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While amphetamines as a group were third in the list of most likely to induce violence, overall the were the most common offenders, with Prozac, Paxil, and Effexor near the top.
Cruz’s school counselor protested to the Department of Children and Families that they should re-examine their conclusion that he was a “low risk” for violence.
Had Cruz been committed, under existing gun laws he would have become unable to legally buy a gun to carry out his murderous fantasies.
Alternatively, if he had been carefully and safely removed from his psychiatric drugs while receiving good psychosocial therapy, his escalating violent impulses might have abated.
These excerpts are from the Dexedrine (amphetamine) Full Prescribing Information: Emergence of New Psychotic or Manic Symptoms: Treatment emergent psychotic or manic symptoms, e.g., hallucinations, delusional thinking, or mania in children and adolescents without a prior history of psychotic illness or mania can be caused by stimulants at usual doses.
Aggression: Aggressive behavior or hostility is often observed in children and adolescents with ADHD, and has been reported in clinical trials and the post-marketing experience of some medications indicated for the treatment of ADHD.
What do we know about Cruz’s psychiatric treatment? quoted directly from report, “[Cruz’s] clinician from Henderson Mental Health has stated that there are no issues with [Cruz’s] medication and he has been compliant with taking his medication and keeps all his appointments.” This is an irony of tragic proportions. In the early 1990s, a federal court appointed me to be the scientific expert for all of the combined product liability cases that were brought against Eli Lilly throughout the country concerning Prozac-induced violence, suicide and crime.When the number of prescriptions written for each drug was factored in, a small group of drugs accounted for almost all reports of violence.In the study of violence reports to the FDA, any predisposition toward violence in the patients themselves was largely ruled out because some of the most violence-inducing drugs were not psychiatric drugs, and were being given to a more general population.By law, Medication Guides must be based on science and on the drug’s Full Prescribing Information.These several-page guides are intended to be shared and discussed by the doctor with patients and their families.
In my peer-reviewed paper, I wrote: Mania with psychosis is the extreme end of a stimulant continuum that often begins with lesser degrees of insomnia, nervousness, anxiety, hyperactivity and irritability and then progresses toward more severe agitation, aggression, and varying degrees of mania. 2) In words very close to and sometimes identical to mine, the FDA one year later required the manufacturers of every antidepressant to put the following observations in the Warnings section of the Full Prescribing Information: All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases.