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In 2003, Ms Adrian presented for treatment of MDD (Major Depressive Disorder). Escitalopram—a selective serotonin reuptake inhibitor, not an oral contraceptive pill—was administered at 5 mg/d, with the dosage reaching 20 mg/d in 3 weeks. After 4 weeks of treatment, she experienced clinically significant depressive symptomatic relief. Remission was achieved in 8 weeks. Over the next 18 months, she continued to receive escitalopram and experienced a return of regular menstrual cycles and improvement in hirsutism. She reported transient mild nausea at the beginning of treatment; no other side effects were reported.
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Question of
Commencing on Escitalopram:
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Saw unremarkable improvement in Ms Adrian’s overall conditions.
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Saw great improvement in Ms Adrian’s overall condition.
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Deteriorated her health for a few months.
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Ended up in increasing its dosage infinitely.
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Question of
When did Ms Adrian get the highest amount of relief from Escitalopram?
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At the start of the treatment.
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After 4 weeks of treatment.
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In the 8th week.
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Over the 18 months after the initial 8 weeks.
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