TY - JOUR PY - 1994// TI - The fluoxetine and suicide controversy : a review of the evidence JO - CNS drugs A1 - Healy, D. SP - 223 EP - 231 VL - 1 IS - 3 N2 - Evidence is emerging that a range of psychotropic drugs may precipitate akathisia and/or panic reactions in predisposed patients. The use of fluoxetine has hitherto been the most notable example of this occurrence. These reactions may foster the genesis of suicidal ideation in a small proportion of patients. At present, it is not clear what biological mechanism may underlie this finding. The serotonin (5-hydroxytryptarnine; 5-HT) system may be involved in these reactions.The best management of such reactions will involve counselling patients beforehand about the possibility of these reactions, stopping treatment with the agents if such a reaction is suspected, or adding an agent with 5-HT1A antagonistic properties (e.g. propranolol) to the treatment regimen.
Language: en
LA - en SN - 1172-7047 UR - http://dx.doi.org/10.2165/00023210-199401030-00007 ID - ref1 ER -