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BMJ 2005;330:984 (30 April), doi:10.1136/bmj.330.7498.984-a
London Lynn Eaton
The European Medicines Agency has ruled that selective serotonin reuptake inhibitors (SSRIs) and selective serotonin and norepinephrine reuptake inhibitors (SNRIs) should not be prescribed for children and adolescents under the age of 18, except for limited, approved uses. Some of the drugs have been approved for obsessive compulsive disorder, and one of them has been approved for attention deficit/hyperactivity disorder.
It is also recommending that strong warnings should be issued throughout the European Union about the potential risk of suicidal behaviour and aggression in these age groups.
The advice comes two months after a study in the BMJ said that people aged under 18 taking SSRIs were more likely to harm themselves than those taking a tricyclic antidepressant (BMJ 2005;330:389).
The agency’s ruling follows a review of the two classes of antidepressants published after a meeting 10 days ago at which its scientific committee concluded that
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