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Risk is further increased in patients with: Pre-existing cardiac conditions Electrolyte imbalances (e.g., low potassium or magnesium) A personal or family history of long QT syndrome Concurrent use of CYP2C19 inhibitors (e.g., omeprazole, esomeprazole, cimetidine), which can raise escitalopram levels Where a combination of QT-prolonging medicines is clinically necessary, a baseline ECG and electrolyte check should be considered

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