Chapter Category: Neuropharmacology

From the book Selective Serotonin Reuptake Inhibitors (SSRIs): Past Present and Future

SSRIs: Where Now, Where Next?

David J. Heal and Sharon C. Cheetham

It is interesting to note that in the title of their review on fluoxetine (‘Prozac’, Lilly), Wong, Bymaster and Engleman describe this drug as “the first selective serotonin reuptake inhibitor.” Like much of the subject, this claim owes rather more to perpetuating public perception than to reality. In fact, the first selective serotonin reuptake inhibitor (SSRI) to enter the market as an antidepressant drug was zimelidine (‘Zelmid’, Astra) which was launched in the UK and Sweden in 1982. Zimelidine was subsequently withdrawn for producing severe idiosyncratic toxicity in some patients. In Europe, the introduction of zimelidine was followed by another SSRI, fluvoxamine (‘Favarin’, Solvay-Duphar) which was launched as an antidepressant in Switzerland in 1983; however, this drug was not launched in the USA until 1994 and then it was for the treatment of obsessive-compulsive disorder, not depression. It was only in 1988 that fluoxetine appeared on the market in the USA as a novel antidepressant, thus making it the third, not the first, SSRI.

Taken from the book

Selective Serotonin Reuptake Inhibitors (SSRIs): Past Present and Future

Edited by: David J. Heal and Sharon C. Cheetham

More chapters from the book:

Besides being a major therapeutic advance, the selective serotonin reuptake inhibitors (SSRIs) have become important tools in basic and clinical brain research. They were the first drugs to establish beyond doubt a pathophysiological role for serotonin (5-HT) in affective illnesses and in the...


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It is interesting to note that in the title of their review on fluoxetine (‘Prozac’, Lilly), Wong, Bymaster and Engleman describe this drug as “the first selective serotonin reuptake inhibitor.” Like much of the subject, this claim owes rather more to perpetuating public perception than...


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