Can you combine Cymbalta and kanna?

Combining Cymbalta (duloxetine), an antidepressant, with kanna (Sceletium tortuosum), an herbal supplement known for its mood-enhancing properties, should be approached with caution. Both substances can affect serotonin levels, potentially leading to serotonin syndrome, a serious condition. It's essential to consult a healthcare professional before mixing these substances to ensure safety and avoid adverse interactions.