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One source notes that 20 mg may cause about twice the drowsiness rate of 10 mg , and if fatigue persists, clinicians may lower the dose, change dose timing, or switch medications, according to this review of Lexapro fatigue and dose effects

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We will vigorously appeal this lower courts judgment, and believe that we have very strong legal grounds to overturn the judgment in its entirety. JTI-Macdonald said that Canadians have been well aware of the health risks since the 1950s and health warnings have been on packages for more than 40 years