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All FDA black box warnings are at the end of this fact sheet. Escitalopram is an antidepressant medication that works in the brain. Generalized anxiety disorder GAD occurs when a person experiences excessive anxiety or worry for at least six months. They should be clear about the limits of the research around that medication and if there are any other options.
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Discontinuing an antidepressant medication usually involves reducing your dose in increments, allowing two to six weeks or longer between dose reductions. Your clinician can instruct you in tapering your dose and prescribe the appropriate dosage pills. In some cases, you can use a pill cutter to create smaller-dose pills, though be sure to check with your clinician or pharmacist to find out if your antidepressant can be cut. Your tapering schedule will depend on which antidepressant you're taking, how long you've been taking it, your current dose, and any symptoms you had during previous medication changes.
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Like other SSRIs, citalopram lowers the level of serotonin that neurons reabsorb, which results in more free serotonin in the brain. For some, this can ease their symptoms of anxiety and depression. Monoamine oxidase inhibitors MAOIs, such as linezolid, phenelzine, etc, increase the risk of serotonin syndrome, a mild to life-threatening build up of serotonin in the system. Similarly, escitalopram can interact with other agents that affect serotonin in the brain, such as tricyclic antidepressants, certain pain medications, supplements that contain St.
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Authored by Anthony P Moreno, MD