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A comparison of the post‐marketing safety of four selective serotonin re‐uptake inhibitors including the investigation of symptoms occurring on withdrawal
Open accessAbstract
1 We have addressed the question of whether there is a ‘serotonin withdrawal syndrome’ by analysis of spontaneous reports of suspected adverse drug reactions (ADRs) associated with four SSRIs. A comparison of the post‐marketing safety profiles of the four SSRIs has also been made. 2 The UK database of ADRs was examined for reactions associated with fluoxetine, fluvoxamine, paroxetine and sertraline. The safety profiles of the four SSRIs were similar. However, withdrawal reactions with paroxetine constitute a greater proportion of reports (5.1%) than with the other SSRIs (0.06–0.9%). They have been reported more often with paroxetine (0.3 reports per thousand prescriptions) than with sertraline and fluvoxamine (0.03), and least often with fluoxetine (0.002). 3 Descriptions of withdrawal reactions received and further details of 217 reports of withdrawal reaction with paroxetine obtained by mailing a questionnaire to the reporting doctor were examined. Withdrawal symptoms were diverse but most commonly comprised dizziness, paraesthesia, tremor, anxiety, nausea and palpitation. They usually occurred after 2 days and lasted for an average of 10 days. There was no evidence of a physical drug dependency syndrome. 4 Symptoms different from the previous depressive illness occur after discontinuing an SSRI, and are reported most often with paroxetine. Paroxetine is the most pharmacologically specific of the SSRIs, but it is not clear whether the reactions constitute a ‘serotonin withdrawal syndrome’.
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“Results showed that, 1 and 2 weeks after randomization, the total DESS score was significantly higher in those who discontinued escitalopram than in the continuation group (p < 0.01).”
From Withdrawal Symptoms after Selective Serotonin Reuptake Inhibitor Discontinuation: A Systematic Review (2015) · cites this paper as [36]
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“However, only a few studies used either a definition of withdrawal reaction based on specific criteria [23,47] or a cutoff score of the DESS [36,40,43,46] to determine the occurrence of withdrawal symptoms.”
From Withdrawal Symptoms after Selective Serotonin Reuptake Inhibitor Discontinuation: A Systematic Review (2015) · cites this paper as [36]
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Withdrawal reaction after sertraline discontinuation
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Metadata
- Authors
- PRICE, J. S., WALLER, P. C., WOOD, S. M., & MACKAY, A. V. P.
- Affiliations
- Government of the United Kingdom (GB)
- ORCID
- WOOD, SUSAN M.
- Venue
- British Journal of Clinical Pharmacology
- Publisher
- Wiley
- Published
- 1996-12
- Volume
- 42
- Issue
- 6
- Pages
- 757-763
- ISSN
- 0306-5251 (ISSN-L)
- 1365-2125
- PMC
- PMC2042719
- OpenAlex
- W2078302667
- Semantic Scholar
- 046ede5f171a0a448e731c5a44baf73198becfd9
- Cited by
- 171
- References
- 3
- Citations by year
- 2026: 1 · 2024: 6 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 4 · 2017: 3 · 2015: 3 · 2014: 3 · 2013: 7 · 2012: 7
- FWCI
- 20.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Clinical Pharmacology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- selective serotonin reuptake inhibitors, paroxetine, fluoxetine, fluvoxamine, sertraline, adverse drug reactions, post-marketing safety, spontaneous adverse event reporting, drug addiction
- MeSH terms
- Adult, Female, Fluoxetine, Humans, Male, Product Surveillance, Postmarketing, Substance Withdrawal Syndrome, 1-Naphthylamine, Fluvoxamine, Selective Serotonin Reuptake Inhibitors, Paroxetine, Sertraline
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