29 March 1999
DATELINE--Atlanta, GA
Reality drug for teens
A promising new anti-repressant lets the Prozac generation feel their own pain.
There are no dark clouds on Sophie's horizon. A junior at a comprehensive
high school outside of Atlanta, Sophie is a happy teenager who enjoys
hanging out with her friends, surfing the Web and playing basketball. Few
would suspect that this same Sophie has been on Prozac since she was six
years old.
Before her family doctor placed her on antidepressants, she cried in the
presence of strangers and suffered from severe separation anxiety as a
result of her parents' divorce. Attempts to resolve Sophie's emotional
problems using traditional therapy techniques failed.
With the help of Prozac, the little girl who once routinely refused to let
go of her mother's hand at the school door is now a model student. She
earns straight A's, participates in student government, and is the starting
point guard on the varsity basketball team. She's an exemplary teenager in
all respects except one -- she's never experienced pain.
It's been over a decade since the debut of Prozac, and parents and doctors
are just beginning to see the effects of long-term use of antidepressants
in adolescents. The results are surprising. While the drugs have been
extremely effective at stabilizing moods in troubled teenagers, they have
also produced a generation of youth on the verge of adulthood who haven't
had to face the emotional trials that once typified the adolescent
experience.
"When I went to talk to my college counselor at the beginning of the
semester, we talked about essay topics I should be thinking about," Sophie
explains. "When he asked about a difficult life change I had experienced
and what I had learned from that, I thought, I don't have anything to say."
But for Sophie and others like her, that's about to change. In therapeutic
trials painstakingly scheduled to occur months before college entrance
exams, thousands of young people are beginning to supplement their
time-tested Prozac regimens with a daily dose of reality.
The reality comes in the form of anti-repressants, a new class of
synthetic, mood-altering drugs that simulate the experience of emotional
pain. Typically administered under close medical supervision for periods of no
longer than two or three weeks, the drugs are now being prescribed to
teenage patients by an increasing number of pediatric psychiatrists and
psychotherapists.
"The 'psychic pain pill' may just be the most influential therapy
innovation since the popularization of antidepressants like Prozac in the
late 1980s," predicts Marcus Sodenberg, an analyst with the pharmaceutical
industry consulting firm, Brown & Sons. "It's a big market, huge, in fact.
We're definitely going to see more drugs like DoloRX in the next few
years."
With more and more teenagers growing up on antidepressants these days,
there is indeed a "big market" for anti-repressants such as SmithKline
Beecham's DoloRX (pronounced do-lor-ex). In 1997 alone, over 600,000
children and adolescents were prescribed Prozac, Paxil, and Zoloft -- an
increase of 46 percent over the year before. In the same year, adult
prescriptions for similar drugs fell off 5 percent.
Not everyone, however, is bullish on the effects of the new drug. Georgia
Gottamer, a Los Angeles-based physician and class-action attorney, recently
filed suit against the FDA on behalf of an unnamed class of children and
parents. Her suit claims that not enough is known about the effects of
either antidepressants or anti-repressants on the growing brain to warrant
marketing the drugs to children.
"Our grandparents were mainly concerned with staying alive but my
grandchildren have the luxury of harboring different concerns," Gottamer
opines. "Still, we have to face facts -- you can't learn without pain. If
treating depression with drugs means you have to treat chemical happiness
with a pain pill, perhaps the situation is getting out of control."
Sophie's mother disagrees with Gottamer and couldn't be more pleased with
the effect of the DoloRX trial. "No parent wants to see her child suffer,
but all parents want to see their children live, learn and grow."
The South to the Future World Wide Wire Service is a weekly feed of technology and media news commentary and satire published by the San Francisco Bay Guardian. Quotations attributed to public figures who are satirized are often true, but sometimes invented. Some fictional statements may, in fact, be true. Any other use of real names is accidental and coincidental. Editorial questions may be sent to John
Paczkowski.