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Escitalopram (Cipralex or Lexapro) is the preferred prescribed antidepressant to breast cancer patients who are on tamoxifen, as it interacts less in the conversion of tamoxifen into endoxifen compared to other antidepressants such as fluoxetine 53

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Anecdotally, some people also describe the alcohol-dampening effect fading over time, though that is not settled clinical evidence