Antidepressants Rarely Outperform Sugar Pills

By Dr Mercola

Story at a Glance

  • The serotonin hypothesis posits that low serotonin levels in your brain are responsible for symptoms of depression. However, there’s little to no evidence for this. A number of studies have debunked the serotonin hypothesis, which is the basis upon which drug makers market SSRI antidepressants like Prozac, Lexapro and Zoloft
  • According to recent research, “The main areas of serotonin research provide no consistent evidence of there being an association between serotonin and depression, and no support for the hypothesis that depression is caused by lowered serotonin activity or concentrations”
  • The primary effect of SSRIs is to superimpose an abnormal drug state over your symptoms, much like recreational drugs and alcohol would. The small benefits seen in some drug trials are due to emotional numbing
  • This numbing effect comes at a steep price, as it also prevents you from experiencing emotional highs and does little to counteract the loss of energy, interest and motivation that are so characteristic of depression
  • Researchers at the U.S. Food and Drug Administration recently published the most comprehensive analysis of antidepressant clinical trial data submitted to the FDA, including unpublished trials. The evidence showed antidepressants outperformed placebo in only 15% of patients, and almost exclusively in those with the most severe depression

As of 2018, 13.2% — approximately 1 in 8 — of American adults over the age of 18 were on antidepressant medication, with more than twice as many women taking them (17.7%) than men (8.4%).1 Curiously, though, only 7.2% had actually been diagnosed with a major depressive episode — a statistical discrepancy that hints at massive antidepressant overprescribing.

[…]

While those statistics are already staggering, depression rates have further risen since then, thanks to COVID lockdowns and the unprecedented fearmongering that has been a hallmark of this pandemic. As reported in “What Does the Best Evidence Say About Antidepressants?” 22.4% of American adults reported symptoms of depression in June 2022, compared to 7.1% in 2017.

No Evidence to Back Serotonin Hypothesis

The fact that antidepressants are still being used to this extent is a testament to how effectively the drug industry manipulates doctors and patients alike with less than truthful propaganda, as independent studies have repeatedly shown these drugs work no better than placebo.

As Irving Kirsch — associate director of the Program in Placebo Studies and the Therapeutic Encounter at Beth Israel Deaconess Medical Center and Harvard Medical School and a long-time critic of antidepressants — told Newsweek:3

“People do get better on the drug — but in the vast majority of cases it’s not because of what’s in the drug. There are other treatments that are at least equally effective, and that don’t carry the risks.”

Indeed, a number of studies have solidly debunked the serotonin hypothesis, which is the basis upon which drug makers market SSRI antidepressants like Prozac, Lexapro and Zoloft.

In short, the idea is that low serotonin levels in your brain is responsible for symptoms of depression. The problem is, there’s little to no evidence for this.

[…]

Negative Emotions Are Part of the Human Condition

As explained by Moncrieff, the primary effect of SSRI’s is to “superimpose an abnormal drug state” over your symptoms, much like recreational drugs and alcohol would. She also stresses that the small benefits seen in some drug trials are due to emotional numbing.

This numbing effect comes at a steep price, however, as it also prevents you from experiencing emotional highs, and does little to counteract the loss of energy, interest and motivation that are so characteristic of depression. Moncrieff continues:7

[…]

The question is how to treat it. While many psychiatrists believe stress can cause changes in the brain that can be reversed by antidepressants, others, like Moncrieff, Horowitz and Kirsch, believe psychotherapy that centers on strengthening coping skills and emotional resiliency is a far better — and safer — option.

Most Comprehensive Analysis to Date

In 2022, another team, which included researchers at the U.S. Food and Drug Administration, also came out with the most comprehensive analysis of antidepressant clinical trial data ever published.

This paper,8 published in The BMJ, included all antidepressant clinical trial data submitted to the FDA between 1979 and 2016, including unpublished trials. In all, 232 randomized, double-blind, placebo-controlled trials involving 73,388 patients diagnosed with depression were analyzed.

Here, the evidence showed antidepressants outperformed placebo in only 15% of patients, and almost exclusively in those with the most severe depression. In short, the reason many believe they’re getting a benefit from these drugs is because of the placebo effect and nothing else.

This supports previous research, which found the placebo effect accounts for anywhere between 30%9 and 67%10 of the antidepressant treatment effect, and that placebo is just as effective as antidepressants in those with mild to moderate depression.11

[…]

Antidepressants Are Not for Long-Term Use

Importantly, SSRIs, even when they do work for someone, should not be used for years on end.

[…]

Dr. Michael Thase, professor of psychiatry at UPenn’s Perelman School of Medicine, agrees. While he believes antidepressants can be helpful by interrupting the damaging release of glutamate in the brain, he also believes the drugs should not be used for more than six to nine months. Beyond that, you need to have another treatment plan in place.14

This could go a long way toward avoiding the withdrawal symptoms that afflict 56% of those trying to wean off SSRIs.15 Since 2004, the average duration patients stay on SSRIs has doubled,16 and avoiding withdrawal symptoms appears to be a huge part of this trend. Doctors and patients also often misconstrue withdrawal symptoms for a relapse of depression.

Limiting their duration of use will also minimize other risks to your health, as antidepressants come with a long list of potential side effects, including:17,18

  • Self-harm, suicide and violence against others. Many mass shooters have been on antidepressants
  • Increased risk of developing Type 2 diabetes,19 even after adjusting for risk factors such as body mass index20
  • Thickening of the greater carotid intima-media (the lining of the main arteries in your neck that feed blood to your brain),21 which could contribute to the risk of heart disease and stroke. This is true both for SSRIs and antidepressants that affect other brain chemicals. Users of tricyclic antidepressants have a 36% increased risk of heart attack22
  • An increased risk of dementia; as the dose increases, so does the risk for dementia23
  • Depletion of various nutrients. In the case of tricyclic antidepressants this includes coenzyme Q10 and vitamin B12, which are needed for proper mitochondrial function. SSRIs have been linked to iodine and folate depletion24

[…]

Via https://articles.mercola.com/sites/articles/archive/2022/10/20/antidepressants-outperform-placebo.aspx

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