Guest guest Posted July 12, 2001 Report Share Posted July 12, 2001 From: " ilena rose " <ilena@...> Sent: Thursday, July 12, 2001 12:11 AM Subject: Drug Company Found 80% Guilty of Murder > ~~~ thanx JD ~~~ > > > Drug Company Found 80% Guilty of Murder > > A jury in Wyoming found the British based drug company GlaxoKline 80% > responsible for a family murder - suicide committed by a patient taking a > drug produced by the company. The drug was was an anti depressant > marketed as Praxil in the United States and Seroxat in Britain. > > According to the report published in the June 16, 2001 issue of the British > Medical Journal, a 60 year old Wyoming man who was suffering from episodic > depression but who was not showing any signs of homicidal or suicidal > tendencies was prescribed the drug. Several years earlier he was given > Prozac, but was taken off the drug because he became agitated. > > In February of 1998 he was put on Praxil for mild depression. Within > several weeks he then went on his murderous rampage. In the trial several > experts were brought in to testify including Dr. Healy, director of > psychological medicine in Bangor, North Wales. Dr Healy testified that both > his own research and the research of the drug maker GlaxoKline both > showed that a full 25% of healthy volunteers who were given this type of > drug became " extremely agitated " . Dr Healy also testified that in his own > studies of volunteers who were not depressed who were given these drugs > that only 33% felt better while on the drug, while 33% felt worse, and 33% > felt no change. However, two previously non-suicidal and non-depressed > volunteers became suicidal and depressed while on the drug. > > The jury in the Wyoming case awarded the surviving family $6.4 million and > found that the drug company was 80% responsible for the deaths. This court > decision is the first time that a drug company has been held responsible > for suicidal and homicidal actions of patients who were using it's > product. Representatives of GlaxoKline said that they were surprised > by the verdict and continue to state the drug is safe. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2001 Report Share Posted July 14, 2001 I hate to be the devil's advocate, but I find this article to be mildly infuriating and lacking necessary data to draw this conclusion. This sounds similar to the controversy that surrounded Prozac in the early 90's, when several individuals taking Prozac became violent, both suicidal and homicidal. Now, Prozac is not just one of the most widely prescribed antidepressants, but also one of the most widely prescribed drugs in the world. It turns out that those individuals on Prozac had underlying psychosocial problems and/or had adverse reactions to Prozac, all which should have been more closely monitored by their physicians. Unfortunately, the early 90's brought out the very first SSRI's and many physicians were just beginning to widely prescribe the drugs, often without the knowledge of potential side effects/adverse reactions other than those documented in the research literature. And it is very common for new and unknown side effects/adverse reactions to emerge once a drug is approved for use. Now that depression is a common finding among the general population and accounts for a high percentage of doctor visits, many antidepressants have become available to the public. Unfortunately, not everyone will respond favorably, and in fact, there are those who respond with adverse events such as increased suicidality and even homicidal urges. It is not a problem associated with the drug, but rather an adverse event, poor physician monitoring, too rapid an increase in dosage, or the patient taking the drug incorrectly. Paxil is an SSRI (selective serontonin reuptake inhibitor) which is in the same class as Prozac, Zoloft, and Celexa. Serontonin can have deleterious effects on the body, and if someone's depression is not due to a decreased serotonin level, then prescribing a SSRI can be dangerous. Too much serotonin can be just as dangerous as too little serotonin, and can even cause " serotonin syndrome, " which is a condition where there is too much serotonin in the brain, and can cause coma and even death. Too much serotonin can also interact with other prescription medications, also with the potential to cause serotonin syndrome. Excess serotonin has been known to cause extreme mood swings, anger and violence. Some types of depression or mood disorders can be caused by too little dopamine or norepinephrine, and therefore require a different type of antidepressant. Unfortunately, no physician can know for sure what antidepressant to prescribe and how that person is going to react to it. It is like playing a guessing game, similar to people who are hypertensive and sometimes try several medications prior to finding the one that works best for them. Also, the majority of depressions do respond to SSRI's, so most physicians prescribe them. They also have an excellent safety record, and have been around since the late 80's. Only the tricyclics and MAOI's have been around longer, but these medications come with undesirable side effects; much worse than the SSRI's, and can be fatal in an overdose. In the case of Paxil, it has been around since the early 90's. It is a widely prescribed antidepressant, and is also FDA approved for panic, obsessive-compulsive disorder, and social phobia. It has saved many patients' lives and helped them to dig their way out of a black hole. I truly believe that the case in question is one of those highly unusual incidences. This can happen with any medication, and yet we don't fault the manufacturer of other medications. I think that because Paxil is a psychiatric drug, whenever someone becomes suicidal or homicidal, the public is quick to blame the pharmaceutical company, when in fact I don't think it is necessarily due to the chemical composition of the drug as much as it is an adverse reaction or lack of monitoring. And because every depression presents differently, taking an antidepressant can worsen the depression and/or suicidal tendencies. Every antidepressant comes with the warning that it can cause suicidal thoughts or suicidal actions as well as potential violent mood swings. It is up to the physician to tell the patient this and to strongly encourage the patient to report any changes in mood. And this is also why I strongly believe that only psychiatrists and those with training in mental health should prescribe psychotropic medications vs. family medicine and internal medicine doctors. A thorough understanding and knowledge of psychotropic medications can greatly decrease any potential side effects or adverse reactions. In the case cited in this article, I think this is a grave injustice. And furthermore, the studies that are cited do not state the number of volunteers or study participants, so the percentages mean nothing to me. And in the case of several individuals becoming extremely agitated, this is a very common side effect and is one of the main reasons patients stop their medications. Instead of blaming the pharmaceutical company who has put out an excellent antidepressant, I think that the jury/judge should have looked at the underlying problems with the patient and what was happening with the patient mentally prior to his actions. If a physician didn't pick up any potential problems, then perhaps friends did. This is not something that " just happened. " The medications actions take several weeks to take effect as does a therapeutic level. So chances are that this patient's behavior had changed over the course of weeks or days. If this had happened to someone taking Procardia, Capoten, Keflex, Vicodin, or any other drug commonly prescribed, I'm willing to bet money I don't have that no one would have been so quick to blame the pharmaceutical company. e, RN, BSN, LNC > From: " ilena rose " <ilena@...> > Sent: Thursday, July 12, 2001 12:11 AM > Subject: Drug Company Found 80% Guilty of Murder > > > > ~~~ thanx JD ~~~ > > > > > > Drug Company Found 80% Guilty of Murder > > > > A jury in Wyoming found the British based drug company GlaxoKline 80% > > responsible for a family murder - suicide committed by a patient taking a > > drug produced by the company. The drug was was an anti depressant > > marketed as Praxil in the United States and Seroxat in Britain. > > > > According to the report published in the June 16, 2001 issue of the > British > > Medical Journal, a 60 year old Wyoming man who was suffering from episodic > > depression but who was not showing any signs of homicidal or suicidal > > tendencies was prescribed the drug. Several years earlier he was given > > Prozac, but was taken off the drug because he became agitated. > > > > In February of 1998 he was put on Praxil for mild depression. Within > > several weeks he then went on his murderous rampage. In the trial several > > experts were brought in to testify including Dr. Healy, director of > > psychological medicine in Bangor, North Wales. Dr Healy testified that > both > > his own research and the research of the drug maker GlaxoKline both > > showed that a full 25% of healthy volunteers who were given this type of > > drug became " extremely agitated " . Dr Healy also testified that in his > own > > studies of volunteers who were not depressed who were given these drugs > > that only 33% felt better while on the drug, while 33% felt worse, and > 33% > > felt no change. However, two previously non-suicidal and non-depressed > > volunteers became suicidal and depressed while on the drug. > > > > The jury in the Wyoming case awarded the surviving family $6.4 million and > > found that the drug company was 80% responsible for the deaths. This > court > > decision is the first time that a drug company has been held responsible > > for suicidal and homicidal actions of patients who were using it's > > product. Representatives of GlaxoKline said that they were surprised > > by the verdict and continue to state the drug is safe. > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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