A teenage client is taking duloxetine (Cymbalta) for a generalized anxiety disorder. The dose has been changed by the physician. What adverse effects will the nurse advise the client and family to watch?

1. Warning signs of suicide
2. Irritability
3. Weight gain
4. Fatigue


Correct Answer: 1

Rationale 1: The FDA issued a black box warning for Cymbalta. When the dose is changed, teenagers need to be monitored for warning signs of suicide.
Rationale 2: The FDA issued a black box warning for Cymbalta. When the dose is changed, teenagers need to be monitored for warning signs of suicide.
Rationale 3: The FDA issued a black box warning for Cymbalta. When the dose is changed, teenagers need to be monitored for warning signs of suicide.
Rationale 4: The FDA issued a black box warning for Cymbalta. When the dose is changed, teenagers need to be monitored for warning signs of suicide.

Global Rationale: The FDA issued a black box warning for Cymbalta. When the dose is changed, teenagers need to be monitored for warning signs of suicide. Irritability, weight gain, and fatigue are not black box warning that must be watched for with this medication.

Nursing

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