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Call 999 or go to your nearest A&E immediately if you experience: Chest pain, collapse, or fainting Severe or rapid palpitations Seizures High fever with agitation, confusion, muscle rigidity, or twitching (possible features of serotonin syndrome) Contact your GP or call NHS 111 promptly if you experience: Unusual or excessive drowsiness that interferes with daily activities Heart palpitations or irregular heartbeat not severe enough to require emergency care Confusion or unusual changes in mood or behaviour Difficulty passing urine, severe dry mouth, or blurred vision Any new or worsening symptoms that concern you Do not stop taking escitalopram suddenly without medical advice, as this can cause discontinuation symptoms such as dizziness, nausea, and flu-like feelings

Clinical evidence supporting the renoprotective effects of incretin receptor agonists primarily derives from large cardiovascular outcome trials, where kidney outcomes were secondary endpoints

We defined psychiatric comorbidity as having alcohol and substance abuse (ICD-10: F10-F19), schizophrenia (ICD-10: F20-F29), bipolar disorders (ICD-10: F30-F31), major depression (ICD-10: F32-F33), eating disorders (ICD-10: F50), personality disorders (ICD-10: F60-F62) and psychotropics within 10 years prior to index date ( See Supplementary Table 1)

Srivastava AN, Ahmad R, Khan MA

Parkersburg, Beckley, and Martinsburg see two to three days