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Steve1: Escitalopram nightmare - please help

Featured Replies

1 hour ago, Steve1 said:

Do you think the tide will turn after 12 weeks?

Every week I feel like next week will show some improvements, but it seems to be getting worse

I'm sorry Steve. Unfortunately no one can tell you when you will start to feel better. I think Finni is just suggesting that you pick a date relatively far out and commit to holding until then. It's a bit of a mental trick some of us use to try to stop the daily ruminating about why you aren't feeling better, when you'll stabilize, etc. For example, I just passed my six month holding mark and I've now committed to holding another three months. So I know I just have to pass the time until then, and when I get to the three month mark I'll check in with myself to see whether I've stabilized enough to start tapering.

Edited by SarahMc

I’m not a medical professional and cannot offer medical advice. I am new to this journey and my thoughts are based only on my personal experience with psychiatric drugs. This is a peer site where we support each other on our taper/recovery journeys. 

Current regimen:

Cymbalta - 90 mg/day

Seroquel - 12.5 mg/day

*holding to stabilize as of Apr 2026

 

History:

Seroquel - up to 50 mg as needed for sleep (generally 6.25-12.5 mg a few times a week, though sometimes more) - 2009 (ish) to present

Cymbalta - 60 mg/day, periodically down to 30 mg/day - May 2014 to May 2025

Clonazepam - up to 1 mg/day as needed - March to May 2025, quick taper off

Zoloft - 150 mg/day - May 2025 to Aug 2025 (quick cross-taper from Cymbalta)

Pristiq - 50 mg/day from Aug 2025 to mid-Oct 2025 (quick cross-taper from Zoloft); 100 mg/day from Oct 2025 to Dec 2025; back down to 50 mg/day from Dec 2025 to Jan 2026

Lyrica - 200 mg/day - Nov 2025 to Jan 2026 (quick taper off from mid-Jan to early Feb 2026 due to severe depressive symptoms)

Cymbalta - 60 mg/day - Jan - March 2026; up to 90 mg/day from March to present

 

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  • Bernadette
    Bernadette

    Hi @Steve1 a just read through your thread and from what I have read you say you went from 10mg to 5mg of escitalopram. So back when I was tappering citalopram which is the older of the two , escital

  • I have a thread in the success stories that I think tells the tale. Long story short, I'd been on Bupropion(wellbutrin) for 20 years, and I later read that if you're on a med for that long and begin

  • LostinCanada
    LostinCanada

    Hi @Steve1 I had a quick read of your thread. I suggest that you reread it as well. I really heard you saying escitalopram never has been good from the start. IMO you would not want to increase due to

4 minutes ago, SarahMc said:

I'm sorry Steve. Unfortunately no one can tell you when you will start to feel better. I think Finni is just suggesting that you pick a date relatively far out and commit to holding until then. It's a bit of a mental trick some of us use to try to stop the daily ruminating about why you aren't feeling better, when you'll stabilize, etc. For example, I just passed by six month holding mark and I've now committed to holding another three months. So I know I just have to pass the time until then, and when I get to the three month mark I'll check in with myself to see whether I've stabilized enough to start tapering.

I agree 100% im getting close to the year mark with my current hold and ive decided to hold till im not busy with my school stuff. Sometimes holds just have to be very long but its nice to give ourselves these goals when it comes to holding. For example getting through a few more months and checking if its wise to start tapering after.

Prior History:

(note that these are only the first prescription dates since i dont remember how long i was on them. there are also some prescriptions of the same stuff that were prescribed again at a later date so i dont remember if ive tried them again or not.)

Concerta: 18mg - 12.3.2014 ⏐ 36mg - 28.4.2014

Equasym Retard: 30mg - 20.11.2014

Medikinet: 5mg - 8.9.2015

Elvanse: 30mg - 30.10.2015

Risperdal: 0,5mg - 8.12.2015 ⏐ 1mg - 2.3.2017

Sertraline: 50mg - 14.10.2016 ⏐ 100mg - 17.1.2018

Intuniv: 1mg - 7.4.2017 ⏐ 2mg - 21.4.2017 ⏐ 4mg - 9.5.2017 ⏐ 3mg - 8.8.2017

Primperan: 10mg - 27.2.2019

Strattera: 25mg - 18.4.2019 ⏐ 10mg - 10.5.2019

Quetiapine: 25mg - 23.2.2021

Mirtazapine: 15mg - 29.2.2024


Escitalopram History:

9.9.2021 Escitalopram 10mg

9.9.2022 Escitalopram 15mg

2.5.2024 Escitalopram 20mg

1.7.2024 Escitalopram CT

11.11.2024 Escitalopram RI 10mg

14.11.2024 Escitalopram CT

15.12.2024 Escitalopram 2.5mg

29.12.2024 Escitalopram 5mg

12.1.2025 Escitalopram 10mg

12.1.2026 Escitalopram 7.5mg

26.1.2026 Escitalopram 5mg

 

Current Dose: Escitalopram 5mg

(some of these dates may not be entirely correct but theyre close enough based on what i can remember)

  • Author

Just hope I miraculously start to see some windows soon

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

33 minutes ago, Steve1 said:

Just hope I miraculously start to see some windows soon

Are you able to distract with any activities? I know sometimes distraction isn’t even an option and it’s more like survival..

But distraction can be a wonderful tool when you’re able to do it

Edited by Finni

For US members: Please report med to FDA Med Watch

2017 (May) - Ativan .5 mg (3 x Daily) 

2018 (Feb) - Mirtazapine 7.5 mg 

2018 (May) - Ativan to Valium - Switch - Can’t Remember how long it took -tapered to 3 mg of Valium

2024 (May) - Valium Tolerance

2024 (2 Nov) - Completed taper off Valium 

2024 (2 Nov) - Mirtazapine increased to 15 mg

2025 (Feb) - Ativan 0.25 mg (3 x Daily) - Became Paradoxical - Started weaning got to 0.11mg

2025 (Mar) - Ativan 0mg - CT In detox

2025 (April) Started Depakote 1500mg - In detox

2025 (April) - Depakote 500mg (2 x Daily) once home

2025 (Aug) - Completed taper off Depakote

2025 (Aug) - Akathisia surges throughout the day with calming in between

2025 (Sept) - Gabapentin (Micro Dose) - Was calming at first and then became paradoxical so stop

2025 (Oct) - Depakote - RI – (Two days of small dose) Became scared and stopped with WD & aka

2025 (Oct) - Seroquel 50 mg XR – 1 Week - more and more activating and increased aka

2025 (Oct) - Psychiatrist told me to stop it. But I took a few days of a smaller dose of IR then stopped - Not activating

2025 (Nov) - Hydroxyzine 2.5mg - it was paradoxical so stopped

2025 (1 Dec) - Mirtazapine 22.5mg - (2 Days) Was incredibly overstimulating started reducing to previous

2025 (3 Dec) - Mirtazapine 18.75mg

2025 (10 Dec) - Mirtazapine 16.87mg

2025 (22 Dec) - Mirtazapine 15mg

2026 (23Jan) - Mirtazapine 14.7mg

2026 (23 Jan) - Mirtazapine 1mg Panic dose

2026 (24 Jan) - Mirtazapine 15mg

2026 (25 Feb) – Mirtazapine 14.7mg (-2%)

2026 (18 Mar) - propranolol 2.5 mg one time

2026 (21 Mar)- Mirtazapine- 15 mg accidentally in sleepy state

2026 (22 Mar) - Mirtazapine 14.79 mg (more accurate scales) 

2026 (29 April) Mirtazapine 14.7 mg/.1020 g (on suggestion of Horowitz) immediate intense symptoms

2026 (30 April) Mirtazapine 14.79 mg (.1026 g)

2026 (23 May) propranolol 2.5 mg one time

2026 (01 June) Mirtazapine 14.79 mgdose was 5 hours late

2026 (22 July) Mirtazapine 14.76 mg

Intense electric activation, muscle tightness, autonomic surges, terror followed

2026 (23 July) Mirtazapine 14.79 mg return

2026 (Oct 5) attempted moving 2 mg of dose 45 minutes earlier

Severe activation followed

 

 

  • Author

Hi @Finni yes I try to distract myself by doing jobs, walks etc....buymt its so hard.

The thing I find difficult is trying to work out the predominant driver of my current misery....withdrawal or activation.

Hope you are having a better day x

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

  • Author

Had appt with Dr...he didnt agree I was suffering from either withdrawal/activation and it was my existing anxiety.

Would love some windows to appear soon. Nearly 9 weeks holding at 5mg

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

3 minutes ago, Steve1 said:

Had appt with Dr...he didnt agree I was suffering from either withdrawal/activation and it was my existing anxiety.

Would love some windows to appear soon. Nearly 9 weeks holding at 5mg

So many of us have heard this from our doctors. This is exactly what my psychiatrist said to me. Funnily enough my "underlying anxiety" has really faded steadily as I've held my drugs at the same doses 🙄. My psychiatrist now has no explanation for why I've been feeling better lately. I think his latest words were "I guess it's just time and rest." We really need to trust ourselves -- we know best what's happening in our own minds and bodies.

Hoping for some nice windows for you soon too.

I’m not a medical professional and cannot offer medical advice. I am new to this journey and my thoughts are based only on my personal experience with psychiatric drugs. This is a peer site where we support each other on our taper/recovery journeys. 

Current regimen:

Cymbalta - 90 mg/day

Seroquel - 12.5 mg/day

*holding to stabilize as of Apr 2026

 

History:

Seroquel - up to 50 mg as needed for sleep (generally 6.25-12.5 mg a few times a week, though sometimes more) - 2009 (ish) to present

Cymbalta - 60 mg/day, periodically down to 30 mg/day - May 2014 to May 2025

Clonazepam - up to 1 mg/day as needed - March to May 2025, quick taper off

Zoloft - 150 mg/day - May 2025 to Aug 2025 (quick cross-taper from Cymbalta)

Pristiq - 50 mg/day from Aug 2025 to mid-Oct 2025 (quick cross-taper from Zoloft); 100 mg/day from Oct 2025 to Dec 2025; back down to 50 mg/day from Dec 2025 to Jan 2026

Lyrica - 200 mg/day - Nov 2025 to Jan 2026 (quick taper off from mid-Jan to early Feb 2026 due to severe depressive symptoms)

Cymbalta - 60 mg/day - Jan - March 2026; up to 90 mg/day from March to present

 

  • Author

Thanks @SarahMc do you think holding is the right approach?

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

1 hour ago, Steve1 said:

Had appt with Dr...he didnt agree I was suffering from either withdrawal/activation and it was my existing anxiety.

Would love some windows to appear soon. Nearly 9 weeks holding at 5mg

I think most people suffer from this. My doctor tells me, 'There are no withdrawal / activation symptoms , and your condition isn't psychological, but you must take Librax because it doesn't cause problems' (just to make the problem worse). Sorry about that, but if you want to keep tapering down your dose, tell your doctor that you absolutely love having this medication in your life—because then he will either change it or cut it off completely Unfortunately.

11 Years of Citalopram/Escitalopram

2015 citalopram 20 mg 3 month with deanxit month

2016/4 esctilopram 10 mg 3 month with deanxit 1month

2017 esctilopram 10mg 5 month

2018 esctilopram 10 mg 2 month

2018 citalopram 20 mg 5 month

2019 esctilopram 10 mg 6 month

2020 New, severe symptoms that do not resemble any symptoms of my previous illness, which is anxiety.

esctilopram 10mg 7 month 3 day to 20 mg but my body make a reaction

2021 esctilopram 10 mg 6 month deanxit 2 month

2022 esctilopram 10 mg 8 month sibralix 1 month

2023 esctilopram 10 mg

2024/1 left the medicine

2024/10 esctilopram 10 mg

2025 esctilopram 10 mg

2025/8 left the medicine

2025/9 deanxit 1 month

2025/10 1 esctilopram 10 mg one day

2026/2 impramine 10 mg 5 days

2026/3 deanxit 40 days

2026/5/13 Zoloft 25 mg for 3 days

2026/5/16 no medicine 4 ever

1 hour ago, Steve1 said:

Thanks @SarahMc do you think holding is the right approach?

I think so. There's no quick fix for what we're going through unfortunately, but I think the nervous system will often settle given stability and lots of time. It sounds to me like your CNS is still reacting to your cut from 10 mg to 5 mg, so holding seems like the way to go.

I’m not a medical professional and cannot offer medical advice. I am new to this journey and my thoughts are based only on my personal experience with psychiatric drugs. This is a peer site where we support each other on our taper/recovery journeys. 

Current regimen:

Cymbalta - 90 mg/day

Seroquel - 12.5 mg/day

*holding to stabilize as of Apr 2026

 

History:

Seroquel - up to 50 mg as needed for sleep (generally 6.25-12.5 mg a few times a week, though sometimes more) - 2009 (ish) to present

Cymbalta - 60 mg/day, periodically down to 30 mg/day - May 2014 to May 2025

Clonazepam - up to 1 mg/day as needed - March to May 2025, quick taper off

Zoloft - 150 mg/day - May 2025 to Aug 2025 (quick cross-taper from Cymbalta)

Pristiq - 50 mg/day from Aug 2025 to mid-Oct 2025 (quick cross-taper from Zoloft); 100 mg/day from Oct 2025 to Dec 2025; back down to 50 mg/day from Dec 2025 to Jan 2026

Lyrica - 200 mg/day - Nov 2025 to Jan 2026 (quick taper off from mid-Jan to early Feb 2026 due to severe depressive symptoms)

Cymbalta - 60 mg/day - Jan - March 2026; up to 90 mg/day from March to present

 

  • Author

Is it too late to consider a small increase say 5 to 5.5mg? Will this potentially have a negative effect?

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

18 minutes ago, Steve1 said:

Is it too late to consider a small increase say 5 to 5.5mg? Will this potentially have a negative effect?

just keep holding ❣️

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 
Feel free to mention me whenever help is needed.

 

Current Supplements: Night: 6mg melatonin and 133mg magnesium glycinate. Taking Omega 3 as needed to calm dyskinesia or over stimulation (Lately been reacting more negatively to supplement Omega 3).

Current Medications: Mirtazapine, Lasea (lavender oil) before bed.

------------------------------------------

Tapering: Mirtazapine 15mg, (went compounded) 13.5mg 08/May/2025, 12.1mg 10/July/2025, 15/July/2025 15mg (half tablet), 26/July/2025 14.35mg (moved to dry cutting method) ), 03/Aug/2025 14.6mg, 24/Nov/2025 14.47mg, 29/Jan/2026 14.35mg

Note: Had a lot of issue with degradation with different cutting times and compounded pharmacy which caused withdrawals and a more sensitive nervous system.

  • Author

How long would you hold for @Lighty ?

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

2 minutes ago, Steve1 said:

How long would you hold for @Lighty ?

untill you feel stable enough, which you are not as you see yourself, and you keep being told, this is a long journey

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 
Feel free to mention me whenever help is needed.

 

Current Supplements: Night: 6mg melatonin and 133mg magnesium glycinate. Taking Omega 3 as needed to calm dyskinesia or over stimulation (Lately been reacting more negatively to supplement Omega 3).

Current Medications: Mirtazapine, Lasea (lavender oil) before bed.

------------------------------------------

Tapering: Mirtazapine 15mg, (went compounded) 13.5mg 08/May/2025, 12.1mg 10/July/2025, 15/July/2025 15mg (half tablet), 26/July/2025 14.35mg (moved to dry cutting method) ), 03/Aug/2025 14.6mg, 24/Nov/2025 14.47mg, 29/Jan/2026 14.35mg

Note: Had a lot of issue with degradation with different cutting times and compounded pharmacy which caused withdrawals and a more sensitive nervous system.

  • Author

Still holding at 5mg. 9 weeks today, no relief so far

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

  • Author

Is it "normal" for withdrawal to ramp up steadily from about week 4 of a reduction?

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

@Steve1 Anything can happen unfortunately and withdrawal symptoms can be delayed by weeks, even months. Yes, they absolutely can ramp up 4 weeks after a reduction. Hang in there and don't make further changes until things settle. You made a big drop from 10mg to 5mg, so having quite significant withdrawal symptoms would not be unexpected. The doses that psychiatrists tell patients to increase and decrease by are often not tolerated by sensitised nervous systems and reductions need to be much less.

November 2024 Elvanse for ADHD. Anxiety and jaw clenching, stopped after 4 weeks. Felt fine.

 

January 2025 Medikinet XL

Made me depressed and suicidal so stopped after 3 weeks. Felt fine

 

March 2025 Concerta XL Made me depressed and suicidal so stopped after 2 weeks. Felt fine

 

April-May 2025 Amfexa and Methylphenidate instant release, both only worked for an hour so stopped.  Felt fine.

 

June 2025 Atomoxetine started slow taper. Immediate hot flushing and feeling sluggish.

 

July-September 2025 Tapered up to 70mg Atomoxetine. Constipation, insomnia, muscle spasms, weird thoughts, mood swings, night sweats, hot flushes, brain fog, dizziness etc

 

October 2025 rapid taper off Atomoxetine. I also had a GA for shoulder surgery the same week I finished meds.

 

Ongoing symptoms ever since, but now also trouble swallowing, difficulty passing urine, muscle twitches, depersonalisation, heavy limbs, emotional blunting, apathy, feeling "wired" and robotic, PGAD.

 

New symptoms February 2026: Nausea and burning head

 

Supplements: B12, folate and Vit D as all were bordering on deficient. 

Bad reactions to CBD oil, Mag glycinate, Mag L.Threonate and Fish Oil

  • Author

Thanks @Sminismoni I felt I had no choice but to reduce to 5mg as 10mg gave me akathasia.

Still a bit confused if 5mg is still semi-activating or if it is all withdrawal now.

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

19 hours ago, Steve1 said:

Thanks @Sminismoni I felt I had no choice but to reduce to 5mg as 10mg gave me akathasia.

Still a bit confused if 5mg is still semi-activating or if it is all withdrawal now.

You did what you thought was best at the time, and honestly I think it was the right move. If you were reacting to the higher dose, making a big cut early on rather than betting stuck there at 10mg reacting to it, wasn't a bad move IMO. 10-5mg RO isn't as extreme as say 5mg to 0mg.

What is happening now is tough to say. It could be WD from the drop, it could you are reacting to the dose still. It sounds like it may be more WD. As you are unsure, holding makes the most sense. Once your nervous system settles down from the cut you'll be in a better place at the lower dose hopefully and can then taper cautiously. Be reassured that holding can take many many months of patience and just because it's been x weeks doesn't mean you are doing the wrong thing.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

Thanks @Chippy . I'm still holding, this morning feels terrible. Just hope the body knows what to do to get some sort of improvement without messing about with a dose adjustment.

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

  • Author

In theory @Chippy whether it is activation and/or withdrawal both should settle down if I continue to hold?

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

1 minute ago, Steve1 said:

In theory @Chippy whether it is activation and/or withdrawal both should settle down if I continue to hold?

Honestly, if it is activation I think the body is going to have a harder time stablising at the dose. However it seems to me this is more WD and so holding makes sense and is the correct balance of the two. I think reducing to 5mg has likley dialled down a signifcant part of the activation making stablising easier then it would have been at 10mg. We cant be sure of anything in WD. But you have 2 choices really here (decrease or hold), and based on what you are saying holding seems the better route. Try to be at peace with this and trust your body.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

Thanks @Chippy apologies for the multiple posts.

It helps to rants and seek reassurance!

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

9 minutes ago, Steve1 said:

Thanks @Chippy apologies for the multiple posts.

It helps to rants and seek reassurance!

No appolgise needed. Post as much as you want my friend.

I’m not a medical professional and cannot offer medical advice. I only offer my thoughts as support. Please speak to your health practitioner about your care. This is a peer site where we support each other on our taper/recovery journeys. 

 

If you are from the UK please make sure you fill in a 'Yellow Card' report for the MHRA. It is you doing your bit to help make a difference.

Please take the time to do it today 🙂 https://yellowcard.mhra.gov.uk

For US members details here.

  • Author

Feel like there is no end to this suffering. Still holding at 5mg coming up to 10 weeks.

Body is clearly unhappy at something but unsure what exactly. Feel like I will never get better

Edited by Steve1

2014- April 2025 Escitalopram 10mg

April 2025 - straight swap to Sertraline 50mg

Dec 2025-Jan 2026 - tapered off Sertraline 50mg - 0mg

Jun 2026 - Escitalopram 10mg 9 weeks

Aug - Escitalopram 5mg

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