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The FDA Medication Guide for antidepressants warns clinicians, patients and families to be on the alert for the following: This list (above) of antidepressant adverse effects from the Medication Guide should make clear that antidepressants can cause violence.

The FDA also acknowledges the risk of both psychosis and aggression from the stimulant drugs used to treat ADHD, but waffles somewhat in the Full Prescribing Information about aggression.

Akathisia, which I also described in my article, is a psychomotor agitation that is strongly associated with violence.

The FDA further confirmed that antidepressants can cause violence in the FDA-approved Medication Guide for antidepressants.

The amphetamines include drugs such as Adderall and Dexedrine (pure amphetamines) and amphetamine-like drugs based on methylphenidate, such as Ritalin, Focalin and Concerta.In late September 2016, a few days after Nikolas Cruz turned 18 and became old enough to buy a gun, the Department of Children and Families sent one or more investigators to Cruz’s home.The Department had been alerted by posts on Snapchat where the young man talked crazily about cutting himself and asked for help in getting a gun.While amphetamines as a group were third in the list of most likely to induce violence, overall the were the most common offenders, with Prozac, Paxil, and Effexor near the top.Cruz’s school counselor protested to the Department of Children and Families that they should re-examine their conclusion that he was a “low risk” for violence.

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