Difficulty: Medium
Average Score: 91%
Full-length
The nurse is taking a history from a client in an outpatient clinic. The client has been taking duloxetine (Cymbalta) for fibromyalgia. Which of the following over-the-counter medications would cause the nurse some concern if the client says she is taking it?
Correct answer
D
Rationale
Dextromethorphan can interact with duloxetine, increasing the risk of serotonin syndrome, a potentially serious condition.