Violent Acts Have Been Associated with Fluvoxamine Treatment

Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine have been associated with suicide attempts and violent acts.1,2 We report 3 female patients with refractory panic disorder who, during fluvoxamine treatment, impulsively hit family members. Case 1 A 32-year-old woman experienced abrupt onsets of palpitations and shortness of breath during the last 9 years. She could not enter reinforced concrete buildings or ride on elevators because she had a fear of closed spaces,

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