Ask your doctor before using an antidepressant such as citalopram celexa , escitalopram lexapro , fluoxetine prozac, sarafem, symbyax , fluvoxamine luvox , paroxetine paxil , or sertraline zoloft .
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It is unknown whether the suicidality risk extends to longer-term usei.ebeyond several monthsHoweverthere is substantial evidence from placebo-controlled maintenance trials in adults with depression that the use of antidepressants can delay the recurrence of depression.
Postmarketing reportsAbnormal liver function testsfulminant hepatitishepatic failurehepatic necrosishepatitisincreased bilirubinRef]
A major depressive episodeDSM-IVimplies a prominent and relatively persistentnearly every day for at least 2 weeksdepressed or dysphoric mood that usually interferes with daily functioningand includes at least five of the following nine symptomsdepressed moodloss of interest in usual activitiessignificant change in weight and/or appetiteinsomnia or hypersomniapsychomotor agitation or retardationincreased fatiguefeelings of guilt or worthlessnessslowed thinking or impaired concentrationa suicide attempt or suicidal ideation.
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