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The Irish Times
Wed, Oct 18, 2006, 01:00
A 62-year-old successful businessman and passionate family man with “everything to live for” hanged himself a few days after he began taking his wife’s antidepressant medication without consulting a doctor, an inquest has heard.
The father-of-three from south Dublin began taking Lexapro five days before his death, which had been prescribed to his wife many months previously. He had been feeling “a bit low” for about three weeks and planned to go to the doctor but wanted something to make himself feel better until he had the chance, his wife told Dublin County Coroner’s Court yesterday.
“He was a great father and a husband and he wanted to be there to see his grandchildren . . . I’m convinced this happened as a result of the medication,” his wife told the inquest.
She pointed to a message on Lexapro’s website, www.lexapro.com, which she claimed linked use of the antidepressant drug to suicide. A safety information notice on the Lexapro’s website states that patients taking antidepressants “should be observed closely for clinical worsening, suicidality, or unusual changes in behaviour, especially at the beginning of the therapy”.
She said her doctor never made reference to any dangers when prescribing Lexapro and she could not find any cautionary note in the prescription’s literature.
Christiana Guiton, of Lundbeck pharmaceuticals, makers of Lexapro, told the inquest there was “no signal whatsoever” that Lexapro could incite suicide. She added that there was a risk of “suicidal thoughts or behaviour” with anyone suffering from depression. Ms Guiton told the court that Lexapro would take “effect on suicidal thoughts” after four to six weeks. She said there was a warning with all Lexapro prescriptions about the risks of taking antidepressants.
Dr Patricia Casey, professor of psychiatry at UCD, told the inquest that someone suffering from depression with suicidal tendencies would often be too lethargic to commit suicide. But if they begin treatment with an antidepressant in the Selective Serotonin Reuptake Inhibitor (SSRI) group, which includes Lexapro and Prozac, their lethargy could disappear while their suicidal thoughts may remain. This may leave some people open to acting on their suicidal tendencies in the early stages of treatment with an SSRI antidepressant as it does not immediately treat the depression.