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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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Thirty Utah Residents Join Suits Against Paxil Makers

Jun 4, 2004 | AP

Thirty Utah residents joined 4,000 people nationwide in suing the makers of the popular anti-depressant Paxil.

The suit filed Thursday in U.S. District Court claims they suffered severe reactions after attempting to stop taking Paxil, and would not have taken it in the first place if they had been sufficiently warned of the possible withdrawal reactions.

The suit will be transferred to a multidistrict litigation court based in Los Angeles.

It accuses Paxil maker GlaxoSmithKline of fraud and fraudulent misrepresentation, negligent misrepresentation and marketing, breach of express warranty, negligence, strict liability, unjust enrichment and violations of the Utah Consumer Sales Practices Act.

It asks monetary compensation and injunctive relief requiring GlaxoSmithKline to stop its allegedly false marketing.

Earlier this week, New York Attorney General Eliot Spitzer sued GlaxoSmithKline for consumer fraud, contending the drug maker failed to tell physicians that studies showed that Paxil was not effective in adolescent patients and may be linked to come cases of suicide.

The drug company said it "has acted responsibly in conducting clinical studies in pediatric patients and disseminating data from those studies."

GlaxoSmithkline did not return calls by The Associated Press on Thursday.

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