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ANTIDEPRESSANTS: They don't work
(but don't tell anyone)
You'd think it is enough of a scandal that doctors are prescribing
powerful antidepressants to two-year-olds, but now we're
told that one pharmaceutical suppressed findings that the
drugs weren't even working.
It's been announced this week that GlaxoSmithKline, the
UK's largest drug company, avoided publishing the data because
it was concerned the findings would affect its lucrative
adult market for the drug.
Two major clinical trials, codenamed protocols 329 and 377,
tested Seroxat (paroxetine) on a group of children and adolescence
with major depression and found that the drug was no more
effective than a placebo, or sugar pill.
Despite these findings, GlaxoSmithKline was also aware that
the drug caused suicidal tendencies, especially among the
young.
The full findings of the studies, which were carried out
in 1998, came to light only last spring when the UK regulator,
the Medicines and Healthcare Products Regulatory Agency,
banned the drug for use among children because it was ineffective
and unsafe.
The revelation is but the latest twist to a scandal that
is worrying regulators in the UK and the USA. America's
drug watchdog, the Food and Drug Administration, has finally
agreed to review the practice of prescribing antidepressants
to children. The drugs are not in any event licensed
for use among children, but doctors are free to prescribe
them if they feel it is an appropriate therapy.
As we outlined in Enews 58, around 2 per cent of all youths
in the USA are prescribed an antidepressant. This
unlicensed usage increased by 400 per cent between 1988
and 1994 alone.
The FDA has conceded that the drugs are more likely than
placebo to cause suicidal thoughts, although nobody knows
how many children have attempted or committed suicide while
taking an antidepressant.
We recall an encounter we once had with Dr Thomas Stuttaford,
the medical correspondent for the London Times. "The
trouble with you (What Doctors Don't Tell You and all like
us)," he said, "is that you don't realize that
when you have a sharp sword (an effective drug), some heads
will be cut off (there will be adverse reactions)."
It appears that blunt swords can also decapitate, too.
(Sources; The Guardian, 3 February 2004; Journal of the
American Medical Association, 2003; 290: 1033-41).
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