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Sarafem
(Prozac)
Manufactured by
Eli Lilly
Report medication side effects
to the FDA.
Click here (Opens New Browser)
There is an alternative to
Sarafem (Prozac)
Click Here
PMDD is an
unofficial
"mental disorder." Unlike the recent Eli Lilly advertisements, a women
must experience five or more symptoms before the diagnosis can be made.
Eli Lilly is
trying so hard to come up with another drug winner to replace Prozac in
August 2001, when their patent on Prozac expires, they are exhibiting
obsessive-compulsive-disorder in their efforts!
PMDD
symptoms are:
-
Markedly
depressed mood
-
Marked
anxiety
-
Marked
affectivity
-
Decreased
interest in activities
-
Feeling
sad, hopeless or self-deprecating
-
Feeling
tense, anxious or "on edge"
-
Persistent
irritability, anger and increased interpersonal conflicts
-
Feeling
fatigued, lethargic or lacking in energy
-
Marked
changes in appetite
-
A
subjective feeling of being overwhelmed or out of control
-
Physical
symptoms such as breast tenderness, swelling or bloating
If you
are thinking of taking Sarafem for PMS - PMDD, please first
click here
and read what side effects are associated with this medication and then
decide if it is worth it or not.
New labeling for Sarafem ordered by the FDA
For Sarafem
labeling -
Female Sexual Dysfunction with
SSRIs—Although changes in sexual desire, sexual performance and sexual
satisfaction often occur as manifestations of a mood-related disorder,
they may also be a consequence of pharmacologic treatment. In
particular, some evidence suggests that selective serotonin reuptake
inhibitors (SSRIs) can cause such untoward sexual experiences. Reliable
estimates of the incidence and severity of untoward experiences
involving sexual desire, performance, and satisfaction are difficult to
obtain, however, in part because patients and physicians may be
reluctant to discuss them. Accordingly, estimates of the incidence of
untoward sexual experience and performance cited in product labeling,
are likely to underestimate their actual incidence. For example,
in women (age 18-45) receiving fluoxetine
for indications other than PMDD, decreased libido was seen at an
incidence of 4% for fluoxetine compared to 1% for placebo.
There have been spontaneous reports in women (age 18-45) taking
fluoxetine for indications other than PMDD of orgasmic dysfunction,
including anorgasmia.
Associated with
Discontinuation in US Placebo-Controlled Clinical Trials (excluding data
from extensions of trials) -
Text added at end of
subsection -
Male and Female Sexual
Dysfunction with SSRIs--Although changes in sexual desire, sexual
performance, and sexual satisfaction often occur as manifestations of a
psychiatric disorder, they may also be a consequence of pharmacologic
treatment. In particular, some evidence suggests that SSRIs can cause
such untoward sexual experiences. Reliable estimates of the incidence
and severity of untoward experiences involving sexual desire,
performance, and satisfaction are difficult to obtain, however, in part
because patients and physicians may be reluctant to discuss them.
Accordingly, estimates of the incidence of untoward sexual experience
and performance, cited in product labeling, are likely to underestimate
their actual incidence. In patients enrolled in US depression, OCD, and
bulimia placebo-controlled clinical trials, decreased libido was the
only sexual side effect reported by at least 2% of patients taking
fluoxetine (4% fluoxetine, < 1% placebo). There have been spontaneous
reports in women taking fluoxetine of orgasmic dysfunction, including
anorgasmia. There are no adequate and well-controlled studies examining
sexual dysfunction with fluoxetine treatment. Priapism has been reported
with all SSRIs.While it is difficult to know the precise risk of sexual
dysfunction associated with the use of SSRIs, physicians should
routinely inquire about such possible side effects.
November
3, 1999 the FDA met with representatives of Eli Lilly to discuss and
vote on the approval of Fluoxetine Hydrochloride
(Prozac)
for the use in treating
Premenstrual Dysphoric
Disorder. (PMDD)
Committee
Member with ties to Eli Lilly
Robert
Hamer PH.D.
Associate Professor
(Statistician)
Department of Psychiatry
R.W. Johnson Medical School. D-331 UBHC
University of Medicine & Dentistry of New Jersey
Piscataway, New Jersey 08854
A waiver
was granted to Robert Hamer. Robert Hamer has financial ties with Eli
Lilly.
Carole A.
Tamminga M.D.
(Chairman of the Committee)
Professor, Department of Psychiatry
University of Maryland at Baltimore
Maryland Psychiatric Research Center
Spring Grove Hospital, White Building
Baltimore Maryland 21228
Andrew
Winokur M.D. PH.D.
Director of Psychopharmacology
Department of Psychiatry, MG1410
University of Connecticut Health Center
10 Talcott Notch Road
Farmington, Connecticut 06032
Carole
and Andrew acknowledged for the record they have interest in Eli Lilly
but they are not viewed as financial.
Quote from the meeting regarding their potential conflict of interest.
"The agency has determined, notwithstanding these interest, that the
interests of government in their participation outweighs the concern
that the integrity of the agency's programs and operations may be
questioned."
There are
a total of 8 Committee Members.
38 % of
the Committee consist of people with direct ties to Eli Lilly.
It is
hard for me to believe that the FDA could not come up with 8 qualified
people to evaluate Sarafem.
Make no
mistake about what Sarafem is.
IT IS PROZAC.
If you
would like to read the transcript of the entire FDA/Eli Lilly meeting
click here. A new Browser window will open. The document is in a PDF
File.
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