Missing a dose of lexapro side effects. Escitalopram is approved by the U.

Weight gain with other options ranged from 1. Elderly or hepatic impairment: 10mg once daily. May 30, 2022 · Lexapro may be associated with these serious side effects: 2. The side effects are slightly different for adults and children. The equivalent dose of Lexapro is approximately half of that of Celexa. Fatigue can be caused by many things, including the body’s adjustment to the presence of Lexapro. redness or other discoloration of the skin. Oct 22, 2021 · Lexapro is classified as an antidepressant commonly used to treat major depressive disorders and generalized anxiety disorder. 3 million adults (7. what are the side effects of doing so? A doctor has provided 1 answer A member asked: Sep 16, 2017 · Yes, it's safe. And some antidepressants are more likely to have this affect than others. Sheline recommends taking it as soon as you remember. Several factors can influence these side ozanimod. This condition can be life-threatening and may include: agitation, hallucinations, coma or other changes in mental status. , whether you have a mental illness, such as bipolar disorder), interactions with other drugs you are using, and the dosage Escitalopram is also used to treat generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer) in adults, teenagers, and children 7 years of age and older. If the starting dose of Lexapro is too high, these side effects may be even worse. Side effects of Lexapro in children are generally similar to side effects reported in adults taking the medication Aug 30, 2018 · Common side effects. Again, this is something a woman should discuss in detail with her physician. There are many reasons why this may occur. ACT-Escitalopram ODT; Descriptions. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. Mar 13, 2023 · Drug features. Prices Medicare Drug Info Side Effects Images Escitalopram (Lexapro) is an inexpensive drug used to treat depression and certain types of anxiety . Mar 6, 2023 · Selective serotonin reuptake inhibitors (SSRIs) like Prozac (fluoxetine) and Lexapro (escitalopram) may raise blood pressure, though these drugs are less likely to do so than other classes of antidepressants. Adult. It can also treat GAD in adults and children 7 and older. Such side effects are likely to go away as the body adjusts to taking medication. Angle-closure glaucoma (a condition that involves blurry vision, eye redness and pain . Regards, May 7, 2018 · While some individuals will experience benefits in as little as 1 to 2 weeks after starting Celexa, it very commonly takes at least 4 to 6 weeks to experience maximum therapeutic effects. Jun 28, 2022 · Learn about side effects, interactions, warnings, dosage, and more. If it is the next day, take the usual dose for that day. This means the dosing range of Lexapro is 10-20 mg/day and the dosing range for Celexa is 20-40 mg/day. It is an antidepressant that belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). A very serious allergic reaction to this drug is rare. Other common sexual side effects rarely diminish over time. * For more information on this side effect, see the “Side lack or loss of strength. Do not stop taking your medication abruptly if you do experience side effects, since doing so may cause withdrawal symptoms. Lexapro is prescribed to treat depression and generalized anxiety disorder. Zoloft is not approved to treat depression in adolescents, while Lexapro is approved to treat depression in people 12 years old and over. I have been taking Lexapro for 15 years in doses of 10-20 mg. FDA Prescribing Information. The goal is to find the Jan 24, 2022 · Lexapro works by blocking the uptake of serotonin in the brain. 2 days ago · A: For most patients, one missed dose of LEXAPRO doesn't cause many symptoms. But if it’s almost time for your next dose, skip the missed dose and take the next one at its usual Jul 21, 2017 · Features. Lexapro (Escitalopram) is used to treat depression as well as generalized anxiety disorder. 2 million adolescents (13. Ever since I’ve had horrible mental side effects. Although night sweats can be worrisome, they usually diminish with time as your body and brain adjust to the medication. Lexapro, the brand name for the antidepressant Mar 20, 2023 · Stopping Lexapro (escitalopram) can lead to various withdrawal symptoms, such as insomnia, nausea, irritability, and headaches. red skin lesions, often with a purple center. Changes in vision. “Missing one dose on occasion is no big deal,” Dr. 1)]. Zoloft is prescribed to treat depression, obsessive-compulsive disorder, and several other mental health Jun 18, 2024 · Key takeaways. This morning I felt anxious, jittery. This class of drugs is used to treat depression, anxiety, and Oct 25, 2023 · A 2018 review also compared weight changes with various antidepressants and concluded that the average weight gain with Lexapro was 3. Within 8 weeks: It is estimated that over 80% of Lexapro users will report the medication working within 4 to 8 weeks of administration. The typical recommended dosage range for Lexapro is 10 mg to 20 mg once per day. But, if your next dose is practically due, skip the missing dose. Like most drugs, Lexapro can cause serious side effects in a portion of people who Nov 10, 2023 · Escitalopram, the (S)-enantiomer of citalopram, is a highly selective serotonin reuptake inhibitor. Doctors usually start from the lowest effective dose of lexapro, that is 10 mg, and then the dose is gradually increased if needed. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching /swelling May 22, 2023 · The duration of Lexapro withdrawal side effects can vary from person to person. It comes as a tablet and a solution that you take by mouth. In elderly patients, the dosing range for Lexapro is reduced to 5-10 Aug 20, 2022 · References. But you may experience more side effects, like insomnia, nausea, or diarrhea. Escitalopram is used to treat depression and generalized anxiety disorder (GAD). Feb 12, 2020 · However, Zoloft can also cause other side effects including nervousness, dizziness, skin rash, or constipation. However, as your body adjusts to the medication, these side effects should resolve. One of Lexapro's weight gain mechanisms is that it increases serotonin levels, and serotonin plays a role in weight control. I usually take my dose in the morning, and I missed one day and didn’t take it until 2PM the next day. These may include: Nov 4, 2022 · Lexapro is used to treat depression in children ages 12 years and older. Thanks in advance for any help/info! Mar 30, 2022 · Serotonin syndrome: When your body has too much serotonin running through it, you can experience shivering, diarrhea, confusion, severe muscle tightness, fever, and even seizures. Linkedin. Lexapro has a half-life of 27-32 hours, so even if you skip one dose, you should not really notice much of a problem. Oct 26, 2023 · If you miss a dose of Lexapro, don’t panic—it happens. Escitalopram is approved by the U. Zoloft offers a wider range of dosages and is a little less expensive. If you do miss a dosage, however, take the medication as soon as you remember. Call 911 for immediate medical attention if your symptoms fit the description. Jul 26, 2023 · More serious (but rare) side effects of Lexapro use include: Low sodium blood levels. Dont double dosage. However, why are you missing doses, particularly more than one? If the drug is causing side effects, talk to your doctor. If these side effects worsen or continue to happen while taking Lexapro, let your doctor know right away. In other words you took it too soon. Avoid or Use Alternate Drug. Lexapro is not addictive. Zoloft has more FDA-approved uses for mental health conditions than Lexapro. Continue reading The most common side effects of Lexapro are similar to those associated with other SSRIs, like Zoloft, and are as follows: nausea, sleepiness, weakness, dizziness, anxiety, difficulty sleeping, sexual difficulty, sweating, shaking, changes in appetite, dry mouth, constipation, and susceptibility to infection. It is important to seek medical attention if you experience any concerning symptoms while on Lexapro. In comparison, Lexapro can treat depression and anxiety in adults and adolescents 12 and older for depression. I’ve been on lexapro for about two months, and it has worked really well for me. Initially 10mg once daily; may increase to max 20mg once daily at an interval of no less than 1 week. The Royal College of Psychiatrists breaks down the risk of withdrawal symptoms after a missed dose of certain antidepressants (or after discontinuing treatment) as follows: Jul 25, 2022 · Some of the most common side effects associated with Lexapro are: Fatigue: Fatigue is a common side effect of Lexapro. Another way they differ is that Wellbutrin is not approved for use in children or adolescents, while Lexapro is. Your doctor may adjust your dose as needed. sexual side effects, such as low sex drive*. severe sunburn. 7%. The side effects of Lexapro seem to be the same in both men and women. These effects may emerge during the first weeks of starting Lexapro. In terms of missing doses of Celexa, doing so during the first 12 weeks of therapy may delay the onset of effects, but you should not have any untoward effects. But there’s no need for alarm. It sounds like you over lapped your dose. Anecdotally, this is confirmed by lots of people, including myself, who have noticed discontinuation effects ranging from being mildly groggy to being pretty blue from having So Lexapro 20 mg side effects are the same as the side effects of 10 mg of Lexapro, but the 20 mg dose may have increased effects. Zoloft is approved to treat OCD in people 6 years and Side Effects. If you miss many in a row you'll start feeling side effects but one isn't going to do anything detrimental. Jun 27, 2014 · Generally not: Escitalopram and citalopram are relatively long-acting, and withdrawal or discontinuation symptoms tend not to occur in many people, or may occur after 3-4 days. Mar 3, 2023 · Summary. Anyway Lexapro just adds to the side effect Common side effects of Lexapro may include nausea, insomnia, drowsiness, sexual dysfunction, and dry mouth. 4. I was slightly nauseous for a few weeks. People taking it have complained of some side effects, but they begin to fade away on their own when the body is adjusted to the medication. Serious side effects are rare but can include serotonin syndrome, allergic reactions, and suicidal thoughts. Jul 1, 2024 · Your doctor may adjust your dose as needed. every so often i miss a dose/take 12 hours late, whether im sleeping for 16 hours straight or just being too lazy to get up and take it. Skip the missed dose if it is almost time for your next scheduled dose. Lexapro and Zoloft are two commonly used members of the selective serotonin reuptake inhibitor class of antidepressants, sharing similar warning labels and side effect profiles. *. Around 10pm I started to feel effects: nausea, headache, drowsiness, slight dizziness, and tremor. Maintenance Treatment Jun 9, 2014 · Since Lexapro has a half-life of somewhere in the 30 hour range, it's completely possible that you would notice an effect from having missed a day's dose of Lexapro. Nov 3, 2023 · Neurological effects: Tremors, restless legs, numbness, and/or difficulty walking. A community for those prescribed Lexapro or Cipralex, also known as Escitalopram. Never start taking Lexapro without a doctor Does anyone get hot flashes if they miss a dose of lexapro? I totally forgot to take it today, probably missed it by around 4-6 hours and I got really hot all of a sudden (and a headache). There is no specific time that is best to take it. May 23, 2024 · nausea. The FDA recently approved escitalopram for the treatment of generalized anxiety disorder in Sep 5, 2023 · These include nausea, insomnia, sweating, dry mouth and drowsiness. i want to take this opportunity to go off them cold turkey. Mar 25, 2024 · The balanced formulation of Lexapro ensures optimal effectiveness while minimizing potential side effects. Stopping gradually can help prevent withdrawal effects. You may have gotten a reboot that could make you have side effects. Serotonin syndrome is a medical crisis. Escitalopram (Lexapro) is a drug to treat depression and generalized anxiety disorder. red irritated eyes. Escitalopram (marketed as Lexapro) is included in the class of drugs called selective serotonin reuptake inhibitors (SSRIs). Take your regular dose tonight. These effects usually dissipate as your body adjusts to your medication. However, some people may experience lingering symptoms, particularly if they were on Lexapro for an extended period or at a high dose. Other serious side effects include Feb 17, 2016 · janiebme 17 Feb 2016. indigestion. If you miss a dose of this medicine, take it as soon as possible. Lexapro Aug 3, 2023 · Wellbutrin (bupropion) and Lexapro (escitalopram) are antidepressant medications. This increases the amount of serotonin in the brain. If they do occur, side effects may include sleepiness, decreased feeding, and potential weight loss. pain, redness, or swelling in the arm or leg. Thoughts of SH, suicidal ideation, extreme anxiety. If you overdose, contact a poison help line, or get emergency medical assistance. See also Warning section. A fixed-dose trial of Lexapro de monstrated the effectiveness of both 10 mg and 20 mg of Lexapro, but failed to demonstrate a greater benefit of 20 mg over 10 mg [see Clinical Studies (14. These medicines work by increasing the activity of the chemical serotonin in the We would like to show you a description here but the site won’t allow us. Celexa may cause orgasm and ejaculation problems. You should try to allow at least 8 hours between doses so you did just fine. 1 Major Depressive Disorder - Initial Treatment - Adolescents - The 3 DOSAGE FORMS AND STRENGTHS. If you notice any other effects, check with your healthcare professional. Because the active metabolite of ozanimod inhibits MAO-B in vitro, there is a potential for serious adverse reactions, including hypertensive crisis. Dr. pain or discomfort in the arms, jaw, back or neck. but my medicine got filled today so i wanted to know if it was okay that i took the 2 together?: : Buspirone is not a suitable substitute for lexapro, but I don't expe. If you don’t notice Lexapro working in the early days or weeks of treatment, understand that 8 weeks may be needed for Jul 1, 2024 · Adults and children 7 years of age and older—At first, 10 milligrams (mg) once a day, taken either in the morning or evening. I am on 20mg lexapro (escitalopram) and have missed 2 doses. Escitalopram is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). In general, it is not necessary to "catch up" by taking extra doses to make up for the one missed. Serotonin is a chemical that regulates mood. Side effects of suddenly stopping Lexapro or missing a dose can include any, some or all of the following: headache, irritability, dizziness, problems sleeping, grogginess, sudden feelings of gloom and doom, sweating, a strange burning sensation, tingling in the body and confusion. Wellbutrin withdrawal symptoms aren't common, but those who experience them may Jun 15, 2023 · A boxed warning regarding serious side effects applies to both antidepressants. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Possible Lexapro side effects include nausea, diarrhea, dry mouth, sweating, and more. Zoloft is taken at a higher dosage than escitalopram. If it continues for a long time, the heart and arteries may not function properly. 3 days ago · As for breastfeeding, LEXAPRO, like many other drugs, is excreted in human breast milk. , abnormal ejaculation. The dosage prescribed by healthcare professionals depends on various factors, including the severity of the condition, individual response to treatment Lexapro; Canadian Brand Name. 2. g. May 21, 2024 · Most withdrawal symptoms should subside after a month. Been on 10 mg for nearly 3 months. The recommended dose of Lexapro is 10 mg on ce daily. Guanfacine is used to treat high blood pressure (hypertension). This doesn't mean you should avoid antidepressants, but simply Oct 20, 2023 · Lexapro is an antidepressant SSRI for treating major depressive disorder and generalized anxiety disorder. 3. As per the estimates of 2017’s National Survey on Drug Use and Health, 17. The first 2 months of starting were rough, but this last month I've noticed I'm feeling better and I was really Jan 25, 2024 · hives, itching, skin rash. However, if you suddenly stop taking it, you may get side effects. Nausea, dry mouth, trouble sleeping, constipation, tiredness, drowsiness, dizziness, and increased sweating may occur. Serotonin Syndrome. It may Feb 7, 2023 · Yes, there is. Namely, 25-200 mg once daily for all approved conditions except for PMDD which is at 50-150 mg daily. ozanimod increases toxicity of escitalopram by sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Jul 29, 2021 · That risk may continue for up to six years. However, the dose is usually not more than 20 mg per day. Apr 13, 2016 · Overview. I have a lot of serious medical issues. coordination problems or muscle twitching (overactive reflexes) racing heartbeat, high or low blood pressure. Try not to miss doses of medication. Food and Drug Administration (FDA) for treating major depressive disorder (unipolar) in adults and adolescents (ages 12 to 17) for both acute and maintenance phases. Hi Keh-. I have been back on normal schedule of taking every morning for 3 days now. Maintenance Treatment Mar 23, 2023 · Each person will experience slightly different side effects, but the most common side effects are drowsiness, headache, insomnia, nausea, and vomiting. Feb 16, 2023 · Zoloft and Lexapro are very similar medications with one key difference: their approval by the Food and Drug Administration (FDA) for use in adolescents. The worst side effect I had for a few years was fatigue. Lexapro may lead to impotence and ejaculation disorder. " In other words, Lexapro helps raise or balance serotonin levels in the brain, which can reduce anxiety and enhance mood. If it is the same day when you realize you have missed a dose, take it then. irregular or slow heart rate. (Kidney transplant). Jan 17, 2023 · Escitalopram (Lexapro) is available as both a tablet and a liquid. Zoloft (Sertraline) is commonly used to treat several mental health conditions, including depression, anxiety disоrders, obsessivе-compulsive disorder (OCD), panic disоrder, post-traumatic stress disordеr (РTSD), and social anxiety disorder. As an antidepressant, Zoloft helps improve mood, sleep, appetite, and overall feelings of well Jun 3, 2024 · You may experience side effects during your first week on Lexapro, including anxiety, difficulty sleeping, drowsiness, headaches, and nausea. Mar 14, 2018 · Others may notice the medication kicking in within 1 to 3 weeks of treatment initiation. Oct 2, 2023 · Lexapro, the brand name of escitalopram, is an antidepressant. Side effects like dry mouth, decreased appetite, and nausea, among others Feb 20, 2019 · Lexapro (generic Escitalopram) is an oral medication used for the treatment of major depressive disorder and generalized anxiety disorder in adults and adolescents. Side effects from LEXAPRO in a nursing baby are generally rare. pains in the stomach, side, or abdomen, possibly radiating to the back. Additionally, Lexapro may increase your appetite, which usually leads to eating more and gaining weight. Serotonin is a neurotransmitter involved in mood, sleep, and other functions. If you miss doses or don’t take the Feb 21, 2023 · If you miss a dose of Lexapro, take your missed dose as soon as you remember. Understanding the common Lexapro withdrawal side effects can help you manage them better. Talk to your healthcare team if you’re having symptoms — they’ll tell you how best to manage them. Do Lexapro side effects go away? Lexapro’s side effects may be mild or severe and depend on your health status (e. i started taking 10mg lexapro about a year and a half ago. i missed a dose and this morning was feeling the side effects, so i took one of my daughters 5 mg buspirone. Please be positive and supportive. Brain zaps: Sensations that feel like shocks to the head, also described as brain shakes or shivers. High blood pressure adds to the workload of the heart and arteries. Learn drug interactions, dosage, and pregnancy and breastfeeding safety information. The recommended dosage is the same for major depressive disorder and generalized anxiety disorder. Other side effects not listed may also occur in some patients. Lexapro was FDA approved in 2002 and Zoloft was FDA approved May 10, 2018 · Sexual dysfunction, lowered libido, erection difficulties, lack of orgasm . 1% of the adult population) and 3. May 7, 2014 · The side effects of withdrawal I have already. Before you take it When you must not take it Do not take Lexapro if you are allergic to it, to any medicine containing escitalopram, or any of the ingredients listed at the end of Missed dose side effects? I ended up in the hospital and was completely out of it and missed 2 days of 10 mg Lexapro. Take your regular dose if it's closer than your missed dose, which if you take it at night it is. Both are commonly prescribed to treat depression. Jan 8, 2014 · Lexapro should be administered once daily, in the morning or evening, with or without food. I can reduce my dose during the summer months to 15 mg. Common Lexapro Withdrawal Side Effects. However, a person experiencing insomnia may want to schedule Lexapro for the morning. 3% of the adolescent population) in the United States have experienced at Jan 12, 2010 · The recommended dose of Lexapro is 10 mg once daily. A fixed-dose trial of Lexapro demonstrated the effectiveness of both 10 mg and 20 mg of Lexapro, but failed to demonstrate a greater benefit of 20 mg over 10 mg [see Clinical Studies ]. Adult side effects can include: nausea Aug 21, 2023 · The side effects of missing a day of antidepressants vary depending on dosage, where you are in your treatment regimen, your body, and the type of medication. Some will take longer than others to recover fully after they stop taking Lexapro. But after missing that dose, my head hasn’t been right. Some common side effects of escitalopram (Lexapro) include nausea, trouble sleeping, and drowsiness. Some people notice an improvement in their condition as early as a week after they start treatment. I must agree with Sharon on this one. The main differences between Lexapro and Zoloft are: There are some differences in their side effects with Lexapro being more likely to cause sleep problems and taste disturbances, and Zoloft is more likely to cause skin rash or diarrhea. Forgetting to take a dose of a prescribed antidepressant can have a variety of effects, and it’s helpful to remember each person reacts differently. If you need emergency medical attention call 911. Doctors usually start at the lower dosage and may increase it in some cases. fatigue (low energy) sweating more than usual. What I did not expect was the rush of anxiety I felt, the weird hot feeling (but no sweating), and my arms felt weird but this might’ve been due to anxiety. Generally, symptoms might last between 1 week and several months after discontinuing use, but it’s really crucial to note that everyone’s experience with Lexapro withdrawal differs. Missed Dose . Side effects are common, especially in the first few weeks of starting Lexapro. increased sensitivity of the eyes to light. My severe anxiety was reduced, my sleep disorder dramatically improved, and I stopped thinking about suicide. extreme sleepiness or drowsiness. Psychological symptoms: Mood swings, agitation, anxiety, mania, and/or depression. Children younger than 7 years of age—Use and dose must be determined by your doctor. You should have resumed taking it the next night. Lexapro is available in tablet form, with different strengths ranging from 5mg to 20mg. S. Older adults—10 mg once a day, taken either in the morning or evening. Taking large doses of Lexapro can cause dangerous side effects. Aug 7, 2023 · Both are available in tablet and liquid forms. This drug is slightly more popular than comparable drugs. Dec 12, 2022 · Lexapro can cause night sweats and increased sweating overall (night and day) was one of the most common side effects reported with Lexapro, reported by 3% to 8% (depending on the dose) of people. 1 Tablets - Lexapro tablets are film-coated, round tablets containing escitalopram oxalate in strengths equivalent to 5 mg, 10 mg and 20 mg Aug 15, 2023 · Celexa is only available in tablet form whereas Lexapro is available in both tablet and liquid form. If any of these effects last or get If missing a dose is a problem, consider switching to Fluoxetine. I actually want to get off the meds but not sure if I should contact psychiatrist tomorrow or continue on my own. loss of sense of smell. It belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). For some people, these side effects go away or lessen over time. May 14, 2024 · Inactivation of SERT by escitalopram leads to an elevation in synaptic serotonin levels. Bupropion prevents SAD, while escitalopram is often used to treat GAD. At least, I never did. If the dose is increased to 20 mg, this should occur after a minimum of one week. Escitalopram is a prescription drug used to treat depression and generalized anxiety disorder. The typical dosage range is 10 milligrams (mg Since it has a half-life of 12 hours, I could really feel it if I skipped two doses by accident (didn't happen often, but a few times). At their discretion, physicians may prescribe Lexapro for other Jan 25, 2024 · Take Lexapro at the same time every day. Usually when you miss a dose you should take it again at the same time you always take it. Fluoxetine has a longer half life of about 3 days, meaning that one dose of Fluoxetine hangs around in the body a bit longer than Escitalopram which has a half life of around 30 hours. 1% with A doctor has provided 1 answer. Avoid taking two doses at once. Tell your doctor if you get any side effects after stopping Lexapro. Martin says. Common side effects include dry mouth, loss of appetite, nausea, trouble sleeping, constipation, drowsiness, tiredness, dizziness, and increased sweating. i took my dose 12 hours late on monday (its thursday now) and im still feeling nauseous, paranoid and experiencing unwanted thoughts, among other side Dec 5, 2023 · Do not take a double dose to make up for the missed dose, as this can increase the risk of side effects. Jan 22, 2024 · Lexapro has a success rate of around 70-80% in the treatment of depression. Dec 1, 2022 · This section describes the typical Lexapro dose. I’ve taken lexapro before and expected this. You should try not to miss a dose if possible but if you do: *Take the missed dose as soon as you remember. Serious skin reactions, rash, hives (requires immediate MD assistance!) Some people never experience such side effects and achieve substantial benefit from medications like desvenlafaxine, duloxetine and venlafaxine. Lexapro and other SSRI's aren't going to do something catastrophic if you miss one dose. Mar 1, 2023 · If you take an extra dose of Lexapro by mistake, it’s unlikely to cause serious problems. Side effects may include taste alterations, shaking, fever, weight loss, weight gain, and headache. Celexa treats depression in adults 18 and older. Lexapro is available as a generic medication called escitalopram. painful or difficult urination. [> If you are feeling suicidal call 1-800-273-8255. Missed Dose If you miss a dose of this medicine, take it as soon as possible. Jun 9, 2017 · While you should definitely not beat yourself up for missing a dose, it’s important to take your medication schedule seriously and know what the effects could be when this happens. It is a feeling of tiredness that is often accompanied by a lack of energy. i take 10 mg of generic lexapro daily. The meds cause depression, diabetes, and osteoporosis plus several other issues. ez nv ow dv pg zq zg oc vf jm