Should the use of selective serotonin reuptake inhibitors in child and adolescent depression be banned?

Cohen D Department of Child and Adolescent Psychiatry, Université Pierre et Marie Curie, Laboratoire Cognition et Comportement, Hôpital de la Pitié-Salpétrière, Paris, France. David. [email protected] BACKGROUND: European and US pharmaceutical agencies have recently warned against the use of selective serotonin reuptake inhibitors (SSRIs) in child and adolescent depression.

This came as a surprise to many practitioners, who had made treatment decisions based on data from pharmaceutical trials using adult samples. METHOD: The author reviews the recent literature relevant to the use of SSRIs in youth depression, including psychiatricclinical trials, pharmacology and drug safety data. Recommendations and rationales for the use of SSRIs in this context are offered.

RESULTS: Ten publications, comprising a total of 2,046 patients, evaluated the efficacy of four SSRIs (fluoxetine, paroxetine, sertraline and citalopram) in child and adolescent depression. It is noted that an ... more.

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