Anti-depressants often DO NOT work (Part TWO of TWO)
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Anti-
depressants
taken by
thousands of
Brits ‘do NOT
work’, major
new study
finds
By Fiona Mcrae
____February 26th, 2008
DAILYMAIL.CO.UK
Anti-depressants (LINK)
___PART TWO OF TWO
Professor Kirsch,
a psychologist,
reached his conclusion after
combining the results of 35 clinical
trials involving more than 5,000
patients with depression.
The data on Prozac,
Seroxat,
Efexor and a fourth drug not
used in the UK had been submitted
to the U.S. drug watchdog ahead
of the antidepressants being
licensed for sale.
Two-thirds of those taking part in
the studies were prescribed the SSRIs,
while the remainder took
placebo tablets.
Comparison of the two groups
showed that in the majority of cases
the mental health of those taking
anti-depressants improved little
more than those on dummy pills.
Only those who were
extremely depressed –
a very small proportion
of those studied –
fared substantially better
when on medication.
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The results suggest that those
taking the tablets mainly benefit
from the “placebo effect” –
in which symptoms are eased
not by medication but by relief
in diagnosis and the simple
expectation a treatment will work.
Professor Kirsch emphasised that
patients should not change their
treatment without speaking to
their doctor,
but said other approaches include
physical exercise,
psychoanalysis and self-help books.
Richard Ley,
the Association of the British
Pharmaceutical Industry,
the drug industry’s trade body,
said all medicines have to be
proven to be more effective than a
placebo before they are put on sale.
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A spokesman for the National
Institute for Health and
Clinical Excellence,
which draws up guidelines on
the treatment of illnesses, said
routine use of anti-depressants is
not recommended for mild depression.
He added that Professor Kirsch’s
results would be taken into
consideration when the existing
guidelines are reviewed later this year.
Hailed as a miracle cure for
depression when they were
first prescribed in the late 1980s,
the “happy pills” known as SSRIs
work by keeping the mood boosting
chemical serotonin in the
brain for longer.
Kate Charles spent seven years
on anti-depressant drugs after
suffering severe depression
as a teenager.
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___________KATE CHARLES
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It was only when she took up
running that she was able to stop
taking the pills after finding that
exercise was better at
lifting her mood.
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Speaking about her
experiences three years ago,
the 35-year-old writer from Dorset,
said:
“I have always felt quite low
but my depression really hit
when I was a teenager.
“By the time I was 15,
my GP was prescribing betablockers
to relax my nerve impulses,
slow my heartbeat down
and make me feel calmer.
Then, before my A-levels,
I was put on anti-depressants.
“In my final year at Sussex University,
my GP moved me on to Prozac,
which was the wonder drug at the time.
“Although it improved the depression,
I felt detached and numb.
I had other terrible side-effects -
painful, aching joints,
sleeplessness and anxiety.
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“Somehow, I managed to get a job
in a finance company and struggled
on but Prozac was my
constant companion.”
Things changed when she set
herself the challenge of training
for a marathon.
She said:
“Running was so much more
effective at lifting my mood
than Prozac that I consulted the
doctor and spent eight months
weaning myself off the drugs.
“The withdrawal was painful
but I was determined.
I have no doubt that running
took me out of my depression.”
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