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Volume 355:2722-2723 December 28, 2006 Number 26
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The Antidepressant Quandary — Considering Suicide Risk When Treating Adolescent Depression
Gregory E. Simon, M.D., M.P.H.

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In March 2004, the Food and Drug Administration (FDA) issued a public health advisory regarding worsening depression and suicidal thoughts and behavior in patients treated with the newer antidepressant drugs fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), fluvoxamine (Luvox), citalopram (Celexa), escitalopram (Lexapro), bupropion (Wellbutrin), venlafaxine (Effexor), nefazodone (Serzone), and mirtazapine (Remeron). In February 2005, the agency extended the warning to include all antidepressant drugs. This warning was prompted by analyses of data from placebo-controlled trials of antidepressants suggesting that the drugs were associated with an increased risk of suicidal behavior in children and adolescents.

Subsequent research leaves considerable uncertainty regarding . . . [Full Text of this Article]


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Dr. Simon is an investigator in the Center for Health Studies at Group Health Cooperative, Seattle, and is the chair of the Scientific Advisory Board of the Depression and Bipolar Support Alliance, which is funded by pharmaceutical and medical device companies, as well as by private donations.


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