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Randomized control trials are needed to evaluate the efficacy and safety of L-carnitine as an antidote, but their feasibility has been questioned due to the rarity of acute VPA poisoning

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This may be due in part to the difficulty in recognizing and diagnosing it early, due to its lack of characteristic pigmentation

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The most common side effects of Cymbalta include: Common possible side effects in children and adolescents who take Cymbalta include: Side effects in adults may also occur in children and adolescents who take Cymbalta

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