http://story.news.yahoo.com/news?tmpl=story&u=/nm/20030103/hl_nm/prozac_teen
s_dc_1

The US Food and Drug Administration said on Friday that it has approved Eli
Lilly & Co.'s Prozac (fluoxetine) to treat depression and obsessive
compulsive disorder (OCD) in children and adolescents aged seven to 17
years.


According to the FDA, Prozac is the first selective serotonin reuptake
inhibitor (SSRI) to receive approval for treating depression in children.
The approval was based on two studies of children and adolescents with
depression, which showed that the drug produced a statistically significant
effect compared with placebo. The drug also produced a statistically
significant effect compared with placebo in studies of children and
adolescents with OCD.


Side effects associated with Prozac use among children and adolescents were
similar to those observed in adults and included nausea, tiredness,
nervousness, dizziness and difficulty concentrating.


The FDA noted that in one of the clinical studies, after 19 weeks of
treatment with Prozac, children gained, on average, about 1.1 cm less in
height (about a half an inch) and about one kilogram less in weight (about
two pounds) compared with children treated with a placebo. According to the
agency, "the clinical significance of this observation on long-term growth
is unknown."


Lilly will conduct a phase IV post-marketing study to further evaluate the
potential impact of Prozac on long-term growth in children.


Citing figures from the National Institute of Mental Health, the FDA said
depression affects up to 2.5% of children and 8.3% of adolescents in the US.
OCD affects roughly 2% of the population and typically begins during
adolescence or childhood.


Indianapolis-based Lilly lost patent protection on Prozac in August 2001.
The drug was once a blockbuster, pulling in sales of $2.5 billion in 2000.
Since losing patent protection, several generic formulations of Prozac have
flooded the US market, cutting sharply into Lilly's revenues.





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