{"id":25708,"date":"2025-11-22T15:25:54","date_gmt":"2025-11-22T20:25:54","guid":{"rendered":"https:\/\/citystuff.com\/new-york\/2025\/11\/22\/antidepressants-ineffective-in-children\/"},"modified":"2025-11-22T15:25:55","modified_gmt":"2025-11-22T20:25:55","slug":"antidepressants-ineffective-in-children","status":"publish","type":"post","link":"https:\/\/citystuff.com\/new-york\/2025\/11\/22\/antidepressants-ineffective-in-children\/","title":{"rendered":"Antidepressants Ineffective in Children"},"content":{"rendered":"<h2>Introduction to Antidepressants and Children<\/h2>\n<p>A medication meant to lift spirits may be falling flat. New research suggests that an antidepressant commonly prescribed to children and teens may not be as effective as once thought. Now, some experts are raising doubts about whether young people with depression should be taking the drug at all, citing concerns that the risk of potentially serious side effects may outweigh its benefits. Nearly 1 in 5 Americans ages 3 to 17 have been diagnosed with a mental, emotional or behavioral health condition. <span class=\"credit\">Rawpixel.com \u2013 stock.adobe.com<\/span><\/p>\n<h2>The Study on Fluoxetine<\/h2>\n<p>In the study, researchers in the UK and Austria analyzed data from 12 large clinical trials involving youth taking fluoxetine between 1997 and 2024. Better known by its brand name Prozac, fluoxetine is one of the most widely prescribed antidepressants for children and adolescents in the US. It\u2019s recommended as a first-line pharmacological treatment for pediatric depression and is the only antidepressant approved by the FDA for treating major depressive disorder in children as young as 8.<\/p>\n<h2>Findings of the Study<\/h2>\n<p>But when the researchers analyzed the data, they found that fluoxetine appeared not to provide meaningful benefits for reducing depressive symptoms in children. In fact, the study authors told The Guardian that the medication was supposedly \u201cno better than placebo\u201d at relieving depression. The finding have led some experts to question whether the benefits of fluoxetine justify the risks for young patients, which can include weight gain, sleep disturbances and trouble concentrating. Fluoxetine is the recommended first-line medication for depression in children and adolescents. <span class=\"credit\">Simone \u2013 stock.adobe.com<\/span><\/p>\n<h2>Risks Associated with Fluoxetine<\/h2>\n<p>The drug also carries a black boxed warning from the FDA \u2014 the agency\u2019s strongest safety alert \u2014 cautioning that it can increase the risk of suicidal thoughts and behaviors in children, teens, and young adults up to 24. \u201cIt is difficult to see how anyone can justify exposing young people to a drug with known harms when it has no advantage over placebo in its benefits,\u201d Mark Horowitz, an associate professor of psychiatry at Adelaide University and a co-author of the study, told The Guardian.<\/p>\n<h2>Expert Opinions<\/h2>\n<p>Still, outside experts say the findings should be interpreted with \u201ccaution.\u201d \u201cClinical guidelines weigh many factors beyond average effect size, including safety, feasibility, and patient preferences,\u201d Professor Allen Young, chair of the Royal College of Psychiatrists\u2019 Academic Faculty, told The Guardian. \u201cIt is important that prescribed medication demonstrate consistent evidence and safety data.\u201d The review had initially sought to explain discrepancies between earlier clinical trials, which reported positive results, and a 2021 study that suggested fluoxetine\u2019s benefits were not clinically meaningful in young people.<\/p>\n<h2>Implications of the Study<\/h2>\n<p>The researchers reportedly identified a \u201cnovelty bias\u201d in the early trials, which they said likely contributed to their more positive outcomes, while later studies apparently failed to replicate those initial findings. Children and teens taking fluoxetine may experience decreased appetite or weight changes.  <span class=\"credit\">Pixel-Shot \u2013 stock.adobe.com<\/span> The study comes as depression is on the rise among America\u2019s youth \u2014 and so are the drugs meant to treat it.<\/p>\n<h2>Rising Depression and Antidepressant Use<\/h2>\n<p>Between 2016 and 2023, federal data shows that the share of adolescents ages 12 to 17 diagnosed with depression jumped 45%, climbing from 5.8% to 8.4% of the population. In 2023 alone, 4.5 million young people suffered at least one major depressive episode, researchers found. At the same time, antidepressant use among young Americans is soaring. One study found prescriptions for 12- to 25-year-olds jumped 63% between 2016 and 2022.<\/p>\n<h2>Conclusion<\/h2>\n<p>The researchers stressed that even if fluoxetine\u2019s benefits for depressed children and teens are in question, they shouldn\u2019t be left without care. \u201cRecognition that antidepressants lack clinical meaningful average efficacy in this age group does not mean leaving depressed patients without support,\u201d they cautioned. \u201cWe should also avoid the situation that patients abruptly stop medication as this can create problematic withdrawal symptoms,\u201d the study authors added. Withdrawal symptoms from fluoxetine can include irritability, dizziness, headache, anxiety and flu-like symptoms such as fatigue and nausea. \u201cPatients who decide they wish to stop an antidepressant should be advised to consult a clinician expert in deprescribing,\u201d the study authors recommended.<\/p>\n<h2>FAQs<\/h2>\n<ol>\n<li>What is fluoxetine and how is it used?<br \/>\nFluoxetine, commonly known by its brand name Prozac, is an antidepressant prescribed to children and adolescents for treating major depressive disorder.<\/li>\n<li>What did the study on fluoxetine find?<br \/>\nThe study found that fluoxetine appeared not to provide meaningful benefits for reducing depressive symptoms in children and was no better than a placebo.<\/li>\n<li>What are the risks associated with fluoxetine?<br \/>\nFluoxetine can cause weight gain, sleep disturbances, trouble concentrating, and increases the risk of suicidal thoughts and behaviors in children, teens, and young adults.<\/li>\n<li>What do experts recommend for children and teens with depression?<br \/>\nExperts recommend that children and teens with depression should not be left without care and should consult a clinician expert in deprescribing if they wish to stop taking antidepressants.<\/li>\n<li>How common is depression among America\u2019s youth?<br \/>\nNearly 1 in 5 Americans ages 3 to 17 have been diagnosed with a mental, emotional or behavioral health condition, and the share of adolescents ages 12 to 17 diagnosed with depression jumped 45% between 2016 and 2023.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Introduction to Antidepressants and Children A medication meant to lift spirits may be falling flat. New research suggests that an antidepressant commonly prescribed to children and teens may not be as effective as once thought. Now, some experts are raising doubts about whether young people with depression should be taking the drug at all, citing [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":25710,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[22],"tags":[],"class_list":{"0":"post-25708","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-wellness"},"jetpack_featured_media_url":"https:\/\/i2.wp.com\/nypost.com\/wp-content\/uploads\/sites\/2\/2025\/11\/116025977.jpg?quality=75&strip=all&w=1200&w=1200&resize=1200,799&ssl=1","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/posts\/25708"}],"collection":[{"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/comments?post=25708"}],"version-history":[{"count":1,"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/posts\/25708\/revisions"}],"predecessor-version":[{"id":25711,"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/posts\/25708\/revisions\/25711"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/media\/25710"}],"wp:attachment":[{"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/media?parent=25708"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/categories?post=25708"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/citystuff.com\/new-york\/wp-json\/wp\/v2\/tags?post=25708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}