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Emergency Warning Signs Call 911 or go to ER immediately if you experience: Suicidal thoughts or plans Hallucinations, extreme agitation, or violence Seizures or loss of consciousness Severe allergic reaction (rash, swelling of face/tongue/throat, trouble breathing) Symptoms of serotonin syndrome: high fever, rigid muscles, confusion, rapid heart rate, sweating, tremors Severe or sudden chest pain (risk: QT prolongation, arrhythmia) Call your doctor urgently if: Unusual bleeding or bruising (risk of increased bleeding) Severe or persistent anxiety, panic attacks Worsening depression, sudden mood changes New or worsening seizures Eye pain or vision changes (angle-closure glaucoma) Poison Control: 1-800-222-1222 National Suicide Prevention Lifeline: 988 Summary & Next Steps Key takeaways: Lexapro works for manyabout 54% experience symptom improvement, but about 1 in 3 report moderate fatigue, and sexual dysfunction, brain fog, and emotional blunting are real and persist for some