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Healthy Skepticism Library item: 10049

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Spurgeon D.
Depression is the real killer, not antidepressants, say commentators
BMJ 2007 May 12; 334:(7601):974
http://www.bmj.com/cgi/content/full/334/7601/974-e


Abstract:

On 2 May the US Food and Drug Administration ordered that all antidepressants must carry an expanded black box warning about an increased risk of suicidal symptoms in young adults aged between 18 and 24 years. But the requirement poses a problem for doctors, says an article published online in the New England Journal of Medicine on 7 May.

“Whether the new warning will do more good than harm is not clear,” write Richard Friedman and Andrew Leon, both of Weill Cornell Medical College, New York (http://content.nejm.org, doi: 10.1056/NEJMp078015). “The real killer in this story is untreated depression, and the possible risk from antidepressant treatment is dwarfed by that from the disease. But clinicians still need to tell their depressed patients that some people who take antidepressants have an increase in suicidal symptoms, especially early in treatment, and they need to follow their patients very closely during . . .

 

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There is no sin in being wrong. The sin is in our unwillingness to examine our own beliefs, and in believing that our authorities cannot be wrong. Far from creating cynics, such a story is likely to foster a healthy and creative skepticism, which is something quite different from cynicism.”
- Neil Postman in The End of Education