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The psychological symptoms of duloxetine withdrawal might include: depression anxiety agitation and irritability racing thoughts confusion nightmares hallucinations paranoia, hypomania and other mental disorders persistent suicidal thoughts or self-harming behaviors The physical symptoms of duloxetine withdrawal might include: dizziness nausea headache tremors vomiting insomnia diarrhea excessive sweating irregular heartbeat seizures hypersensitivity Another hazard of the above-mentioned symptoms is their potential for causing other more severe issues

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Unsurprisingly, the FSRH advise all women to use contraception whilst on GLP1a/GIP drugs - we have very limited data on the safety (or not) of these drugs in pregnancy, as reviewed by the UK teratology service (UKTIS)