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Antidepressants May Trigger Violent
Behavior
By Kelly Patricia O'Meara
The kid spoke unsteadily: "I was sitting on
a hill outside the school eating lunch with
my best friend when Eric Harris came over
and started shooting me. I was shot between
seven and 13 times. No one really knows the
exact number because there were so many
bullet tracks. Most of the bullets just went
right through me. After I was shot I just
lay there, playing dead, and could see
others being shot."
These are the recollections of 19-year-old
Mark Taylor, who spent nearly two months in
the hospital and has endured three years of
follow-up operations for the gunshot wounds
he received during the murderous 1999
rampage of Eric Harris and Dylan Klebold at
Columbine High School in Littleton, Colo.
Taylor slowly is recovering from his wounds
and, in an effort to bring attention to what
he believes was the cause of Harris' deadly
rage, has filed a lawsuit against Solvay
Pharmaceuticals Inc., the manufacturer of
Luvox (Fluvoxamine), the antidepressant that
Harris had been prescribed and was taking at
the time of the shooting spree. Despite the
deadly assault against him, Taylor's
perception of the young men who nearly
killed him is surprising.
Taylor tells Insight, "I'm suing Solvay
because I believe that Eric Harris did what
he did because of this drug. I didn't
personally know Eric, but I knew him as one
of the 'Trench Coat Mafia.' Everybody
thought Eric and Dylan were the nicest
people. My cousin, who was in Eric's class,
told me that Eric and Dylan used to bring
her flowers and cookies. Eric was forced
onto these drugs and I feel sorry for him,
like so many other kids who are put on these
drugs. I don't have ill feelings against him
since I don't think you can hold him
accountable, because he didn't know what he
was doing." Taylor's lawsuit against Solvay
claims that the mind-altering drug Luvox was
the cause of Harris' rampage - that the drug
made Harris manic and psychotic.
Luvox is in a class of antidepressants
called selective serotonin reuptake
inhibitors (SSRIs) that interact with the
serotonergic system in the brain, as do
Prozac, Zoloft and Paxil. Street drugs that
interact with the serotonergic system
include LSD and Ecstasy. The Food and Drug
Administration approved Luvox in 1997 for
treatment of obsessive-compulsive disorder
in children, but not for treatment of
depression.
The Physicians Desk Reference (PDR) records
that, during controlled clinical trials of
Luvox, manic reactions developed in 4
percent of children. Mania is defined as "a
form of psychosis characterized by exalted
feelings, delusions of grandeur … and
overproduction of ideas." Court records show
that the prescription for Harris had been
filled 10 times between April 1998 and March
1999, and that three-and-a-half months
before the shooting the dose had been
increased - a common thread many experts say
they are finding prior to adverse reactions
to psychotropic drugs. The autopsy on Harris
revealed a "therapeutic level" of Luvox in
his system.
Other school shooters on antidepressants at
the time of their attacks include
15-year-old Kip Kinkel who, while on Prozac,
killed his parents and then proceeded to
school where he opened fire on classmates,
killing two and wounding 22 others;
14-year-old Elizabeth Bush, on
"antidepressants" when she wounded one
student at Bishop Neumann High School in
Williamsport, Pa.; and 18-year-old Jason
Hoffman, on Effexor and Celexa when he
wounded one teacher and three students at
Granite Hills High School in El Cajon,
Calif.
The medical histories of scores of "school
shooters" have not been revealed, allegedly
to protect the minor child. Ann Blake Tracy
is a consultant in Taylor's lawsuit and
director of the International Coalition for
Drug Awareness. She holds a doctorate in
biological psychology and is a specialist in
what she believes are the adverse reactions
to SSRI medications. She says Luvox caused
Harris to go on the Columbine shooting spree
and thinks the medical history of children
who commit violent acts in school should be
made public.
"Suing Solvay for the injuries Mark Taylor
suffered is one of the biggest SSRI suits
we'll ever see," Tracy says. "It's a pivotal
case because what happened at Columbine was
so big. It's really crazy when you think
about it. All you have to do is read the
Luvox package insert to see that Eric's
actions were due to an adverse reaction to
this drug. Show me a drug anywhere that has
listed mania and psychosis as frequent
adverse reactions. That is what the insert
says for Luvox. There is no doubt in my mind
that Luvox caused Eric Harris to commit
these acts."
The PDR lists adverse reactions of Luvox to
the nervous system as:
"FREQUENT: amnesia, apathy, hyperkinesis,
hypokinesis, manic reaction, myoclonus,
psychotic reaction;
"INFREQUENT: agoraphobia, akathisia, CNS
depression, convulsion, delirium,
delusion, depersonalization, drug
dependence, emotional liability, euphoria,
hallucinations, hostility, hysteria,
incoordination, increased salivation,
increased libido, paralysis, paranoid
reaction, phobia, psychosis, sleep
disorder, stupor, twitching, vertigo."
Tracy continues, "Beyond the adverse
reactions listed about Luvox, one of the
first clues I had that these boys were on
antidepressants was when it was made public
that Eric [Harris] and Dylan Klebold had
both been in anger-management classes.
Anger-management classes equal
antidepressants. Unfortunately, Dylan
Klebold's medical records have been sealed,
so there's no way of knowing what if
anything he was on, but it makes sense that
if he was in anger-management classes he was
prescribed some antidepressant."
The problem, Tracy concludes, "is that this
is a public-safety issue. So why is
everything kept so secret, under lock and
key? This information should be made
available to the public so that people can
learn from it and maybe we can stop this
kind of tragedy from happening in the
future. We've got a nightmare on our hands
with these drugs, an absolute nightmare.
We've got kids on these drugs that are
ticking time bombs in every school in
America. Most of these drugs are not
approved for children, but it doesn't stop
doctors from prescribing them. Laws should
be passed requiring that this medical
information be made public. And states
should demand toxicology reports for drugs
of this kind in all murders and suicides."
Donald Marks specializes in internal
medicine, has a doctorate in microbiology
and has worked in pharmaceutical research
for more than a decade in the area of drug
safety and clinical research. Marks was
brought into the Solvay lawsuit as an expert
by Taylor and is not surprised that there
may be a causal relationship between Luvox
and Harris' murderous behavior. Marks also
testified in a Wyoming case last year
involving a murder related to the SSRI Paxil
in which the defendant won an $8 million
judgment against GlaxoSmithKline, maker of
Paxil.
As
part of the Columbine lawsuit, Taylor claims
that Solvay failed to warn adequately of the
risks and adverse reactions associated with
Luvox, and Marks provides a preliminary
expert opinion to the court stating that
Solvay "acted in an unreasonable manner" by
failing to provide adequate warnings of the
adverse reactions to the drug. The Marks
opinion continues: "In view of the evidence
of a strong and likely causal relationship
between SSRI medications, of which Luvox is
one, and akathisia/suicide/homicide, Solvay
should only have marketed this drug with
prominent warnings and cautionary
statements."
U.S. District Court Judge Clarence Brimmer
has accepted Marks' preliminary report,
allowing the case to go forward and giving
the expert access to information that has
been held under lock and key in a vault in
Denver since the Columbine shooting. Marks
tells Insight that "the preliminary report
was based on what I know from past cases,
because I haven't been allowed to examine
information about Mr. Harris or anyone who
knew him. The information has been locked in
a room in Denver, and I haven't been allowed
in the room until now."
According to Marks, "The real problem is
that physicians, of which I am one, are not
told that there is a potential for a causal
relationship between these drugs and
homicide and suicide. Therefore we're not
educated to look for the kinds of adverse
reactions that could herald this kind of
event. That's why proper warnings about such
drugs are so essential. I'm in the process
of updating my report for the court, but my
preliminary impression from looking at the
material is that there very well could be a
causal relationship here, that this drug
could have been a factor that tipped Harris
from being a troubled teen to a murderer."
Marks says, "In the report, I talk about the
adverse-event profiles of other SSRI
medications and how, in the context of rules
of evidence, a statement of general
causation could be made for all SSRI
medications and how it could be applied to
Luvox. The neuro-psychiatric-event profiles
of the SSRI drugs are clearly associated
with seizures and psychosis. Some have been
associated with hypoglycemia, suicide and
homicide. So it's not entirely implausible
that one additional member of this class,
like Luvox, would have those same effects."
The fact that the court has allowed the case
to go forward is a good sign for Taylor, but
there have been some very strange
developments. Lincoln, Neb., attorney John
DeCamp, who now represents Taylor against
Solvay, tells Insight that "two days after I
took the case, Solvay pulled Luvox from the
market. I don't know if my coming on the
case had any bearing on them pulling the
drug, but it is interesting." Solvay
announced that the drug was being removed
temporarily from the U.S. market to revise
data about how Luvox is manufactured.
Another interesting twist involves families
pulling out of the lawsuit. "I am very
reliably informed," DeCamp says, "and I'm
satisfied that the people telling me this
aren't lying, that at the settlement
conference families were informed that a
Colorado law that applies both in federal
and state court says: 'If you lose, you
pay.' These families were told that if they
continued to sue and lost the case they
would be sued in return and they'd lose
their homes, cars and everything for the
rest of their lives. So if you were one of
these families what would you do?"
According to DeCamp, "My client is basically
judgment-proof. In other words, Mark doesn't
have anything. The other families didn't
settle, they just dropped out of the suit -
they were basically told that they were
going to lose and, when it was over, the
pharmaceutical companies were going to own
their lives. It's fair to say that my client
was presented with this argument, but he
doesn't have anything."
The lawyer continues, "It's also interesting
in this case that there's more security to
keep related evidence from surfacing than
there is to get into the White House or Fort
Knox. I have never, in 35 years practicing
law, seen its like. There's been more
evidence gathered than you can even imagine
- things that I hope one day will be made
public. I stated in court that if ever there
was a monumental event this is it and the
information that is locked in this room
should be made public. History will be very
unforgiving if that doesn't happen."
But the foremost question in the minds of
experts on adverse reactions to SSRIs is
whether history is just repeating itself.
Recent court decisions, however, may be
useful in Taylor's case against Solvay.
In
April 2001, then 16-year-old Cory Baadsgaard
took a rifle to Wahluke High School in
Washington state and took 23 classmates and
a teacher hostage. Baadsgaard was held in
jail for 14 months. Based on expert
testimony by psychiatrists about the adverse
reactions to the drugs he was taking, he
finally was released from jail under
community supervision for five years.
Baadsgaard has no memory of his violent
actions toward his classmates, which took
place exactly 21 days after he had been
cold-turkeyed off Paxil and switched to a
high dose of Effexor (an SSRI) to treat
"situational depression."
Cory's father, Jay Baadsgaard, says, "The
morning that Cory went to school and did
what he did, my wife and I just knew that it
had to be something with the drugs. That
morning he had taken about 300 milligrams of
Effexor, and I thought it was something
about him going off one of the drugs and
then the high dose of the other. One of
Cory's friends told us that Cory was yelling
and then he just stopped, looked down and
saw the gun in his hand and woke up."
There is no doubt that Cory is lucky not to
have gone further, says his father, "and I
guess I could blame myself for having the
gun available, but if I'd known then just
what these drugs could do it would have been
the drugs that would not have been in our
home. They always talk about how the kids
who do these things are the ones who get
picked on by the jocks and stuff, but Cory
was a jock. He was on the varsity basketball
team, played football and golf, and was very
popular in school. I pray every night that
the media will get ahold of this issue. If
Cory had been on PCP the media would say
'Oh, he needs drug rehabilitation,' but
because these were prescribed medications
they say 'Oh, it can't be that,' but now we
know it can be."
Taylor hopes his lawsuit against Solvay will
make people aware of the dangerous side
effects of such drugs. "Someone," he says,
"has to do something about these drugs,
because too many people are dying."
Insight Magazine September 2, 2002
Antidepressants are a serious problem in
this country as they at best treat the
symptoms and can cause devastating
consequences, evidenced by the above
article.
Earlier this year I spoke with
Dr. Tracy in Salt Lake City. She is one
of the leading experts in the U.S. on the
dangers of antidepressants and she is
frequently used as an expert witness in
lawsuits. Her book
Prozac: Panacea or Pandora? the Rest of the
Story on the New Class of Ssri
Antidepressants Prozac, Zoloft, Paxil, Lovan,
Luvox & More is a enlightening
documentation of the major complications
that can result from taking these drugs.
Antidepressants are the top-selling
therapeutic class, with
$12.5 billion in
retail sales. Depression is an
enormously common problem and many people
use a drug-based solution to address it.
Sure seems to make a lot more sense to
recommend the use of simple therapies which
are far more effective and virtually
non-toxic.
Now, what would those be?
First and foremost, especially with pregnant
women, the use of omega-3 oils is an
absolute must. It is also clear that omega-3
fat supplementation and restriction of
omega-6 fats will profoundly improve the
brain function.
Dr. Stoll is the director of the
psychopharmacology research lab at Boston's
McLean Hospital and assistant professor of
psychiatry at Harvard Medical School. He
discusses this extensively in his book
The Omega-3 Connection. He reviews the
new evidence supporting the use of omega-3
oils for depression.
I
thoroughly enjoyed his book, but disagree
with his recommendations to avoid using cod
liver oil. It is my experience that as long
as the dose is
carefully monitored, cod liver oil is
far more beneficial than traditional fish
oil capsules.
Secondly exposure to full spectrum lighting
is key. In the summer this is a no-brainer,
just spend one hour outside in the sunlight,
not behind a window. The window will filter
out many of the over 1500 wavelengths that
are present in full sunlight. If the problem
occurs during the winter then access to full
spectrum fluorescent lighting will be very
important.
If
people with depression tried following the
following three steps, the great majority
would notice an amazing improvement in their
depression:
-
Omega-3 oils, specifically fish oil, is
probably the single most important
nutrient for a child with ADHD to take.
-
Next they should only drink water as their
beverage, taking care to avoid fruit
juices, soda and milk.
-
Restrict sugars and grains, which cause
insulin levels to be elevated.
Additionally, psychological acupressure
techniques like
EFT are a profoundly helpful tool to
help to quickly, inexpensively and
permanently resolve the underlying cause of
depression. I have recently updated my
video series on how to actually perform
the treatment.
My
updated video series has many new
advantages:
-
New material - over half of the material
is new and updated
-
Professionally edited
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Is available on VHS or DVD
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Over two hours of updated information on
my
Eating Plan
-
Live demonstration of how to juice
Anyone with a more serious depression
however should seriously consider seeing one
of the many outstanding EFT clinicians who
you can locate on our
referrals page.
Related Articles:
Prozac Backlash: Overcoming the Dangers of
Prozac, Zoloft, Paxil,
and Other Antidepressants with Safe,
Effective Alternatives
Prozac Possible 'Link' to Brain Tumors
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