February 11, 2009 3:30 PM

FDA Links Epilepsy Drugs To Suicide Risk

(AP)  Epilepsy drugs used by millions of people may increase the risk of suicidal thoughts or behavior, the U.S. Food and Drug Administration warned in an alert to doctors Thursday.

The FDA analyzed almost 200 studies of 11 different anti-seizure drugs, some that have been on the market for decades. The studies tracked almost 28,000 people given the medications and another 16,000 given dummy pills.

Very rarely were suicidal thoughts or behavior reported. Still, the FDA found drug-treated patients did face about twice the risk: 0.43 percent of drug-treated patients experienced suicidal thoughts or behavior compared with 0.22 percent of placebo-takers.

Overall, four people in the drug-treated groups committed suicide, and none in the placebo groups.

What that means: For every 1,000 patients, about two more drug-treated patients experienced suicidal thoughts than placebo-takers, FDA concluded.

Anti-seizure drugs are used for a variety of illnesses in addition to epilepsy, including migraines, certain nerve-pain disorders, and psychiatric diseases such as bipolar disorder that themselves carry a risk of suicide.

The FDA found drug-treated patients were at increased risk no matter their diagnosis, but that the risk was highest for epilepsy sufferers.

The FDA began investigating if epilepsy drugs pose any suicide risk in 2005. It analyzed data from 11 well-known anti-seizure drugs including Pfizer Inc.'s Neurontin, Novartis AG's Tegretol and Abbott Laboratories' Depakote - but the FDA said it expected that the risk applied to every epilepsy drug. The FDA said it would work with manufacturers to add the warning to product labels.

Skipping epilepsy medication can result in seizures. An FDA spokeswoman said only that patients should ask a doctor before making medication changes.

But the agency's letter to doctors advised them to:

  • Balance the risk with the patients' need for the drug.

  • Tell patients and their families about the risk so they can be aware of changes in mood.

  • Make sure patients and families know to contact a doctor if someone experiences common suicide warning signs, such as talking or thinking about hurting yourself, becoming preoccupied with death, withdrawal, becoming depressed or worsening depression, and giving away prized possessions.
  • © 2009 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.
    Add a Comment
    by baileyccc February 2, 2008 1:27 PM EST
    All drugs are toxins and laced with side effects and they are passed out like candy. Anyone who who will take anything from a physician without looking for natural alternatives deserves what they get. Medical school did not make doctors God. They are profiteers in collusion with Big Pharma. Big Pharma design the format that most Doctors follow. Do what best for Big Pharma not the patient. This is health care in America.
    Reply to this comment
    by victor924 February 1, 2008 7:56 PM EST
    My DAUGHTER WAS ON DEPAKOTE FOR SEVERAL YEARS WHEN SHE WAS YOUNGER.SHE SUFFERED FROM PETIT-MAL EPILEPSY.SHE WAS SMART ENOUGH TO STOP TAKING THE MEDICATION.PATIENT DOES KNOW BEST.
    Reply to this comment
    by grammawhamma February 1, 2008 3:45 PM EST
    "Skipping epilepsy medication can result in seizures. An FDA spokeswoman said only that patients should ask a doctor before making medication changes."

    So what about the 16,000 people given "dummy" pills...didn''t this put them at an increased risk of having seizures during the study!?
    Reply to this comment
    by ServingSeeKINGfollower February 1, 2008 11:32 AM EST
    sistersbrothersBrethren...myCreatorCHRISTJESUS+Tell us we must stay until the END...noSUICIDE!!! to follow we must deny ourselves, take up our cross DAILY, and followYOUmyCreatorCHRISTJESUS this involvesCrossExamination...who knows better what teaching must be presented to a ServingSeeKINGfollower than TheGodFamily??? accept that placed into one''s MortaLIFE, which is school, and be full of TheTHANK that another TimeFRAME has been GivenONE Job tells us we canNOTadd to that time given. SelAhMEN
    Reply to this comment
    by lillizzierae February 1, 2008 7:52 AM EST
    They say "don''t believe everything you read" but honestly I do believe this. I''m currently on Tegretol for seizures (the drug they spoke of in the article) and Lamictal. Though I never became suicidal from any of the anti-seizures medications I were on but it''s without a doubt believable.

    From what I know, and I definitely have researched all this, Tegretol and Lamictal and several other anti-seizure medications have been used to treat certain depressive disorders. I remember the controversy on Prozac; they were saying the drug was making users suicidal. I''ve always heard once you start an anti-depressant there is a slight chance of becoming suicidal, and correct me if I''m wrong but it''s not the drug its the chemicals in your brain "healing" and "getting better" which gives those the strength to following through in committing suicide. (That, in itself, is controversial.)

    So in this case, being that these medications are used to treat depressive disorders, they change the chemicals in your brain so there''s definitely a chance for a suicidal side-effect.

    I don''t blame the drugs.
    Reply to this comment
    .
    Scroll Left
    Scroll Right More »
    Better Information. Better Health.
    CBS News on Facebook