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All antidepressants take at least 6 weeks to get in the system so it's not going to work straight away. I'm no expert but if it's caused such trauma before, it might be wise to not take it today with a view of getting hold of a mental health professional tomorrow. If you feel you have severe side effects or are feeling out of control, yes go to ER. Hugs
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Pegasus
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“Everybody is a genius. But if you judge a fish by it's ability to climb a tree, it will live it's whole life believing that it is stupid.” - Albert Einstein
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