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Citalopram and Escitalopram are noted for their cardiac considerations, particularly at higher doses, which may influence their use in patients with preexisting heart conditions

Common reported effects in clinical use include mild injection site reactions with subcutaneous administration, occasional digestive changes when taken orally, and rare reports of fatigue or dizziness

A headache is typically a symptom, while a migraine is a neurological condition that can bring severe, complex symptoms far beyond head pain

However, it still carries risks such as dependence, withdrawal, and side effects

Finally, we identify key knowledge gaps, including standardisation of manufacturing protocols, optimisation of dosing and timing relative to chemotherapy, and development of harmonised endocrine and fertility endpoints for forthcoming randomised trials

New research might add safety tips or reveal new risks, so keeping up to date keeps care safe and smart