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Because of the drug’s lack of side-effects, these women may be under the misapprehension that this new medication is a cure. Because all SSRIs (including Prozac) are selective serotonin reuptake inhibitors, the drug may worsen PMS symptoms by increasing its effects on low serotonin, leading those with low serotonin to develop acne. Prozac can be prescribed and used with other antidepressants including Lexapro, escitalopram, and duloxetine, mixing clenbuterol and cocaine. Other antidepressants (including fluoxetine) increase the effects of serotonin because they both increase serotonin levels. All of these medicines are thought to have an influence on the levels of the hormone estrogen, though their use with PMS has been controversial because estrogen is known to increase the severity of PMS.
Your best bet is to talk to your doctor about it and let your doctor know what side effects you do experience, mixing clenbuterol and cocaine.
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