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I picked this up on the internet this evening. Just thought I'd share.

Jerry/NC

********************************************************

*FDA Broadens Liver Warning for Cymbalta***

*Patients With Liver Disease May Risk Further Liver Damage, Says FDA***

Oct. 17, 2005 -- The FDA and Eli Lilly and Co. have broadened a warning

about possible liver problems with Cymbalta, a drug used to treat depression

and pain associated with diabetic peripheral neuropathy.

" Postmarketing reports of liver injury (including hepatitis and cholestatic

jaundice) suggest that patients with pre-existing liver disease who take

[Cymbalta] may have an increased risk for further liver damage, " says the

FDA.

Cymbalta's labeling previously noted possible liver problems. The label had

warned that " Cymbalta should ordinarily not be prescribed to patients with

substantial alcohol use. " Now, that warning will read, " Cymbalta should

ordinarily not be prescribed to patients with substantial alcohol use or

evidence of chronic liver disease, " according to a letter to doctors sent by

Lilly, Cymbalta's maker.

" It is recommended that Cymbalta not be administered to patients with any

[liver] insufficiency, " says the FDA.

*Maker's Letter to Doctors*

About a million people have taken Cymbalta since the drug's approval in

2004, according to Lilly's letter.

" Among these, several cases of [liver] injury have been spontaneously

reported, " states Lilly's letter.

" Some of these patients had underlying liver disease. Review of these cases

suggests that patients with underlying chronic liver disease may be at

increased risk of [liver] toxicity with [Cymbalta], " the letter continues.

Lilly is a WebMD sponsor.

*Symptoms*

Signs and symptoms of liver damage can include dark urine, jaundice

(yellowing of the skin and eyes), itchiness, abdominal tenderness in the

liver area, or unexplained flu-like symptoms. Elevations of liver enzymes

may be found on blood tests.

Lilly asks that any questions about the warning be directed to Lilly's

medical department at (800) Lilly-Rx ().

Report any Cymbalta side effects to Lilly at (800) Lilly-Rx ()

or to the FDA's Medwatch program at (800) FDA-1088 () or

online at www.fda.gov/medwatch <http://www.fda.gov/medwatch>.

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-Jerry thanks for the info. I was on this for one month. I am glad

that my insurance did not cover it. It did make me feel good at the

beginning then really bad toward the end of the month. Flu type

symptoms. I am glad is was only on it for a month!

Walt

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I have been a member of this group for a while. I rarely post, but I would

like to say that I am on Cymbalta 60mgs. I take it at night so that I don't

feel any of the side effects of the medicine. It has helped me tremendously. I

have had a whipple and many other operations. Every day was such a struggle

for me until I started the Cymbalta. I know that many people have trouble

taking it, I must be an exception. For me, I pray they don't take it off the

market. I guess what I want to get across is, that may be the medicine may be

not

right for you, but for me or others, would have more pain if the medicine is

taken off the market.

Stay well all Paget

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