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Prozac's critics hurt the mentally ill

USA Today June 11, 1991 Page 11A

Prozac, a commonly prescribed anti-depression drug made by Eli Lilly and Co., has been under attack from the Church of Scientology and lawyers who have developed the socalled "Prozac defense" - blaming the drug for their clients behavior. They and some former users charge that the drug causes bizzarre mental side effects and can lead to suicide.

Mitchell Daniels, Eli Lilly's vice president for corporate affairs, defended the drug and attacked the attackers Monday in a meeting with USA Today's editorial board.

Q. Some people say Prozac is dangerous. Why?

A. The source of virtually everything you've heard about Prozac has come from the Scientologists, with a boost from trial lawyers whose self interest is obvious. One thing we want you to understand is that the Church of Scientology is no church. It's a commercial enterprise. Every judge and every investigative journalist who has ever looked at it has come away with that conclusion. It is organized for only one purpose, which is to make money.

Q. But why would they single out Prozac for attack if it's not dangerous?

A. Before prozac they attacked other pscyotropic medicines, they have attacked psychiatry generally. Any vulnerable patient saved by psychiatry or therapy of any kind is one less potential victim for them.

Q. What evidence says Prozac is safe?

A. It's the most studied drug in the history of brain desease. Two thousand scientific papers. Almost two decades of medical research worldwide. There are 45 or 50 regulatory bodies which have all concluded that it's a safe and effective drug.

Q. Have there been successful lawsuits against Prozac?

A. Zero. And no successful uses of the so-called Prozac defense.

Q. What evidence is there that it works?

A. Clinical trials have proved it is effective in, we believe, two-thirds, 70%, s omething like that, cases of clinical depression.

Q. How many people have used it?

A. Three to three and half million. There's a massive database now. And I should add a lso that everything that has been alleged with regard to Prozac happens in the same frequency or more, much more, in the untreated patient and with other treatments. It is simply a part of the disease and not the drug.

Q. What's wrong with raising questions about it?

A. The issue here is the restigmatization of mental health and the alarm and scaring of patients away from seeking treatment.

Q. Has the criticism affected sales?

A. Prozac is still the best-selling antidepressant and sales are up some, but the market share is off appreciably, as the world knows.


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