following assays: bacterial mutation assay, DNA repair assay in cultured rat hepatocytes, mouse lymphoma assay, and in vivo sister chromatid exchange assay in Chinese hamster bone marrow cells. pharmacy job <a href=http://vegweb.com/index.php?action=profile;u=120978>cuba gooding jr cialis spoof</a> The effectiveness of Cymbalta in long–term use for GAD, that is, for more than 10 weeks, has not been systematically evaluated in controlled trials. The physician who elects to use Cymbalta for extended periods should periodically evaluate the long–term usefulness of the drug for the individual patient.