FDA black box warnings that antidepressants may be linked with suicidality among youth may have unintended, yet harmful, consequences for youth health care.
The US Food and Drug Administration has warned that antidepressants may be linked with suicidal thoughts and behaviors among youth since 2003, leading to a black box warning for minors in 2005 and an expansion to young adults in 2007. The black box, or boxed, warning refers to a prominent warning encased in a bold black border in the labeling or pamphlet of some medications. It’s meant to raise awareness of certain risks of taking the drug and to increase physician monitoring of suicidality.
Since the boxed warnings went into effect, psychiatric best practices have been to treat moderate to severe depression in adolescents, following up within two weeks after beginning antidepressant use and similarly after any dose increase, said Fortuna, professor and chair of the department of psychiatry and neuroscience at the University of California, Riverside.
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