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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by G-man885858 on March 25, 2009, at 16:21:47
Wellbutrin comes with a warning of "possible suicidal ideations".
Aren't there ANY antidepressants that DON'T have this warning? Or do all of them have it?
Posted by myco on March 25, 2009, at 18:55:48
In reply to Wellbutrin suicide warnings, posted by G-man885858 on March 25, 2009, at 16:21:47
This is a message that is now (wasn't always recognized) common for meds...pretty much every AD med i've seen has this "warning". I don't remember which med set off this warning...luvox I think?...there was one in particular that set the ball rolling for all to be labelled. Of course you know to interpret "with a grain of salt" (is it?), so to speak. I myself have never experienced this although I do notice going on and coming off certain meds, particularly ssri-types, I may get "down" more than usual...so I can see how that could be troublesome for people already in a very down state to have it exaggerated.
myco
> Wellbutrin comes with a warning of "possible suicidal ideations".
>
> Aren't there ANY antidepressants that DON'T have this warning? Or do all of them have it?
>
>
Posted by Phillipa on March 25, 2009, at 18:56:57
In reply to Wellbutrin suicide warnings, posted by G-man885858 on March 25, 2009, at 16:21:47
I don't know for sure but think most if not all come with the warning especially early in treatment. Phillipa
Posted by yxibow on March 25, 2009, at 19:21:49
In reply to Wellbutrin suicide warnings, posted by G-man885858 on March 25, 2009, at 16:21:47
> Wellbutrin comes with a warning of "possible suicidal ideations".
>
> Aren't there ANY antidepressants that DON'T have this warning? Or do all of them have it?
>
>They all do, in the US. It is *ss protection by the FDA, mainly, just like the warnings on -every- possible sleep agent.
Yes -- there is always a risk that a medication can provoke unknown latent symptoms in a person. But equally the argument can be said that the individual would have probably committed suicide regardless.
And I think this holds true for the warnings of use on adolescents, the lawsuits specifically targeting Luvox as a culprit in Columbine when a doctor could have chosen any other SSRI or antidepressant for that manner.
I'm not trying to say that it isn't possible in people who have been poorly diagnosed or warning signs havent been observed by doctors not trained well or other factors. Life has its unknowns.But the vast majority -- depression is a risk factor for suicide, having been under a medication managment plan or not, but its statistically better to have some form of treatment, medication or psychotherapy or both, to prevent the possibility of suicide, which is just one of many symptoms of depression.
I would be more concerned with the -very- small seizure potential of Wellbutrin, which is why SR or XR is much more favorable and the possible anxiety it could produce in people not used to stimulants.
-- Jay
Posted by SLS on March 26, 2009, at 15:17:20
In reply to Re: Wellbutrin suicide warnings » G-man885858, posted by yxibow on March 25, 2009, at 19:21:49
It is too bad that psychiatrists did not recognize a simple fact before it was too late: Any one drug can make some individuals more depressed and suicidal.
"Dear patient. There is a small chance that this medication might make you feel worse. If it does, call me immediately."
Simple fix.
- Scott
Posted by 49er on March 28, 2009, at 11:55:29
In reply to Re: Wellbutrin suicide warnings, posted by SLS on March 26, 2009, at 15:17:20
> It is too bad that psychiatrists did not recognize a simple fact before it was too late: Any one drug can make some individuals more depressed and suicidal.
>
> "Dear patient. There is a small chance that this medication might make you feel worse. If it does, call me immediately."
>
> Simple fix.
>
>
> - ScottHi Scott,
That is great suggestion.
The problem is that many psychiatrists don't make the connection and see it as a worsening of the patient's condition. As a result, the dose is increased and we all know what the ramifications of that are.
49er
This is the end of the thread.
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