Če CYMBALTO dajemo sočasno z zdravili, ki jih presnavlja predvsem CYP2D6 (risperidon, triciklični antidepresivi [ tricyclic antidepressants, TCAs ], kot so nortriptilin, amitriptilin in imipramin) in zlasti če imajo ozek terapevtski indeks (kot na primer s flekainidom, propafenonom in metoprololom), svetujemo previdnost.
Caution is advised if CYMBALTA is co-administered with medicinal products that are 6 predominantly metabolised by CYP2D6 (risperidone, tricyclic antidepressants [ TCAs ] such as nortriptyline, amitriptyline, and imipramine) particularly if they have a narrow therapeutic index (such as flecainide, propafenone and metoprolol).