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Assignment:
Sheila asks whether she will have serotonin syndrome with escitalopram. What is serotonin syndrome? Can it occur with escitalopram? If so, how long would it last? Clarify the term "self-limiting." Explain the newer approach behind aggressively moving dosage levels higher at a rapid pace compared to the slow and cautious approach her previous doctor used. What should be Sheila's dosage schedule for escitalopram? How long should Sheila stay on the highest dose before considering tapering off escitalopram? Include a full dosing schedule for her, assuming no side effects. Sheila has returned to a depressive state after one failed taper. If remission is not achieved within 2 to 3 months of restarting therapy, what should be done next?
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