It is estimated to represent 1 in 100 adverse drug events that occur. However, as there is no control, the number of incidents do not inform us about the rate at which these events occured or possible contributing factors other than the drug.
SUICIDE ACCOMPLISHED MHRA stats from Yellow Cards 2004
Drug Substance |
No of Reports |
1 fluoxetine |
62 |
2 paroxetine |
38 |
3 clozapine |
27 |
4 venlafaxine |
17 |
= 5 sertraline |
15 |
= 5 isotretinoin |
15 |
=7 citalopram |
9 |
=7 dothiepin |
9 |
=7 moclobemide |
9 |
= 10 risperidone |
8 |
= 10 zopiclone |
8 |
12 olanzapine |
7 |
= 13 amitriptyline |
6 |
= 13 mefloquine |
6 |
= 13 quetiapine |
6 |
= 16 fluphenazine |
5 |
= 16 fluvoxamine |
5 |
= 18 bupropion |
4 |
= 18 diazepam |
4 |
= 18 thioridazine |
4 |
NON-ACCIDENTAL OVERDOSE
Drug Substance |
No of Reports |
1 paroxetine |
36 |
2 olanzapine |
29 |
= 3 paracetamol |
28 |
= 3 venlafaxine |
28 |
= 5 bupropion |
17 |
= 5 clozapine |
17 |
= 5 fluoxetine |
17 |
8 sertraline |
15 |
9 citalopram |
14 |
= 10 carbamazepine |
9 |
= 10 codeine |
9 |
=12 amitriptyline |
8 |
=12 dothiepin |
8 |
=12 zopiclone |
8 |
=12 dextropropoxyphene |
8 |
16 quetiapine |
7 |
17 moclobemide |
6 |
OVERDOSE N.O.S.
Drug Substance |
No of Reports |
1 clozapine |
109 |
2 venlafaxine |
50 |
3 paroxetine |
41 |
4 fluoxetine |
35 |
5 paracetamol |
29 |
6 bupropion |
26 |
= 7 citalopram |
24 |
= 7 zopiclone |
24 |
9 olanzapine |
19 |
= 10 dothiepin |
18 |
= 10 sertraline |
18 |
12 tramadol |
16 |
13 quetiapine |
14 |
14 amitriptyline |
13 |
= 15 aspirin |
11 |
= 15 carbamazapine |
11 |
= 15 diazepam |
11 |
18 diamorphine |
10 |
= 19 dihydrocodeine |
8 |
= 19 risperidone |
8 |
SUICIDAL IDEATION
Drug Substance |
No of Rpts |
1 fluoxetine |
125 |
2 bupropion |
74 |
3 paroxetine |
57 |
4 isotretinoin |
18 |
5 mefloquine |
17 |
= 6 citalopram |
11 |
= 6 efavirenz |
11 |
= 6 mirtazapine |
11 |
= 6 sertraline |
11 |
= 6 venlafaxine |
11 |
11 zopiclone |
8 |
= 12 medroxyprogesterone |
7 |
= 12 oestradiol |
7 |
= 12 topiramate |
7 |
= 15 levonorgestrel |
6 |
= 15 nefazadone |
6 |
= 15 norethisterone |
6 |
= 15 simvastatin |
6 |
= 19 amlodipine |
5 |
= 19 atenolol |
5 |
= 19 clarithromycin |
5 |
= 19 etoricoxib |
5 |
= 19 fluvoxamine |
5 |
= 19 gabapentin |
5 |
= 19 lamotrigine |
5 |
= 19 levetiracetam |
5 |
= 19 rofecoxib |
5 |