In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. US residents can call their local poison control center at 1-800-222-1222. Properly discard this product when it is expired or no longer needed. buy viagra amazon Hypersensibilité à la substance active ou à l'un des excipients mentionnés à la rubrique Composition. Pour plus d'informations, voir rubrique Propriétés pharmacodynamiques. Association aux inhibiteurs de la mono-amine oxydase (IMAO) non sélectifs, irréversibles (voir rubrique Interactions avec d'autres médicaments et autres formes d'interactions). Maladie hépatique entraînant une insuffisance hépatique (voir rubrique Propriétés pharmacocinétiques). Association à la fluvoxamine, à la ciprofloxacine ou à l'énoxacine (inhibiteurs puissants du CYP1A2), associations entraînant une augmentation des concentrations plasmatiques de duloxétine (voir rubrique Interactions avec d'autres médicaments et autres formes d'interactions). Insuffisance rénale sévère (clairance de la créatinine est contre-indiquée chez les patients présentant une hypertension artérielle non équilibrée qui pourrait les exposer à un risque potentiel de crise hypertensive (voir rubriques Mises en garde et précautions d'emploi et Effets indésirables).a. 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