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I wouldn't suggest it at all. Just from personal experience, I developed a moderate case of serotonin syndrome while weening myself off Lexapro to switch to Cymbalta. Had I taken my regular dosage of Lexapro (20mg) with the 20mg of Cymbalta, I probably would have ended up in the ER.

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Q: Can Cymbalta be taken with lexapro without developing serotonin syndrome?
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Can you take 5hpt with Lexapro?

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