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Re: EXACTLY » SLS

Posted by Racer on July 22, 2005, at 7:37:12

In reply to Re: EXACTLY, posted by SLS on July 19, 2005, at 8:41:38

>
> A number of years ago, I stood alone here on Psycho-Babble pleading that people become more aware of the possibility that Prozac causes suicide. Of course, I implicated other drugs as well, but Prozac was the one focused on by the media. There are those that wanted to ascribe the few incidences to be found on Medline to akathisia. I found this to be a weak argument, as it seemed to me that the incidences of suicide were higher than those of akathisia.
>
>
>
> - Scott

Hmmm....

I think that MisterMindMasta (and why do I want to add "Flash" at the end of that? Or am I showing my age?) is onto something: a lot of people may not have the words to describe what they're feeling. I know that I told Dr EyeCandy (a/k/a Dr GraduatedLastInHisClass) last year that I was feeling "jittery" and that I was fidgeting my feet a lot -- but it was only later that I realized that the feeling that my legs were on fire unless I kept them moving might be akathesia. I suspect that if I had said the word "akathesia," he'd have jumped on it -- first to make a mental note that I was a hypochondriac, as proven by knowing that word; and then to consider doing something about it. As it was, my description of not being able to stop fidgeting, and that it was aggravating my arthritis, probably didn't even register. Or maybe it was just lumped in to a general catagory called "Anxiety."

The point of that, of course, is that akathesia is probably underreported, both because the doctors don't quite register what patients are saying, and because that's not necessarily something that some patients would bother bringing up to a doctor.

Just a thought...

On the other hand, I don't know. And maybe there is a direct causal relationship between ADs and suicidal ideation and action? Guess more research might give answers to that question...


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