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Delayed dieoff? or celexa ?

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Hi All,We are 6 months into NIDS (valtrex,diflucan, celexa(changed a wk ago from paxil), tenex). My kid was having aggression issues for the last 2-3 weeks and we changed SSRI to celexa.It has only been a week on celexa but his aggressivesness hasn't changed.Seems more hyper,stimmy and increase(2-3) in bowel mov .His eye corner are red. Had diarrhea last week.For the last 2-3 days his crazy hunger has reduced.Is this a side effect of celexa or are they late die off reaction of valtrex/ketoconazole? My son did not have a die off reaction with valtrex/ketoconzole.

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