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What are the precautions for using tirzepatide (glucagon-like peptide-1 (GLP-1) receptor agonist) with fluoxetine (selective serotonin reuptake inhibitor (SSRI)) in a patient with type 2 diabetes and depression?

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Rare but serious risks include allergic reactions (including anaphylaxis in very rare cases), liver stress with prolonged high-dose use, and excessive skin lightening with unregulated dosing

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