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It seems that the "non-responders" -- those who show no improvement in two months -- could get sicker because of side-effects through the medication. Major depressive disorder and general anxiety disorder might be credibly treated with generic Cymbalta, an anti depression medication. Amitriptyline, Imipramine, Nortriptyline, and Desipramine would be the preferred tricyclics based on Lact - Med. DO NOT UP OR LOWER YOUR DOSAGE WITH OUT YOUR DOCTOR'S PERMISSION. In diagnosing patients, proper laboratory work-up for thyroid and anemia must be preformed.
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