---
title: "Prozac is whack? | Denver Psychiatry Blog"
description: "“The Guardian&quot;, which is a newspaper publication from the UK, recently reported on the results of a study indicating that Prozac and similar antidepressants do not work. The authors of the study..."
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Medication & Treatment

# Prozac is whack?

Dr. Steve Sarche

Board Certified Psychiatrist

• Saturday, March 8, 2008 • 4 min read 

Share: [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fprozac-is-whack)[](https://twitter.com/intent/tweet?url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fprozac-is-whack&text=Prozac%20is%20whack%3F)[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fprozac-is-whack&title=Prozac%20is%20whack%3F)[](<mailto:?subject=Prozac%20is%20whack%3F&body=Check out this article: https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fprozac-is-whack>)

“The Guardian", which is a newspaper publication from the UK, recently reported on the  
results of a study indicating that Prozac and similar antidepressants do not work. The  
authors of the study note that they obtained previously unreleased data that shows Prozac  
and three other anti­depressants have no better impact on depression than does placebo.

Just to quickly review, Prozac is an antidepressant that is considered an SSRI (selective  
serotonin reuptake inhibitor). It is thought to work through increasing serotonin levels in  
the brain but the exact mechanism of why it helps people with depression is unknown.

In regards to the article from The Guardian, this “new” finding is something that we have  
known about in the field of psychiatry for a long time. Some of the earliest studies of  
Prozac and other antidepressants for depression showed that they did not work better than  
placebo, especially in the patient population of 18 years­old and younger.

News releases like this, that end up all over the internet (this study had a link on the home  
page of MSN) can be harmful. I worry that people will read this and decide that their  
depression or other mental health problems can’t be helped by medications. Some may  
seek other therapies that have even less data for working or no data. Some people may  
not seek treatment at all; that could put people at risk for worsening depression, suicide,  
problems in social life, and loss of production at work. Additionally, there are copious  
amounts of data that antidepressants do work, especially in more severely depressed  
patients.

I love the internet. I love the availability of limitless information and how fast I can look  
things up. There is a big disadvantage to all of this, however; the fact that anyone can put  
anything they want on the internet and there is minimal to no regulation of it.    Granted,  
this particular article is peer reviewed, which means physicians have approved it, but it  
still only looks at one side of an issue, and it was primarily written by people that do not  
prescribe medications.

My point is that when you read anything on the internet, take it with a grain of salt and  
question it. When it is a medical article like this one, there are a lot of reasons to do that.  
Basically, most medical studies or articles have limitations and medical professionals are  
taught to look for those and incorporate those into reading an article like the one in The  
Guardian. Most lay­people do not have that kind of training, and, in this particular case,  
it is a very important article that could affect tens of millions of people.

In deciding on medical treatments, your best bet is to get information from your  
physician and not the internet. In 1995, in a review article on patient and physician  
communication, Stewart showed that “Most of the studies reviewed demonstrated a  
correlation between effective physician­patient communication and improved patient  
health outcomes.”

Talk to your doctor, ask questions, write your questions down and bring them in.  
Antidepressants aren’t the solution for all of those who are depressed.    I do think they  
work best for those who are more severely depressed, but they also work better for those  
patients who are educated on their illness and the treatment options, who are motivated to  
improve, who have been open and honest with their physician, compliant with  
medications, and adherent to healthy lifestyles. Maybe a lot of that is related to placebo  
but then again, if that helps foster recovery and a patient tolerates the medication without  
significant side effects, maybe it doesn’t matter. One thing we know for sure is that  
untreated depression can lead to severe social, professional and health problems.

Is Prozac whack? I don’t have the exact answer, but, as a physician and psychiatrist, I  
sure as heck could have a very good discussion about it with you.

Thanks to CMAJ 1995 Oct 15, 153(8).

Share: [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fprozac-is-whack)[](https://twitter.com/intent/tweet?url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fprozac-is-whack&text=Prozac%20is%20whack%3F)[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fprozac-is-whack&title=Prozac%20is%20whack%3F)[](<mailto:?subject=Prozac%20is%20whack%3F&body=Check out this article: https%3A%2F%2Fdrsteve.lovable.app%2Farticle%2Fprozac-is-whack>)

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