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Date you started taking this drug:

Date you stopped taking this drug:

Age of patient when antidepressant(s) prescribed:

What condition was this medication prescribed to treat?

What additional medications were you taking at the time?

Did patient hurt themselves during or after taking the drug?

Did patient become violent during or after taking the drug?

Was suicide attempted?

Was hospitalization or institutionalization required after taking antidepressant(s)?

Did loved one commit suicide?

If patient did attempt or commit suicide, did patient ever attempt suicide previously?

If patient did commit suicide, what was the method of suicide?

Please describe violent or suicidal behavior:

If you ever tried to stop taking Paxil and experienced withdrawal, please describe the withdrawal side effects:

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Report Links Drug To Crash

Dec 1, 2003 | The Ledger Investigators say a pilot's high dose of a prescription anti-depressant may have played a role in the fatal 2002 crash of his experimental airplane.

Scott Reviere's home-built RV-6A lost power and spiraled down shortly after taking off from Peter O. Knight Airport on Aug. 18, 2002. The aircraft crashed into the Port of Tampa dry docks and caught fire, killing Reviere and passenger John Malecki.

A report from the National Transportation Safety Board released Wednesday blamed the crash on Reviere's inability to maintain air speed, which caused a stall and spinout. The airport is on Davis Island, just off downtown Tampa.

But Paroxetine in Reviere's blood at 10 times the normal level also was a factor, the report said. The anti-depressant is often known under the brand name Paxil.

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