SSRI ja väkivaltaisen käytöksen yhteydestä on ollut jonginverran puhetta alan ammattilaisten kesken. Mikä yhteys väkivaltaisella/itsetuhoisella käytöksellä ja SSRI:llä on, siitä ei ole varmaa tietoa. Arvailuja taas kyllä löytyy:
Paroxetine and Aggression
In the trials posted on the GlaxoSmithKline (GSK) website, the authors note, “hostile events are found to excess in both adults and children on paroxetine compared with placebo, and are found across indications, and both on therapy and during withdrawal"
The authors suggest that, perhaps the most significant evidence for drug-induced violence probably comes from healthy volunteer studies: hostile events occurred in three of 271 (1.1%) volunteers taking paroxetine, compared with zero in 138 taking placebo.
By 2003, the UK Medicines and Healthcare Products Regulatory Agency (MHRA) received 121 cases of aggression on paroxetine, and by January 2006 that number had risen to 211. Note, that estimates for such physician adverse drug effect reporting systems range between 1% and 10% of actual adverse effects on treatment.
Sitten tapauskohtaista tutkistelua,joskin mahdollisesti puolueelliselta taholta:
http://tinyurl.com/ysc5vc
Antidepressants and Violence: Problems at the Interface of Medicine and Law
Lainaus Summary-osiosta: Both clinical trial and pharmacovigilance data point to possible links between these drugs and violent behaviours. The legal cases outlined returned a variety of verdicts that may in part have stemmed from different judicial processes. Many jurisdictions appear not to have considered the possibility that a prescription drug may induce violence.
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Eli eli, ei ole ilmeisesti ihan itsestään selvää ettei SSRI-lääkitys voisi olla myös yksi syy väkivaltaiseen käytökseen.
Good human, but sometimes if needed, a bad citizen.