You’re wondering what’s going on, right? It’s not like you’re doing a solo flight with a pint of Häagen-Daz every night before bed or blowing through the Taco Bell drive-thru each day rattling off an order for a couple dozen 99¢ Beefy Nacho Burritos (in a large shopping bag, thanks). But something’s making you gain weight or keep it on…
Indeed, obesity has become what some would call an epidemic. Heck, all you need to do is turn to the media to find words like “diabesity” being used to realize how much obesity—or discussion about it—has infiltrated our lives. But could there must be something else going on?—something other than a big food orgy that most of us didn’t even know we were attending?
Perhaps. That something could be a vicious cycle you’re in—where, by treating a condition that’s potentially related to weight gain, the treatment you’re on can actually lead to more pounds. Unfortunately for some, the treatment can also lead to harmful drug side effects—which in turn can lead to a drug-related personal injury lawsuit. A vicious cycle, indeed. The following two conditions and treatments are examples of vicious cycles that could be causing weight gain and putting you at risk for some unwanted side effects:
Somehow it’s easy to link depression to weight gain—it’s that “emotional eating” theory. But treating depression with antidepressants can also lead to weight gain. That’s right—the very drug you might be taking to help you avoid emotional eating might also be causing your weight gain. Paxil, Prozac and Zoloft each have possible weight gain as a side effect (in addition to other serious potential side effects like SSRI birth defects or suicidal thoughts). And it’s estimated that about 25% of those taking an antidepressant will experience some weight gain.
Additionally, atypical antipsychotic medications Zyprexa, Abilify, Risperdal and Seroquel have been linked to rapid (and dangerous) weight gain in children.
Remember that 70’s Billy Preston song, “Will It Go Round In Circles”? Well, diabetes and treating diabetes have that ‘going around in circles’ thing going on. Unfortunately, being overweight or obese can be a precursor to type 2 diabetes. Once diagnosed, some diabetes patients are put on a thiazolidinedione drug such as Actos. One of the more common side effects of Actos can be weight gain—the very thing that may have contributed to onset of type 2 diabetes in the first place (see it coming full circle?) The Actos labelling info also includes “rapid weight gain” as a possible serious side effect which requires immediate medical attention.
Weight gain may be the least of the worries for Actos side effects, though. Actos has also been associated with bladder cancer, heart failure and liver problems.
As always, before stopping any medication, or when noticing any concerning side effects, talk to your doctor.
Have you heard of Michelle Francoeur? A teacher in small-town Canada recently found not criminally responsible for sexual assault of a minor due to mental illness—mental illness that was misdiagnosed and mistreated, as it turned out. Francoeur’s story may not have been front and center in main stream media—but it reads like a best-seller.
In 2008, the then 37-year old teacher of kindergarten through grade nine and mother of two young children began experiencing health problems. So she went to her doctor, and was subsequently diagnosed with depression. She was prescribed an antidepressant medication known as Effexor or venlafaxine. And this is when her problems began.
During the next few months Francoeur’s behaviour underwent a ‘radical change’. For example, she began drinking alcohol excessively, spent money carelessly, went days without sleeping, failed to eat regularly, and consequently suffered significant weight loss, and talked excessively. Worse, the jury that recently heard her case was told by Francoeur’s defense lawyer, she began taking shortcuts in caring for her two daughters aged five and seven.
And at some point over the next few months she began a series of sexual encounters with a 15-year old ex-student. This marked lack in judgement resulted in her being charged with sexual assault. And presumably, the loss of her job, and income.
As it turned out, the boy initiated the relationship with Francoeur—if you can call it that—by sending her a ‘flirtatious’ text message. That led to several ‘sexual encounters,’ between them before the boy’s parents cottoned on.
During this period, Francoeur’s family members had become very concerned about her behavior, and contacted Francoeur’s doctor, by letter. Somewhere, somehow, this must have led to a revisitation of the original diagnosis, because Michelle was re-assessed and subsequently diagnosed with bipolar disorder. And this is key, because the medication she was prescribed—Effexor—is known to escalate the “manic” phase experienced by people with bipolar disorder. The manic phase is characterized by extreme feelings of elation, euphoria, racing thoughts, inability to sleep and difficulty appreciating consequences.
Francoeur’s lawyer, Aaron Fox, summed up the situation pretty well, when he told the Canadian Broadcasting Corporation “It was a “very tragic circumstance…It was a lady who has an underlying condition which was misdiagnosed and received medication that really had a catastrophic effect on her.”
Problem is, even though Francoeur’s been acquitted, damage has been done, to her reputation, her self esteem, and very possibly her career as a teacher. Certainly, going back to teaching in the town of Shell Lake, Saskatchewan, with a reported population of less than 200, could pose some problems.
All this from a misdiagnosis which led to a disastrous choice of medication in her circumstance.
Needless to say, Francoeur’s story raises a number of concerns, such as how many others may have been misdiagnosed like Michelle, and suffering as a consequence? Was Francoeur warned of the possible adverse effects of the drug?
And what about the physician—does his misdiagnosis constitute medical malpractice? Just how much responsibility does he or she bear in all this? After all, this entire situation may have been avoided had she not been prescribed an incorrect medication.
Answers may be forthcoming—or not. It all depends on what, if anything, Francoeur decides to do. For now, she must be quite relieved to have her name cleared, to be out of the spotlight—and most importantly—know she has been correctly diagnosed and appropriately treated, so she can get on with her life and redefining ‘normal’.
There’s a lot in the news about pregnancy and antidepressants (SSRI’s in particular—and especially Paxil, which has a Category D rating by the FDA). And we get a lot of comments and emails from readers who are either looking for information about SSRI drugs and pregnancy—or who share their stories about negative side effects they’ve experienced while taking antidepressants.
It’s a tough call—particularly when depression and pregnancy are not exactly mutually exclusive of each other. As any mom will tell you—even the ones who “just love being a mom!” and “always wanted to have at least 4 kids!”—you know who I mean—there are moments when you’re exhausted, down, emotionally drained. For many, it’s a circumstantial situation that, given a few hours, some diversions, or a good workout, tends to go away and resolve on its own. But not for everyone. And that’s where depression medication comes into play. Bottom line, it’s no accident that “Peanut Butter, Playdates & Prozac” became a popular read…
We publish a lot of information at LawyersandSettlements to help readers understand what’s going on with antidepressant lawsuits. But we also post background information as well—and for those of you who’ve written in requesting information about antidepressants and pregnancy, I’ve pulled some of our informative posts. Here they are:
Paxil Birth Defects: Baby Beware! A look at Paxil, pregnancy and depression
Antidepressant Guide: the Brands, the Generics & Who Makes Them List of antidepressant brand names and the names of their generic equivalents, and their manufacturers
Antidepressants: Know what they’re Winding you Up With Information about antidepressant drug classifications–the “umbrella” categories that antidepressant drugs fall into: SSRI, SNRI, NDRI, MAOI, and Tricyclics.
Having a Baby? Get to Know the FDA Drug Classifications Information about FDA pregnancy ratings for drugs. (Category A, Category B, Category C, Category D, and Category X—the system in which Paxil has been classified as Category D; and antidepressants like Effexor and Celexa are Category C. For those wondering, the Prozac pregnancy rating and the Zoloft pregnancy rating are both Category C at present as well).
Mom Alert: Would you want a 68% Higher Risk of Miscarriage? Study showing high rate of SSRI miscarriage risk—as well as SNRI and Tricyclic risk. Study looked at citalopram, fluoxetine, fluvoxa-mine, paroxetine, sertraline, ami-triptyline, clomipramine, desipramine, doxepin, imipramine, nortriptyline, trimipramine, venlafaxine, serotonin modulators, monoamine oxidase inhibitors, tetracyclic piperazino-azepines, and dopamine and norepinephrine reuptake inhibitors.
Hope this info helps—but remember, please consult your physician for medical advice about your particular situation—only your doctor(s) can advise and treat you. If you need legal help…that’s another story…
C’mon. You know you’ve seen that Pristiq ad once or twice—the one with that little wind-up doll (yes, the one with the circa-1970’s get-up that would drive any of us into a state of mild depression)—and you’ve thought to yourself, “Gee, I’ve had days when I kind of felt that way”. Admit it folks, you’ve been there—maybe not in mauve polyester, but you’ve been there.
Now, you may or may not have taken that thought to the next level: the “I need help” level. Most of us don’t. But if you have, you’ve most likely “talked to your doctor” as only “he can determine whether [fill in anti-depressant drug name here] is right for you”.
And if you’ve left your doctor’s office with a little slip of paper to be dropped off at the pharmacy, you may have been prescribed an SSRI, SNRI, NDRI or MAOI. Perhaps you’re feeling high as a kite on the hopes that you’ll be giddier than a glee club as soon as you get that scrip filled. But, take pause. For while you fantasize about your future mental state, do you really know what you’ve just been given?
What follows is a mini primer to the world of anti-depressants—and, as this is a legal news site, the links provided will lead you to information on safety concerns and some of the resulting litigation that’s gone on.
There are actually many different types of antidepressants. Not just the brand names, but the actual types of drugs themselves that work on different chemicals in the brain. Generally, antidepressants aim to reverse depressive symptoms and stabilize mood by increasing the amounts of certain chemicals that are found in the brain. The type of antidepressant depends on the chemicals being affected.
Although there is no one answer to the question, “What causes depression?” scientists believe that chemicals in the brain play a role in some forms of depression. The brain has several hundred types of chemical messengers—also called neurotransmitters—that send messages between brain cells. Of these, three neurotransmitters specifically are targeted by the various antidepressants, to different degrees.
Serotonin is thought to play a role in controlling anxiety, mood, sleep, sexuality and appetite.
Norepinephrine is thought to play a role in sleep and alertness and is also thought to play Read the rest of this entry »