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Antidepressant Studies Unpublished
NY Times ^ | January 17, 2008 | BENEDICT CAREY

Posted on 01/18/2008 2:39:53 PM PST by neverdem

The makers of antidepressants like Prozac and Paxil never published the results of about a third of the drug trials that they conducted to win government approval, misleading doctors and consumers about the drugs’ true effectiveness, a new analysis has found.

In published trials, about 60 percent of people taking the drugs report significant relief from depression, compared with roughly 40 percent of those on placebo pills. But when the less positive, unpublished trials are included, the advantage shrinks: the drugs outperform placebos, but by a modest margin, concludes the new report, which appears Thursday in The New England Journal of Medicine.

Previous research had found a similar bias toward reporting positive results for a variety of medications; and many researchers have questioned the reported effectiveness of antidepressants. But the new analysis, reviewing data from 74 trials involving 12 drugs, is the most thorough to date. And it documents a large difference: while 94 percent of the positive studies found their way into print, just 14 percent of those with disappointing or uncertain results did.

The finding is likely to inflame a continuing debate about how drug trial data is reported. In 2004, after revelations that negative findings from antidepressant trials had not been published, a group of leading journals agreed to stop publishing clinical trials that were not registered in a public database. Trade groups representing the world’s largest drug makers announced that members’ companies would begin to release more data from trials more quickly, on their own database, clinicalstudyresults.org.

And last year, Congress passed legislation that expanded the type of trials and the depth of information that must be submitted to clinicaltrials.gov, a public database operated by the National Library of Medicine. The Food and Drug Administration’s Web site provides limited access to recent reviews of drug trials...

(Excerpt) Read more at nytimes.com ...


TOPICS: Business/Economy; Culture/Society; Government; News/Current Events
KEYWORDS: antidepressant; disorders; health; medicine; mentalillness; pharmaceuticals
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Selective Publication of Antidepressant Trials and Its Influence on Apparent Efficacy
1 posted on 01/18/2008 2:39:55 PM PST by neverdem
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To: neverdem

If there was mischief with the trials, then that is bad. However, let’s not turn this into an “anti-depressants don’t really work” tirade. Believe me, they do.


2 posted on 01/18/2008 2:44:38 PM PST by dinoparty
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To: dinoparty

Thank you.


3 posted on 01/18/2008 2:45:51 PM PST by EggsAckley
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To: neverdem

I find this thread very depressing.


4 posted on 01/18/2008 2:47:53 PM PST by driftdiver
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To: neverdem
My favorite antidepressant is a couple 'squares' of dark chocolate, allowed to slowly melt on the tongue.

It also seems to be a safe one.

How long before they makes these illegal?


5 posted on 01/18/2008 2:57:56 PM PST by capt. norm (Those who think logically provide a nice contrast to the real world.)
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To: neverdem

Anti-depressants don’t really work.


6 posted on 01/18/2008 3:00:14 PM PST by Revolting cat! (We all need someone we can bleed on...)
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To: neverdem

My own experience with Zoloft is that it took the edge off of the despair. There was a numbing effect, and say what you will about being numb but there are times of excruciating tragedy where you’re just trying to get through the day, and any lessening of your pain is welcome.


7 posted on 01/18/2008 3:11:40 PM PST by Lizavetta ( Politicians: When they're speaking, they're lying - when they're not speaking, they're stealing.)
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To: Revolting cat!

I dated a woman on anti-depressants for a year - Jeckel and Hyde and never again.


8 posted on 01/18/2008 3:13:48 PM PST by newfreep ("Liberalism is just Communism sold by the drink." - P.J. O'Rourke)
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To: neverdem
Like Prozac, this can be a depressant or anti-depressant!


9 posted on 01/18/2008 3:18:40 PM PST by Revolting cat! (We all need someone we can bleed on...)
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To: dinoparty

Anti-depressants work really well- till they stop working. I say this on every anti-depressant thread I come on, but don’t start (and, for heaven’s sake, certainly don’t STOP) any anti-depressant regimen without googling “ssri withdrawal” first. This is something doctors don’t mention that patients need to know about.


10 posted on 01/18/2008 3:44:03 PM PST by Eepsy (The object of opening the mind, as of opening the mouth, is to shut it again on something solid.)
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To: neverdem
Image hosted by Photobucket.com i've seen that sh!t up close and personal... my ex, my Boss and HIS BOSS were all on that sh!t in one form/dosage or another for tree years and if it wasn't for me... NOTHING would ever get done at home or at work. after three years i quit both. i love her dearly, but...
11 posted on 01/18/2008 3:53:16 PM PST by Chode (American Hedonist ©®)
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To: Chode

I’ve been running across a lot of people lately that I’m sure are on that stuff. Do they tend to become quite self-absorbed? And talk a LOT? And never seem to say much? And take FOREVER to tell a simple story? And do they lose quite a few IQ points? And they become boring?

I really want to know what you think.


12 posted on 01/18/2008 5:47:49 PM PST by Auntie Mame (Fear not tomorrow. God is already there.)
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To: Auntie Mame
Image hosted by Photobucket.com in my ex, God love her, it's that she doesn't care about ANYTHING any more.

she is great at her job with raises and promotions but soon as she leaves work it's "who cares..."

my boss/his boss are who cares at work, and yes they talk more sh!t than a little bit and it was amusing sometimes to see them get lost in their train of rant

or even better, was seeing the division head talking to me in a meeting one day while playing with some damn new toy he had on his desk and simply got lost into playing with the toy(one of these magnet toys) so i just let him play to see how long it would take but the secretary knocked on the door and snapped him out of it but it had been going on three minutes.

13 posted on 01/18/2008 6:16:57 PM PST by Chode (American Hedonist ©®)
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To: El Gato; Ernest_at_the_Beach; Robert A. Cook, PE; lepton; LadyDoc; jb6; tiamat; PGalt; Dianna; ...
Nuns' brains aid Alzheimer's research

Miracle recovery of London man who was dead for an hour after 'drowning'

FReepmail me if you want on or off my health and science ping list.

14 posted on 01/18/2008 9:42:25 PM PST by neverdem (Call talk radio. We need a Constitutional Amendment for Congressional term limits. Let's Roll!)
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To: Chode

Thanks for responding. I guess I’m seeing something different because “who cares” is not their attitude. I wish.


15 posted on 01/18/2008 10:03:29 PM PST by Auntie Mame (Fear not tomorrow. God is already there.)
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To: neverdem
While unfavorable study or less favorable studies may not be published, they are easily available. If a study's done, it's at www.clinicaltrials.gov. Easy to search for a drug name or it's generic name.
16 posted on 01/18/2008 10:06:48 PM PST by the808bass
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To: the808bass

Thanks for the link.


17 posted on 01/18/2008 10:19:52 PM PST by neverdem (Call talk radio. We need a Constitutional Amendment for Congressional term limits. Let's Roll!)
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To: neverdem; Coleus

Anything in the story about St. John’s Wort? :’) Thanks neverdem.


18 posted on 01/18/2008 10:50:42 PM PST by SunkenCiv (https://secure.freerepublic.com/donate/__________________Profile updated Wednesday, January 16, 2008)
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To: Auntie Mame
Image hosted by Photobucket.com i'm sure there are many different manifestations, these are only my encounters.
19 posted on 01/19/2008 4:36:03 AM PST by Chode (American Hedonist ©®)
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To: Eepsy

“don’t STOP) any anti-depressant regimen without googling “ssri withdrawal” first. This is something doctors don’t mention that patients need to know about.”

This is so true. Had a relative who stopped without telling anyone and she took her own life and the life of her beloved dog.
Doc didn’t warn her and it is truly such a sad situation in our lives.
Three moths after she died, the FDA came out with its first warning on antidepressants.

ANYONE YOU KNOW ON THEM OR IF THEY ARE GETTING OFF THEM, PLEASE, PLEASE WATCH CAREFULLY.

Here are a few of the effects on withdrawal:
The withdrawal reaction which may be seen within 8-hours in some people (occasionally necessitating q.i.d. administration of paroxetine or venlafaxine) often includes:

anxiety
dizziness
fatigue
headache
insomnia
nausea
restlessness
tremors
visual hallucinations/illusions.

Here is a forum I have followed for years of people trying to get off effexor.
http://www.dr-bob.org/babble/20030417/msgs/221097.html

Thanks for the ping neverdem.


20 posted on 01/19/2008 5:48:19 AM PST by sweetiepiezer (Duncan Hunter .....................a man of his word.)
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