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Hallucinations (seeing/hearing things that arent there) Delusions (false beliefs about things that are not based in reality) Hypomania/mania (periods of excessive energy or irritability that can lead to extreme risk-taking behaviors and impaired thought processes) Suicidal thoughts Additionally, taking Lexapro with certain medications or herbs may increase serotonin activity to dangerous levels, leading to serotonin syndrome

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doi: 10.1016/j.autrev.2010.07.004