In August 2010 we made a complaint to the Irish Medical council (IMC) about Shane’s treatment from the Doctors he saw in his last 17 days.
The basis of our complaint was “Why were these doctors not aware that when a person starts an antidepressant, there is a markedly increased risk of suicide ideation and also that there is a certain percentage of people who can react violently and deadly to this medication?”. We wanted to know, considering the above, why was Shane allowed to get a prescription for a months supply of this drug and if this is common policy, then surely this practise should be revised.
We were very aware that antidepressants caused this horrific event in our lives and that of another family and we had a report from a medical expert (Prof. Healy) who testified to this, so we were particularly concerned that if this practise is not changed, the potential is always there for another family tragedy.
The first step in a complaint to the Irish Medical Council is a meeting to decide if the complaint will go further and if the Doctors in question will or wont have anything to answer for. This meeting has been put off twice now, the last time because the IMC needed a report from an independent third party. I asked if they were aware that professor David Healy had written an extensive report for Shane’s inquest and insisted on forwarding the same to the IMC. They said they were awaiting a report from a Professor Philip Cowen from Oxford University, so naturally enough the first thing I did was Google this professor along with the name Lundbeck. I discovered that Conflict of interest is clearly an issue here and I e-mailed the IMC to notify them of my concerns…
May 16 2011
I trust you received Professor Healy’s report?
I did a quick google search of Professor Cowen and I would have thought, under the circumstances of my son’s death and the fact that lundbeck are the makers of citalopram, the engagement of this professor would surely be a “conflict of interest” but I’m sure you know better than I how to go about investigating these matters!
I would like to be kept informed, if you do go with this professor or indeed any other expert the medical council decide on.
I also attached this to the bottom of my e-mail…
Philip J. Cowen, MD, FRCPsych
University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. Email: email@example.com
Declaration of interest
P.J.C. has been a paid member of boards that have advised different drug companies on the development of antidepressant drugs. In the past 3 years these companies have included Eli Lilly, Lundbeck and Servier. P.J.C. has also received remuneration for scientific advice given to legal representatives of GlaxoSmithKline.
The Medical Council meeting is scheduled for July 21th but I think I already suspect what the outcome will be, considering P.J. Cowens afilliation with Lundbeck, is it possible for him to give an independent unbiased opinion? Why would anyone who gets paid by a company, subsequently acknowledge that these drugs have the potential to drive a person to commit acts of “self harm and harm to others”, a fact already acknowledged by Lundbeck but denied by the very same company on Irish T.V.
Why would he even be asked by the Irish Medical Council to do a report? How much money are these distinguished Professors receiving from pharmaceutical companies each year, and can you call yourself an independent medical advisor if you are “a paid member of boards that have advised different drug companies on the development of antidepressant drugs”.
2002 study, Citalopram was a gift from Lundbeck. Link.
2002 paper, Declaration of interest. PJC has advised Lundbeck, Eli Lilly and Servier in the last 2 years. Link.
2007 paper. Declaration of interest. P.J.C. has served as a paid member of advisory boards for Eli Lilly, Lundbeck, Servier and Wyeth. Link.
2009, BJPsych declaration of interest. P.J.C. has been a member of advisory boards of pharmaceutical companies marketing antidepressants. Link.
2010 Paper. Declaration of interest. PJC has been a paid member of advisory boards of Diagnostic and Statistical Manual of Mental Disorders, Eli Lilly, Servier, Wyeth, and Xytis and has been a paid lecturer for Eli Lilly, Servier, and GlaxoSmithKline. He has received remuneration for scientific advice given to legal representatives of GlaxoSmithKline. Link.
Feb 2010. PJC was a speaker at the Royal College of Psychiatrists Annual meeting sponsored by Lundbeck and Bristol-Myers Squibb. Link.
BJPsych 2011. Declaration of interest P.J.C. has been a paid member of boards that have advised different drug companies on the development of antidepressant drugs. In the past 3 years these companies have included Eli Lilly,Lundbeck and Servier. P.J.C. has also received remuneration for scientific advice given to legal representatives of GlaxoSmithKline. Link.
April 2011. PJC was a speaker at the Athens Lundbeck Symposium. Link.
I have just found out that the head of the Irish Medical Council is Prof. Kieran Murphy, a psychiatrist. He is also on the Board of the Irish College of Psychiatrists. The Irish College of psychiatry have been very verbal in their opinion since Shane’s Inquest and have been very outspoken in their denial that antidepressants can cause either suicide or homicide. They also dismissed Professor Healy’s report as “based on speculation”. Two examples of their opinion..Here and Here. I find it ironic that the Irish College of psychiatry can say this report is based on speculation when their whole profession is based upon the same.
Considering this information, have the Irish Medical Council already made up their minds as to the outcome of our complaint?
In my opinion, the flagrant and multiple conflict of interest here is a disgrace and if we had any chance of getting a fair and unbiased hearing, our complaint should not have been dealt with by either professors (Cowen or Murphy).
The Medical Council Members were appointed by Minister Mary Harney who incidentally opened the new Dublin Offices of Lundbeck. Another random (or not) thought…Dr. Mc’Manus is the guy that I have a major issue with, because he gave Shane a months supply of Citalopram, despite the fact that according to his medical records, Shane admitted to having suicidal thoughts. Dr.Mc’Manus was married to Liz Mc’Manus who was the deputy leader of the Labour Party and party Spokesperson for health from 2002–07 (now retired). He is also reported to be one of the top earners in North Wicklow. In 2005, he earned €438,245 in medical card fees alone. Link.
Another random (or not) political fact, She who must not be named, also from the college of psychiatry of Ireland, who was at Shane’s Inquest and has had “issues” with the verdict since she voiced her opinion on RTE afterwards, is reported by the Irish Independent to be instrumental in the nomination of Mary McAleese for president.
A few days after a visit to Knock, Mary (McAleese) phoned Patricia Casey, with whom she had become friendly after their appearance on The Late Late Show. Casey was prepared to use her considerable influence on Mary’s behalf. The Cork-born psychiatrist was well-placed to exert some influence on the Fianna Fail organisation. Patricia Casey contacted the Wicklow TD, Dick Roche, for whom she had canvassed in the previous election. Link.
Why, you might ask, am I going in this direction? Mary McAleese is the patron of “the Irish Association of suicidology” and when I wrote to her asking for an investigation into these drugs, she replied that she was “prevented from intervening in matters which are the responsibility of the government”.
Sent the IMC an e-mail to see what the outcome was yesterday…No response.
The Irish Medical Council decided not to give me a copy of Professor Cowen’s report, now there’s a surprise! Wonder why? They had a copy of Professor Healy’s report that said, in his opinion Lundbeck’s Citalopram had made Shane suicidal and homicidal and they had Professor Cowen’s report which said what?? Considering the dire possible consequences to other consumers of ssri’s and the medical council’s job to protect people from dangerous medical situations, Professor Cowen’s report must have been very convincing. His expertise must have been superior to Professor Healy’s. His links to Lundbeck are easy to find on the Internet but his expert ssri qualifications are not!
The second letter states that the Irish Medical Council are not taking my complaint any further because there is insufficient cause to warrant further action. So the medical council’s job is to protect people from harm and they think it’s o.k for medical professionals to hand out a months supply of potentially fatal medication with known risks of suicide ideation, to already vulnerable patients? In my opinion, the Medical Council didn’t do it’s job!