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Missed Dose If you miss a dose of Cymbalta, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Storage Store Cymbalta at 77 degrees F (25 degrees C). Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cymbalta out of the reach of children and away from pets. 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Watch patients who take Cymbalta closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur. * Diabetes patients - Cymbalta may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. * If your doctor tells you to stop taking Cymbalta, you will need to wait for at least 5 days before beginning to take certain other medicines (e.g., MAOIs). Ask your doctor when you should start to take your new medicines after you have stopped taking Cymbalta. * Lab tests, including blood pressure, may be performed while you use Cymbalta. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. * Use Cymbalta with caution in the elderly; they may be more sensitive to its effects, especially kidney problems, low blood pressure, or high blood potassium levels. * Cymbalta should be used with extreme caution in children; safety and effectiveness in children have not been confirmed. * Pregnancy and breast-feeding: Cymbalta may cause harm to the fetus if it is used during the last 3 months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Cymbalta while you are pregnant. Cymbalta is found in breast milk. Do not breast-feed while taking Cymbalta. 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