Parents can get refunds for some anti-depressant drugs given to kids - Insurance News | InsuranceNewsNet

InsuranceNewsNet — Your Industry. One Source.™

Sign in
  • Subscribe
  • About
  • Advertise
  • Contact
Home Now reading Newswires
Topics
    • Advisor News
    • Annuity Index
    • Annuity News
    • Companies
    • Earnings
    • Fiduciary
    • From the Field: Expert Insights
    • Health/Employee Benefits
    • Insurance & Financial Fraud
    • INN Magazine
    • Insiders Only
    • Life Insurance News
    • Newswires
    • Property and Casualty
    • Regulation News
    • Sponsored Articles
    • Washington Wire
    • Videos
    • ———
    • About
    • Advertise
    • Contact
    • Editorial Staff
    • Newsletters
  • Exclusives
  • NewsWires
  • Magazine
  • Newsletters
Sign in or register to be an INNsider.
  • AdvisorNews
  • Annuity News
  • Companies
  • Earnings
  • Fiduciary
  • Health/Employee Benefits
  • Insurance & Financial Fraud
  • INN Exclusives
  • INN Magazine
  • Insurtech
  • Life Insurance News
  • Newswires
  • Property and Casualty
  • Regulation News
  • Sponsored Articles
  • Video
  • Washington Wire
  • Life Insurance
  • Annuities
  • Advisor
  • Health/Benefits
  • Property & Casualty
  • Insurtech
  • About
  • Advertise
  • Contact
  • Editorial Staff

Get Social

  • Facebook
  • X
  • LinkedIn
Newswires
Newswires RSS Get our newsletter
Order Prints
July 5, 2014 Newswires
Share
Share
Tweet
Email

Parents can get refunds for some anti-depressant drugs given to kids

Blythe Bernhard, St. Louis Post-Dispatch
By Blythe Bernhard, St. Louis Post-Dispatch
McClatchy-Tribune Information Services

July 05--Thousands of Missouri parents are entitled to refunds for antidepressants prescribed to children because the drugs were unapproved for use in that age group, a federal judge has ruled.

Forest Laboratories and its subsidiary Forest Pharmaceuticals, which is based in Earth City, agreed to pay up to $10.4 million in refunds for misleading parents into giving the drugs Celexa and Lexapro to children and teenagers, according to a recent settlement of a class action lawsuit.

A judge in the case ruled that under the Missouri Merchandising Practices Act, "parents have the right to be fully informed about the potential efficacy of a drug," said Brent Wisner, a Los Angeles-based attorney for the plaintiffs.

Anyone who bought Celexa for someone under 18 from 1998 to 2013 or Lexapro from 2002 to 2013 is eligible for partial to full refunds, or $50 if the total amount spent on the drugs cannot be proven.

Several Missouri parents served as representatives in the lawsuit but cannot talk about it until the case is completed. A final settlement hearing is set for July 16 for a judge to hear any objections in the case.

If finalized, the settlement allows for plaintiffs' attorneys to receive up to 34 percent of the award, plus $325,000 in expenses.

Several psychiatrists also said they were misled by the company. In his expert testimony in the case, Dr. Joseph Glenmullen of Harvard Medical School said, "Forest misrepresented both the efficacy and safety of Celexa and Lexapro use in children and adolescents, misled physicians and deprived patients of the benefit of their health care providers' independent professional judgment."

Forest Pharmaceuticals pleaded guilty in 2010 to federal charges that its Missouri-based sales force illegally marketed Celexa and Lexapro for use in children and teenagers when the drugs were only approved by the Food and Drug Administration to treat depression in adults. The company bribed doctors with cash, meals and travel to prescribe the drugs to children, according to the federal charges.

The charges also said that Forest Pharmaceuticals covered up negative clinical trial results that showed the drugs were no better than placebos in treating depression in children and teens. The cover-up denied parents and doctors enough information to make decisions about the drugs that children were given, attorneys said.

Representatives for Forest did not respond to interview requests. The company remains under a five-year corporate integrity agreement with the U.S. Department of Health and Human Services as part of the settlement requirements to comply with federal drug marketing regulations. Longtime CEO Howard Solomon retired at the end of last year, after facing threats from the government to exclude the company from Medicare and Medicaid payments.

The <location value="LS/us.mo" idsrc="xmltag.org">Missouri case is the first of several class action lawsuits to call for refunds because of the company's illegal marketing practices. Forest has already agreed to pay out $313 million to settle allegations with the government and millions more in dozens of personal injury lawsuits brought by people who claim Celexa or Lexapro led to violent or suicidal behaviors.

One of the cases involved 13-year-old Andrew Tradd of Massachusetts, who died of a brain injury days after he tried to hang himself in 2004, two years after being prescribed Celexa. The family of Danielle Henrikson, 15, sued the company after she hanged herself in her Idaho home the same year, weeks after starting the drug. A third teenager, Alex Kim of Georgia, hanged himself in 2004 after his dosage of Lexapro was doubled.

In 2004, the FDA gave Celexa and Lexapro and other antidepressants its most severe black box warning for their risk of suicidal thoughts and behaviors in children, teenagers and young adults. Lexapro, a newer version of Celexa, was approved for use in people 12 and older in 2009.

According to the National Institutes of Health, "children younger than 18 years of age should not normally take citalopram (Celexa), but in some cases, a doctor may decide that citalopram is the best medication to treat a child's condition."

Off-label drug use for children is common in psychiatric care, mainly because clinical trials needed for a drug's approval have historically excluded children. While the amount of data has increased recently, doctors still face tough decisions about using unapproved drugs to treat children, said Dr. Dehra Glueck of the Child and Adolescent Psychiatry Center at Washington University.

"We know depression happens in children," Glueck said. "Children even in the preschool ages can have depression and anxiety. The disorders don't make an age distinction, only the studies do. When prescribing for any age, you closely look at all of the information on a medication and openly discuss risks and limitations with the family in order to help them make the best decision for their child."

When included along with therapy, antidepressants can be appropriate for some children whose depression is so severe "they are unable to function in their daily lives," Glueck said. "When part of a comprehensive treatment plan, this group of medicines can be one of the important tools that are beneficial to patients who have significant impairment."

This year, Celexa has been prescribed to 6,103 Medicaid participants under the age of 18 in Missouri. Lexapro has been prescribed to 1,384 children and teens on the government insurance plan, according to the state department of social services.

Dr. Greg Mattingly, a psychiatrist in St. Charles, is named in court documents as one of the country's top prescribers of Celexa. The court files include notes from a phone call with a Forest sales representative where Mattingly agreed to incorporate information about Celexa for kids into his talks. Mattingly received more than $107,000 from Forest Pharmaceuticals in meals, travel and speaking fees in 2012 and close to $38,000 in 2013, according to the disclosure reports from the company.

Dr. Brian Barash, a Kansas City psychiatrist and chief medical officer of the Marillac children's psychiatric treatment center, was paid "thousands of dollars to give dozens of speeches to Missouri doctors about Celexa," and had specific expertise in off-label use of the drug for children and adolescents, according to court documents.

Mattingly and Barash could not be reached for comment.

The drugs continue to be prescribed to thousands of children "because pharmaceutical companies have done a marvelous marketing job. It's easy to sell a lie but much harder to sell a correction, to paraphrase Mark Twain," said Dr. David Healy, a British psychiatrist who runs the blog Data Based Medicine and was a consultant in the class action lawsuit.

Healy said the drugs have not been shown to be effective in children or teenagers and are potentially dangerous.

"The risk from treatment is greater than the risk from the illness," he said.

Blythe Bernhard covers health and medicine for the Post-Dispatch. Follow her on twitter @blythebernhard

___

(c)2014 the St. Louis Post-Dispatch

Visit the St. Louis Post-Dispatch at www.stltoday.com

Distributed by MCT Information Services

Wordcount:  1147

Older

Health board officially dissolved

Advisor News

  • New US Remittance Tax for Caribbean residents
  • Industry groups praise tax reform provisions in ‘Big Beautiful Bill’
  • Pennsylvania hospitals expected to lose out under ‘Big Beautiful Bill’
  • Rep. Begich celebrates passage of tax-cut bill that could cause thousands of Alaskans to lose health coverage
  • Houses passes Trump budget making 2017 tax cuts permanent
More Advisor News

Annuity News

  • Nassau Financial Group Launches Innovative, Growth-Focused FIA: Nassau Athos Annuity
  • Demand for annuities: What’s driving it and what’s next
  • MetLife Declares Third Quarter 2025 Common Stock Dividend
  • CT insurance commissioner to court: loosen moratorium on PHL Variable
  • AM Best Affirms Credit Ratings of New York Life Insurance Company and Its Subsidiaries
More Annuity News

Health/Employee Benefits News

  • AM Best Affirms Credit Ratings of Police Health Plan Limited
  • Marani Health Partners with Leading Wyoming Health Payor to Expand 24/7 Remote Pregnancy Monitoring Access
  • What the Trump’s big bill means for Oregon Health Plan enrollees and other Oregonians’ health coverage
  • UnitedHealth facing more lawsuits from disgruntled shareholders
  • The big, beautiful truth about Medicaid reform
More Health/Employee Benefits News

Life Insurance News

  • Group 1001 Insurance Appoints Michael Bloom as Chief Legal Officer
  • The Nassau Companies of New York Announces Upsize and Pricing of $425 Million Senior Notes Offering
  • More Americans expect to leave an inheritance; fewer expect to receive one
  • Foresters Financial introduces new participating whole life insurance
  • BetterLife launches Better Final Expense insurance
Sponsor
More Life Insurance News

- Presented By -

Top Read Stories

  • Is Sunny Hostin’s husband next to settle massive NYC medical fraud suit?
  • ‘Big, beautiful bill’ rolls back federal support for Medicaid, ACA
  • Special master: Up to $300M on the way for Greg Lindberg victims
  • International stocks are having their moment. Will it last?
  • In Vulnerable Areas, Climate Risk Drives Home Insurance Non-Renewals, Not Just Rate Hikes | Insurify
More Top Read Stories >

NEWS INSIDE

  • Companies
  • Earnings
  • Economic News
  • INN Magazine
  • Insurtech News
  • Newswires Feed
  • Regulation News
  • Washington Wire
  • Videos

FEATURED OFFERS

2025 LIMRA Annual Conference
Gather with top executives, where bold strategies ignite inspiration.

Increase sales up to 30% with INN Academy
Master sales strategies from industry legends. Flexible learning, immediate results. Don't miss out—save up to 50%!

Press Releases

  • Royal Neighbors of America® Launches New Single Premium Whole Life Product
  • RFP #T01625
  • TAG Advisors Adds New Specialty Markets Leader Carmine LaCognata
  • Royal Neighbors of America Celebrates 130 Years
  • WealthFeed Partners with Wells Advantage Group to Empower Agents with Next-Level Prospecting and Insurance Solutions
More Press Releases > Add Your Press Release >

How to Write For InsuranceNewsNet

Find out how you can submit content for publishing on our website.
View Guidelines

Topics

  • Advisor News
  • Annuity Index
  • Annuity News
  • Companies
  • Earnings
  • Fiduciary
  • From the Field: Expert Insights
  • Health/Employee Benefits
  • Insurance & Financial Fraud
  • INN Magazine
  • Insiders Only
  • Life Insurance News
  • Newswires
  • Property and Casualty
  • Regulation News
  • Sponsored Articles
  • Washington Wire
  • Videos
  • ———
  • About
  • Advertise
  • Contact
  • Editorial Staff
  • Newsletters

Top Sections

  • AdvisorNews
  • Annuity News
  • Health/Employee Benefits News
  • InsuranceNewsNet Magazine
  • Life Insurance News
  • Property and Casualty News
  • Washington Wire

Our Company

  • About
  • Advertise
  • Contact
  • Meet our Editorial Staff
  • Magazine Subscription
  • Write for INN

Sign up for our FREE e-Newsletter!

Get breaking news, exclusive stories, and money- making insights straight into your inbox.

select Newsletter Options
Facebook Linkedin Twitter
© 2025 InsuranceNewsNet.com, Inc. All rights reserved.
  • Terms & Conditions
  • Privacy Policy
  • InsuranceNewsNet Magazine

Sign in with your Insider Pro Account

Not registered? Become an Insider Pro.
Insurance News | InsuranceNewsNet