What your doc has seen is the new info on Cymbalta that came out when the manufacturer applied for an additional approval for fibromyalgia and other pain sufferers and the FDA committee discovered at least a dozen
liver deaths from Cybalta. But
Pristiq, which is the new and improved Effexor, might have the same not yet revealed problem. In the old days, when tricyclics were the rage, everyone on them had to get their liver enzymes checked regularly. Most meds are liver toxic to an extent.