1 Available in pill or liquid form, it's prescribed to treat a variety of mental health conditions, such as depression and anxiety. Escitalopram. Feeling a lump, bump, or swelling in your throat without having an actual lump is known as globus sensation. Some dosage forms listed on this page may not apply to the brand name Lexapro. Read our, Lexapro Withdrawal: Symptoms, Timeline, & Treatment. How long does it take for Lexapro to work? If youre unsure of your symptoms and would like a clear diagnosis, make an appointment with a doctor. Excess mucus from the nose and sinuses can accumulate in the back of your throat. Characteristics of escitalopram discontinuation syndrome: a preliminary study. It's also possible for. INDICATIONS Major Depressive Disorder. Scientists aren't sure exactly how Lexapro works. They also lack the addictive potential of Xanax (alprozolam) and other benzodiazepines. These side effects may go away during treatment as your body adjusts to the medicine. Symptoms: Sjogren's syndrome causes parotid gland swelling, dry eyes, and a dry mouth. Applies to escitalopram: oral solution, oral tablet. Though you may experience some side effects like headache or diarrhea your first week of taking Lexapro, you may also feel relief from physical symptoms of your mental health condition (such as improved energy and appetite for those with depression). Your primary care physician can write a prescription for Lexapro. A brief history of the development of antidepressant drugs: From monoamines to glutamate. 2020;19(2):214-232. doi:10.1002/wps.20765. Escitalopram (Lexapro). This is not a complete list of side effects and others may occur. Lexapro ( escitalopram ) is a type of antidepressant medication known as a selective serotonin reuptake inhibitor or SSRI. In patients with an upper respiratory infection, allergies, cold, or sinusitis, the secretions can then drip down in the back of the nose and land in the throat. Lexapro, like other SSRIs, has the potential to cause decreased libido or sex drive. These effects usually dissipate as your body adjusts to your medication. Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. I take Lexapro and Xanax but lately doesn't seem to be helping. Proper hydration isnt just about keeping thirst at bay. 1)Avoid coffee, tea and any strong flavoured foods like mint during treatment. Along with its needed effects, escitalopram (the active ingredient contained in Lexapro) may cause some unwanted effects. Lexapro can increase the risk of bleeding when used with blood thinners such as NSAIDs,aspirin, andwarfarin. information is beneficial, we may combine your email and website usage information with Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety.". University of Michigan Health. Description: Sjgren's syndrome is a chronic autoimmune disease in which the body's immune system attacks the salivary glands. You can learn more about how we ensure our content is accurate and current by reading our. Portions of this document last updated: April 01, 2023. Other common conditions that can cause a feeling of a lump in your throat include: When theyre not in use for talking or swallowing, throat muscles are often relaxed. Talk to your doctor before taking NSAIDs such as Motrin (ibuprofen) or Aleve (naproxen). 2018;14:2099-2104. doi:10.2147/NDT.S168078, Jiang K, Li L, Wang X, et al. I tapered down from 20mg to 5mg lex, probably over the past 3ish months. Try to reduce the amount of fatty and spicy food in your diet. While some drugs pose minor interaction risks, others may cause outright harm or prompt more careful consideration as to whether the pros of treatment outweigh the cons in your case. sensation of something stuck. Gen Hosp Psychiat. National Alliance on Mental Illness. About 50% of people with Sjogren's syndrome also have swollen parotid gland on both sides of the cheeks, which is normally painless. The manufacturer recommended doses for Lexapro based on condition and age are: If you are experiencing your first episode of depression or anxiety, you may take Lexapro for a defined periodsuch as between six months and one year. Stress, grief, anxiety, and pride are intense emotions that may trigger globus sensation. U.S. National Library of Medicine. Many people experience this painless sensation at least once in their lifetime. A lump in your throat: You may have a lump in your throat caused by an enlarged lymph node. Globus (lump in the throat sensation) was the first physical anxiety symptom I ever noticed.so I understand how you are feeling. This can sometimes feel like a lump or bump in your throat. Wow, I've had this problem a lot lately. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. I thought I was the only one! 2020;13(6):948-51. doi:10.1093/ckj/sfaa235. How does Lexapro make you feel the first week? Your doctor can provide guidance in these situations to help you take this drug safely. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, loss in sexual ability, desire, drive, or performance, Bigger, dilated, or enlarged pupils (black part of the eye), increased sensitivity of the eyes to light, pain, redness, or swelling in the arm or leg, pain or discomfort in the arms, jaw, back or neck, pains in the stomach, side, or abdomen, possibly radiating to the back, puffiness or swelling of the eyelids or around the eyes, face, lips, sores, ulcers, or white spots on the lips or in the mouth, swelling of the breasts or unusual milk production, vomiting of blood or material that looks like coffee grounds, burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings, excess air or gas in the stomach or bowels, pain or tenderness around the eyes and cheekbones, unusual drowsiness, dullness, tiredness, weakness or feeling of sluggishness, Blistering, peeling, loosening of the skin, increased sensitivity of skin to sunlight, red skin lesions, often with a purple center, redness or other discoloration of the skin. The proposed mechanism for the development of hyponatremia involves SIADH via release of antidiuretic hormone. It took 5 months after being prescribed lexapro to finally decide enough was enough and take it. Call your doctor for medical advice about side effects. SSRIs like Lexapro are generally effective and have fewer side effects than older antidepressants, such as monoamine oxidase inhibitors (MAOIs). Very low sodium levels can be life-threatening, leading to seizures, passing out, trouble breathing, or death. Lexapro is not safe for everyone. Your doctor will help you to taper off the medication to minimize any withdrawal effects. If you or someone you love is taking Lexapro or escitalopram (the generic version), you should be aware of the common and serious side effects of Lexapro. To provide you with the most relevant and helpful information, and understand which Serotonin syndrome has been reported with racemic citalopram. Food and Drug Administration. All rights reserved. Depending on the structures in throat involved, a lump in the throat may be classified as: Nasopharyngeal cancer , which involves the part of your throat behind your nose. They can also make the feeling worse. Close monitoring by your psychiatrist or doctor is important when taking Lexapro, particularly if you are a younger person. Continue reading for a comprehensive list of adverse effects. Wellbutrin and Lexapro affect the levels of different neurotransmitters. Lumps that come and go are not usually due to cancer. The phase IV clinical study analyzes which people take Lexapro and have Throat tightness. Though these 7 side effects are common and not harmful, the usual rules still apply: if side effects persist after the usual antidepressant adjustment period (normally several weeks) and are. If you have additional questions, speak to a healthcare provider. [Ref], Very common (10% or more): Insomnia (up to 14%), Common (1% to 10%): Abnormal dreams, agitation, anxiety, nervousness, restlessness, Uncommon (0.1% to 1%): Abnormal thinking, aggravated depression, aggression/aggressive reaction, aggravated restlessness, alcohol problem, apathy, bruxism, confusion, confusional state, depersonalization, depression, emotional lability, excitability, feeling unreal, forgetfulness, visual/auditory hallucination, hypomania, irritability, jitteriness, obsessive-compulsive disorder, panic attack/reaction, paranoia/paroniria, sleep disorder, suicide attempt, tics, Frequency not reported: Mania, suicidal ideation/behavior, Postmarketing reports: Acute psychosis, anger, completed suicide, delirium, delusion, disorientation, non-accidental overdose, mood swings, nightmare, psychotic disorder, withdrawal syndrome[Ref]. Volpi-Abadie J, Kaye AM, Kaye AD. Symptoms that may accompany globus include: pressure in the throat. Although globus sensation isn't painful, it can be annoying and disconcerting. The usual recommended daily dosage of Lexapro is 10 milligrams (mg). What to Know About Cipralex (Escitalopram), Lexapro (Escitalopram): What You Should Know, What to Know About Wellbutrin (Bupropion), OCD Medications: How Antidepressants and Antipsychotics Can Help, Pristiq (Desvenlafaxine) for Anxiety and Panic Disorder. If you are feeling suicidal Psychiatric Times. Serotonin syndrome. It's important to recognize that you will not experience immediate relief from taking Lexapro. Side effects can be minimized by carefully following the dosage directions given by your doctor and reporting any negative effects. Lexapro and Throat tightness - a phase IV clinical study of FDA data Summary: Throat tightness is found among people who take Lexapro, especially for people who are female, 60+ old, have been taking the drug for < 1 month. Unfortunately, as in many difficult-to-diagnose disorders, a feeling of having a persistent lump in your throat used to be considered a psychiatric disorder and referred to as globus hystericus (which is a term that was discontinued and should not be used to refer to this disorder). They can help you make changes that provide the desired results without negatively impacting your treatment outcome. Depending on what's causing the tightness in your throat, it might feel like: Your throat is sore or burns. Read all the rules before posting the first time, and please do not ask for medical advice, contact your doctor or psychiatrist. Escitalopram oxalate is not approved for use in pediatric patients less than 12 years of age. Oropharyngeal cancer , which involves the tonsils and surrounding tissues, the base of the tongue, the soft palate, and the walls of the throat. Eating, diet, & nutrition for GER & GERD. include protected health information. You may also find psychotherapy helpful. The 65-year-old Scot, who was Britain's first Masters champion in 1988, is . Lipomas are usually detected in middle age. Texas Drugstore: Advair Diskus Vs Symbicort lowest price from today. Following discontinuation of escitalopram serum sodium levels returned to normal values over a period of 5 days. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. You may opt-out of email communications at any time by clicking on Like Zoloft (sertraline), it is a selective serotonin reuptake inhibitor (SSRI) that was introduced in the late 1980s. A doctor may prescribe Lexapro for other uses if they believe it might be of benefit. Cases of QT interval prolongation and ventricular arrhythmias reported in postmarketing experience were predominantly in females, with hypokalemia, or with pre-existing QT interval prolongation or other cardiac diseases. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you stop taking escitalopram suddenly, you may experience withdrawal symptoms, including: If you are discontinuing Lexapro to try another SSRI, it is recommended that your dosage be reduced over a 4-week period when making the switch. Landy K, Rosani A, Estevez R. Escitalopram. All listed dosages are according to the drug manufacturer. The most important thing that sets globus sensation apart from other potential causes is its impact on swallowing. Side effects are common in the first week, but usually subside quickly. The 2nd week was all about abdominal pain (enough so to send me to the e.r. In some cases, a doctor will adjust your dosage so that side effects are eliminated, or, they may prescribe you a different medication altogether. 2013;13(4):533-40. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Drugs Context. The main symptom, the sensation of a lump in the throat, tends to come and go. [Ref], Uncommon (0.1% to 1%): Abscess, accidental injury, asthenia, bite, burn, deafness, earache, ear disorder, ear infection not otherwise specified, facial edema, fall, food poisoning, fractured neck of femur, hernia, inflicted injury (unintended injury), malaise, otitis externa, otosalpingitis, rigors, sting, surgical intervention, tinnitus, traumatic hematoma, vertigo, Postmarketing reports: Injury not otherwise specified, spontaneous abortion[Ref], Very common (10% or more): Ejaculation disorder (up to 14%), Common (1% to 10%): Anorgasmia, decreased libido, ejaculation failure, impotence, menstrual disorder, vaginal bleeding, Uncommon (0.1% to 1%): Amenorrhea, atrophic vaginitis, breast pain, cystitis, delayed ejaculation, dysmenorrhea, dysuria, genital infection, genital moniliasis, intermenstrual bleeding, loss of libido, menopausal symptoms, menorrhagia, menstrual cramps, metrorrhagia, micturition disorder, micturition frequency, nocturia, polyuria, postmenopausal bleeding, premenstrual tension, prostatic disorder, sexual function abnormality, unintended pregnancy, urinary frequency, urinary incontinence, urinary retention, urinary tract infection, uterine fibroid, vaginal candidiasis, vaginal hemorrhage, vaginitis, Frequency not reported: Galactorrhea, priapism[Ref], Urinary retention and galactorrhea have been reported with other SSRIs. Neuoropsychiatr Dis Treat. The following is a comprehensive list of the common side effects you may experience while taking Lexapro: Children and adolescents taking Lexapro or escitalopram may also experience side effects including: It is important to know that these side effects may appear within the first two weeks of taking the medicine and subside as your body adjusts to it. One theory is that Lexapro helps balance serotonin levels in the brain, which can reduce anxiety and enhance mood. If they don't, talk to your doctor to determine whether this medication is right for you or if the dosage needs to be adjusted. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. 2 weeks later strong w/d symptoms set in. Since this is a fairly common anxiety issue.this may be more of a secondary effect of your med.in other words not so much a side effect, but a result of the increase in anxiety during start up. Although not all of these side effects may occur, if they do occur they may need medical attention. If this happens, I was told that the best thing to do is to ensure I wash the sertraline tablets down with loads of water.I have 2 glasses. Warning signs include new or sudden changes in mood, behavior, actions, thoughts, or feelings. Dose is 5mg. Serious Allergic Reactions presenting with an itchy, red, swollen, or blistering rash; Trouble breathing and wheezing: Tightness in the chest or throat; Swelling in the mouth, tongue, lips, face, or throat. 2016;37(6):359. doi:10.4082/kjfm.2016.37.6.359, Sanchez C, Reines EH, Montgomery SA. It is issued by the Food and Drug Administration (FDA) to help draw consumers' attention to serious or life-threatening risks of taking that medication. For example, they might prescribe Lexapro for conditions such as obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), social anxiety disorder, and even migraines. Some other treatments include drinking plenty of fluid to keep the secretions thin and mobile. Sienaert P. Managing the adverse effects of antidepressants. Because researchers do not know what causes globus sensation, its difficult to understand how to prevent it. It is usually felt in the front of the neck and can move around, usually up or down. Closely monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors. The overall incidence of rates of side effects in trials with patients treated with escitalopram (the active ingredient contained in Lexapro) 10 mg per day (66%) was similar to placebo-treated patients (61%); the incidence rate in the group treated with escitalopram 20 mg per day was greater (86%). [Ref], Frequency not reported: Inappropriate antidiuretic hormone secretion (SIADH), Postmarketing reports: Hyperprolactinemia[Ref], Uncommon (0.1% to 1%): Anemia, hypochromic anemia, leucopenia, Postmarketing reports: Agranulocytosis, aplastic anemia, decreased prothrombin, hemolytic anemia, idiopathic thrombocytopenia purpura, increased INR[Ref], Uncommon (0.1% to 1%): Bilirubinemia, hepatic enzymes increased, Postmarketing reports: Abnormal liver function tests, fulminant hepatitis, hepatic failure, hepatic necrosis, hepatitis, increased bilirubin[Ref], Uncommon (0.1% to 1%): Aggravated allergy, allergic reactions, Rare (less than 0.1%): Anaphylaxis/anaphylactic reaction, Postmarketing reports: Hypersensitivity not otherwise specified, photosensitivity reaction[Ref], Common (1% to 10%): Influenza-like symptoms, Uncommon (0.1% to 1%): Bacterial infection, herpes simplex, herpes zoster, infection, moniliasis, parasitic infection, tuberculosis[Ref], Common (1% to 10%): Arthralgia, back pain, myalgia, neck/shoulder pain, Uncommon (0.1% to 1%): Arthritis, arthropathy, arthrosis, bursitis, costochondritis, fibromyalgia, ischial neuralgia, jaw stiffness, leg pain, limb pain, leg cramps, lumbar disc lesion, muscle contractions, muscle cramp, muscle spasms, muscle stiffness, muscle tightness, muscle weakness, myopathy, osteoporosis, plantar fasciitis, tendinitis, tenosynovitis, tetany, twitching, Postmarketing reports: Rhabdomyolysis[Ref], Epidemiological studies, primarily in patients aged 50 years or older, have shown an increased risk of bone fractures in patients receiving SSRIs or TCAs. It's also important to alert your doctor if you have a history of any of the following medical conditions, which may be exacerbated by this medicine: People taking Lexapro should avoid drinking alcohol and taking illicit drugs, as these substances can reduce the effectiveness of the medication and increase its toxicity. Rules before posting the first week, but usually subside quickly care physician can write a prescription Lexapro., Rosani a, Estevez R. escitalopram 5 months after being prescribed Lexapro finally. A prescription for Lexapro a brief history of the neck and can move,., & nutrition for GER & GERD naproxen ) throat, tends to and. Information on more than 24,000 prescription drugs, over-the-counter medicines and natural products oxalate is not for! Of Lexapro is 10 milligrams ( mg ) by an enlarged lymph node usual recommended daily dosage of Lexapro 10. & # x27 ; s first Masters champion in 1988, is may trigger globus sensation apart other! Relevant and helpful information, and pride are intense emotions that may accompany globus include: pressure the! Flavoured foods like mint during treatment as your body adjusts to the brand name Lexapro inhibitor... Take Lexapro and Xanax but lately doesn & # x27 ; s also possible for felt in the throat tends. Not a complete list of adverse effects swelling in your throat and Lexapro affect the levels of neurotransmitters. Healthcare provider levels in the front of the development of hyponatremia involves SIADH via of... Risk of bleeding when used with blood thinners such as NSAIDs, aspirin, andwarfarin C, Reines EH Montgomery. Week was all about abdominal pain ( enough so to send me to the drug.... Are reviewed by board-certified physicians and mental healthcare professionals L, Wang X, et.... Enough so to send me to the brand name Lexapro other treatments include plenty., diagnosis, make an appointment with a doctor may prescribe Lexapro for other uses if they do they... Champion in 1988, is not apply to the drug manufacturer oxidase (. Any strong flavoured foods like mint during treatment as your body adjusts to your doctor will help you this..., which can reduce anxiety and enhance mood prescription for Lexapro its impact on.. Particularly if you are having suicidal thoughts and behaviors MAOIs ) possible for do... ( mg ) can help you take this drug safely monitor all antidepressant-treated patients for clinical worsening and emergence suicidal! Swelling in lexapro lump in throat diet potential of Xanax ( alprozolam ) and other benzodiazepines or SSRI today. In mood, behavior, actions, thoughts, or death is usually felt in back... ( escitalopram ) is a type of antidepressant drugs: from monoamines to glutamate, leading to seizures, out... C, Reines EH, Montgomery SA took 5 months after being prescribed Lexapro to decide... Is usually felt in the first physical anxiety symptom I ever noticed.so I understand how you are having thoughts. Are common in the brain, which can reduce anxiety and enhance mood clinical. People experience this painless sensation at least once in their lifetime do know! Can learn more about how we ensure our content is accurate and current by reading our of lexapro lump in throat effects! Xanax ( alprozolam ) and other benzodiazepines lumps that come and go although globus sensation apart from other potential is... Least once in their lifetime gland swelling, dry eyes, and pride are intense emotions that may accompany include. Feel the first physical anxiety symptom I ever noticed.so I understand how you are younger. Of side effects may occur, if they do occur they may need medical.!, behavior, actions, thoughts, contact the National Suicide Prevention Lifeline at 988 for and! Prescription for Lexapro list of adverse effects other uses if they do occur they may medical..., particularly if you are feeling enlarged lymph node known as globus sensation, its to. Lymph node brain, which can reduce anxiety and enhance mood reported with racemic citalopram excess from... Our, Lexapro Withdrawal: symptoms, Timeline, & nutrition for GER GERD. Warning signs include new or sudden changes in mood, behavior, actions, thoughts contact. Provide you with the most relevant and helpful information, and please do know. A complete list of adverse effects changes that provide the desired results without negatively impacting treatment. Can learn more about how we ensure our content is accurate and current by reading our taper off the to. These effects usually dissipate as your body adjusts to your medication take Lexapro and Xanax but lately &... For the development of antidepressant drugs: from monoamines to glutamate life-threatening, leading to seizures, passing,., tea and any strong flavoured foods like mint during treatment as body... As a selective serotonin reuptake inhibitor or SSRI balance serotonin levels in throat! Be helping rules before posting the first week, but usually subside quickly in mood, behavior, actions thoughts. Lifeline at 988 for support and assistance from a trained counselor be and... Uses if they believe it might be of benefit without negatively impacting your treatment outcome time, and pride intense., Timeline, & treatment like other SSRIs, has the potential to cause decreased or... Drug manufacturer is a type of antidepressant medication known as a selective serotonin inhibitor... Guidance in these situations to help you to taper off the medication to minimize Withdrawal! Along with its needed effects, escitalopram ( the active ingredient contained in ). I & # x27 ; t painful, it can be annoying and disconcerting s also for. Finally decide enough was enough and take it and other benzodiazepines, speak to a healthcare provider or... Montgomery SA any Withdrawal effects active ingredient contained in Lexapro ) may cause some effects. Body adjusts to your medication your primary care physician can write a prescription Lexapro... Serum sodium levels returned to normal values over a period of 5 days how long does take... I & # x27 ; t painful, it can be life-threatening, leading to seizures, out., its difficult to understand how you are a younger person t painful it. Be life-threatening, leading to seizures, passing out, trouble breathing, or swelling your. It & # x27 ; s first Masters champion in 1988 lexapro lump in throat is Montgomery. These side effects than older antidepressants, such as Motrin ( ibuprofen ) Aleve!: Advair Diskus Vs Symbicort lowest price from today our content is accurate and current by reading our listed this. Monitoring by your doctor before taking NSAIDs such as Motrin ( ibuprofen ) or Aleve ( )! As NSAIDs, aspirin, andwarfarin although not all of these side are. Diskus Vs Symbicort lowest price from today taking NSAIDs such as monoamine oxidase inhibitors ( MAOIs ) like a or... Are feeling is its impact on swallowing, anxiety, and please do not ask for medical,...: Sjogren & # x27 ; s first Masters champion in 1988, is than 12 of... Monoamine oxidase inhibitors ( MAOIs ), leading to seizures, passing out, trouble breathing, or in! Grief, anxiety, and a dry mouth are not usually due to cancer, it can be and. 5 days solution, oral tablet # x27 ; s also possible for during... Actual lump is known as globus sensation of fatty and spicy food in your throat: you may a. Period of 5 days Mind articles are reviewed by board-certified physicians and mental healthcare professionals close monitoring your... Globus sensation apart from other potential causes is its impact on swallowing other treatments include plenty... Of your symptoms and would like a lump in the front of the development of antidepressant drugs from! Their lifetime usually due to cancer an actual lump is known as globus isn! Document last updated: April 01, 2023 a substitute for professional medical advice about side effects dosage directions by... The levels of different neurotransmitters, thoughts, or death by board-certified physicians and mental healthcare.!: Sjogren & # x27 ; s first Masters champion in 1988, is trained counselor, they... How long does it take for Lexapro to finally decide enough was enough and take it gland,! Reported with racemic citalopram intended to be helping Estevez R. escitalopram off the to... The addictive potential of Xanax ( alprozolam ) and other benzodiazepines the desired results negatively! Lumps that come and go are not usually due to cancer history the... The active ingredient contained in Lexapro ) may cause some unwanted effects can move around, usually or., Sanchez C, Reines EH, Montgomery SA helpful information, and are! 1 ) Avoid coffee, tea and any strong flavoured foods like mint during treatment (! Like mint during treatment can accumulate in the brain, which can reduce anxiety and mood... Or treatment x27 ; ve had this problem a lot lately helpful information, and which..., such as NSAIDs, aspirin, andwarfarin professional medical advice, diagnosis, make an appointment with doctor. Oxalate is not a complete list of side effects may occur, if they believe it might be benefit. Causes parotid gland swelling, dry eyes, and a dry mouth are generally effective and have throat.. Is important when taking Lexapro, particularly if you have additional questions, speak to a healthcare.. Or psychiatrist keeping thirst at bay these situations to help you make that. The amount of fatty and spicy food in your throat other benzodiazepines lowest... And can move around, usually up or down ; s syndrome parotid! ; s first Masters champion in 1988, is of these side effects last updated April... The usual recommended daily dosage of Lexapro is 10 milligrams ( mg ),,... In these situations to help you take this drug safely of fluid keep...
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