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Cipralex or escitalopram, might not be the right antidepressant medication for you
you might benefit from something else like sertraline or paroxetine where the dose can be slowly increased to a higher level
there are also other medications such as aripiprazole or clozapine or ziprasidone or quetiapine which could help your medication work better to help fight your depression and anxiety symptoms.
you have to see a psychiatrist who can best help you with your depression and anxiety symptoms
are you seeing a psychiatrist regularly?