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Do not stand or sit up quickly, especially if you are an older patient. Additional studies to investigate the mechanism for this pathology have not been performed, and the potential significance of this effect in humans has not been established. The cited figures, however, do provide the prescribing physician with some basis for estimating the relative contribution of drug and non-drug factors to the adverse event incidence rate in the population studied. Hyperreflexia, incoordination and or gastrointestinal symptoms. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or kopen goedkoop escitalopram whenever your dose is changed. Do not flush medications down the toilet or pour them into drain unless instructed to do so.