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I'd talk to her doctor as serotonin syndrome is life threatening and it can come on very quickly.
How much of a drop in dosage did you go to get to 20 mg.? Some meds you have to wean down. Some meds you cant go up and down with dosages day to day. Young people - even young adults can be more sensitive to antidepressants and / or serotonin boosters. I would call your Dr ?
She settled down to 'normal' after that one episode. No concerns about serotonin syndrome at this time, but I will definitely watch out for it.
Milily - We dropped her dose from 40mg to 30mg then to the 20mg, over a couple of weeks. Our doc is such a sweetie, he was so happy about her progress. He just couldn't stop smiling.
She is back on a mild painkiller at the moment, she is sleeping better though and the fog has finally lifted! Nice to be able to have a normal conversation again.
Thank you all for your input