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| quote: | | I always thought the suicide risk was because as they took the user out of the pits of depression it took away the complete apathy and gave them more energy, which then would lead them to act more depressed for a few weeks/month before they got better? Or is that a different type of anti-depressant? |
Well first off one must differentiate between an antidepressant and SSRI (selective serotonin reuptake inhibitors). SSRIs are the most commonly used antidepressants but not the only ones. There are tons of variations as well, such as double (norephinephrine/serotonin - the oldschool tricyclic antidepressants which today are used in severe cases of depression) and triple-inhibitors. There are also MAOs (monoamine oxidase inhibitors) which act by blocking the enzyme which breaks down serotonin, however these are not very common.
SSRI act by reducing the serotonin, which is the reason why a person is depressed as it is. It's a bit stupid, but for the first 3 weeks or so, an antidepressant of this type actually sinks the person even further into the disorder before having its effect.
You are right. People don't seem to comprehend that antidepressants can swing a depressed patient into mania, caused by the psychiatrist itself. During my practical exam in psychiatry, I had a lady which was cleared out of her depression and was now in a state of mania due to the SSRIs. But taking the SSRIs away would put her back into depression, so it's really a thing of nuances and balance. This medication is not like an anti-acid which you take and then stop when the gastric problem is solved.
Reason to why more and more psychiatrists swing towards "talking" therapy instead.
Now imagine a person self-medicating on SSRIs and other type of brain-chemical-altering medication and imagine the effects.
I'm of the belief that antidepressants/neuroleptics should be only prescribed by psychiatrist, since an untrained MD doesn't have the knowledge of the above stated and can do more harm than good, unwillingly. In certain parts of Europe, if a non-psychiatrist prescribes anything but anti-anxiety medication, he can have his licenced taken away. Unfortunately that isn't the case everywhere in Europe.
| quote: | | Couldn't it also be that people that are put on anti-depressants are already at a high risk of suicide so they have to list "suicidal thoughts" as a side-effect in the commercials for the various brands of anti-depressants because the pills didn't have the desired effect and the people taking them committed suicide? |
No idea on company policy. But SSRIs are the cause of a lot of debate in the pharma industry.
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