I have a patient who has GERD and is wondering if that would account for a less efficacious response to Cymbalta and whether anything should be done to effect a better response
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It can cause the GERD. Adding something like Pepcid or prevacid should help that. As far as the efficacy of the generic. Many people have had a problem with the generic, duloxetine, not working and causing more side effects. We've come to wonder if its anywhere near as good as Cymbalta.
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