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As the National Alliance on Mental Illness explains, "sleep, energy, or appetite may show some improvement within the first 12 weeks," but "depressed mood and lack of interest in activities may need up to 68 weeks to fully improve." While you'll need to wait a few months to know for sure whether escitalopram (or any antidepressant) is working for you or not, there are a few warning signs you should be on the lookout for, according to WebMD
1, 2025 from Wharton, S., Calanna, S., Davies, M., et al
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"Patients taking any of these medicines should tell their health professional if they experience new or worsening depression, suicidal thoughts or any unusual changes in mood or behaviour." The TGA stressed there was not enough evidence to conclude the drugs caused those changes
