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All pharmaceuticals can kill. I almost died from a serious reaction to Cymbalta and HCZT (a high-blood pressure medication). The wildest part was that I figured out why my blood pressure was plummetting and my heart was freaking out. Not the doctors who were treating me. Eventually, two different doctors agreed with me that the Cymbalta & HCZT messed up my heart. I'm off both medications and feeling much better now. But, I am extremely leary of all pharmaceuticals and don't just take a pill for everything anymore.