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Early discontinuation, within three months, or reducing doses were common

But if a person is already taking certain antidepressants such as fluoxetine (Prozac) or duloxetine (Cymbalta), and adds methylene blue to their routine, it can result in a dangerous and sometimes fatal interaction

The decision to prescribe should involve individualized risk-benefit assessment, considering the patient's specific autoimmune diagnosis, disease activity, concurrent immunosuppressive medications, and overall health status

The starter pack uses standard titration protocols

Every insurance is different