The effectiveness score is 7.46 and the side effect score is 7.30.

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She also is someone who has a long history of anxiety manifested by “worrying”, “catastrophizing” and ruminating.

She denies any history of drug or alcohol use, and “mood swings.” There is a family history of depression in her mother and sister which has responded well to a serotonin reuptake inhibitor (SRI) but she does not remember the name.

Citalopram is a racemic mixture of R- and S-enantiomers.

The S-enantiomer, escitalopram, is the therapeutically active portion of the parent compound, whereas the R enantiomer does not contribute to clinical efficacy and may account for some of the side effects of citalopram.

Before anti-anxiety medication I can't count how many times I had something stressful to do and instead I would just take a nap.