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ProzacIncluded below is a brief recap of general similarities of Lexapro (escitalopram) and Prozac (fluoxetine). Long-term consequences of chronic fluoxetine exposure on the expression of myelination-related genes in the rat hippocampus. You may already have been cutting your pills in half or using a liquid formula to achieve progressively smaller doses. He noted that the Bureau of Labor Statistics computes an alternative index to reflect spending by people ages 62 and older known as the CPI for the Elderly, which gives less weight to transportation and more weight to medical care and housing than the standard inflation measure. Some psychiatrists believe in a combination of drugs and therapy; some believe antidepressants can be effective for all levels of depression and no therapy is needed; and others believe therapy alone is the best treatment option for all but the most severely depressed. 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