Mr Shane Clancy & Citalopram:
At present I am not aware of any dispute regarding whether Mr Clancy had citalopram. He appears to have suffered adverse effects from his intake of this drug. These may have included his complaint about a swollen throat this is consistent with an SSRI induced dystonia. There is testimony from his family that he was suffering adverse behavioural consequences from citalopram before the events of August 15th /16th. Finally his toxicology levels appear to verify that he definitely had citalopram.
This is not a report on whether citalopram caused Mr Clancy to commit suicide or to murder Sebastian Creane but certain features of his case are worth noting.
First the condition that led to Mr Clancy being put on citalopram appears to have been his first episode of a nervous disorder. I do not have any record to indicate prior treatment. The index problem appears to have begun in the wake of a relationship break-up.
A first consultation with a primary care practitioner on July 18th recorded a number of symptoms of a possible depressive disorder. At this consultation a link was apparently between Mr Clancy s unhappiness and the break-up of his relationship with Jennifer Hannigan and advice was given to this effect.
He was subsequently seen 9 days later by Dr McManus who offered a script for citalopram on July 27th. Four days later was noted to have contacted the practice complaining of a swollen tongue.
After an overdose on August 5th Mr Clancy returned to the clinic and there is a further note on August 7th recording a suicide attempt on citalopram antibiotics and paracetamol. The prescription of citalopram was continued in a lower 10 mg dose.
A week later on August 15th/16th Mr Clancy appears to have taken his own life and that of Sebastian Creane and also assaulted Jennifer Hannigan and Dylan Creane.
By all accounts Mr Clancy took the breakup of his relationship with Jennifer Hannigan to heart. There was at minimum one suicidal act prior to going on citalopram although the recording of this in the medical notes suggests it was seen as relatively trivial. There were also suicidal thoughts prior to going on citalopram but again these were not given much weight in the medical records.
http://www.nicepear.tw/gt/view/cps-9/id-28181
page 9
At present I am not aware of any dispute regarding whether Mr Clancy had citalopram. He appears to have suffered adverse effects from his intake of this drug. These may have included his complaint about a swollen throat this is consistent with an SSRI induced dystonia. There is testimony from his family that he was suffering adverse behavioural consequences from citalopram before the events of August 15th /16th. Finally his toxicology levels appear to verify that he definitely had citalopram.
This is not a report on whether citalopram caused Mr Clancy to commit suicide or to murder Sebastian Creane but certain features of his case are worth noting.
First the condition that led to Mr Clancy being put on citalopram appears to have been his first episode of a nervous disorder. I do not have any record to indicate prior treatment. The index problem appears to have begun in the wake of a relationship break-up.
A first consultation with a primary care practitioner on July 18th recorded a number of symptoms of a possible depressive disorder. At this consultation a link was apparently between Mr Clancy s unhappiness and the break-up of his relationship with Jennifer Hannigan and advice was given to this effect.
He was subsequently seen 9 days later by Dr McManus who offered a script for citalopram on July 27th. Four days later was noted to have contacted the practice complaining of a swollen tongue.
After an overdose on August 5th Mr Clancy returned to the clinic and there is a further note on August 7th recording a suicide attempt on citalopram antibiotics and paracetamol. The prescription of citalopram was continued in a lower 10 mg dose.
A week later on August 15th/16th Mr Clancy appears to have taken his own life and that of Sebastian Creane and also assaulted Jennifer Hannigan and Dylan Creane.
By all accounts Mr Clancy took the breakup of his relationship with Jennifer Hannigan to heart. There was at minimum one suicidal act prior to going on citalopram although the recording of this in the medical notes suggests it was seen as relatively trivial. There were also suicidal thoughts prior to going on citalopram but again these were not given much weight in the medical records.
http://www.nicepear.tw/gt/view/cps-9/id-28181
page 9
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