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Patients frequently find that working closely with their healthcare provider to fine-tune their existing medication regimen achieves the symptom control they need without the complexity of combination therapy. In Canada, the emphasis on patient education includes guidance about recognizing the gradual onset and offset of effect, empowering patients to work collaboratively with their clinicians to fine-tune their dosing schedule. In the United States, psychiatrists may prescribe this combination when clinically indicated, with careful monitoring to assess for any additive effects on heart rate, blood pressure, or anxiety levels.
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