FDA panel promotes misinformation about antidepressants during pregnancy, psychiatrists say
The panel had promised to feature diverse viewpoints about antidepressants and pregnancy. But nearly all of the 10 panelists bucked medical consensus on the drugs' safety and emphasized what they said were risks of taking the drugs while pregnant — such as causing autism, miscarriages or birth defects. In some cases, they claimed that antidepressants don't work at all and that depression goes away on its own.
Three of the 10 panelists were from outside the United States. Another runs a clinic to help people taper off of psychiatric drugs.
'They were really rousing concerns about safety that are not evidence-based or established and not at all balanced with concerns about the risks of untreated depression,' said Dr. Joseph Goldberg, a clinical professor of psychiatry at the Icahn School of Medicine at Mount Sinai in New York City.
Dr. Jennifer Payne, director of the Reproductive Psychiatry Research Program at the University of Virginia, said, 'I'm disappointed that the FDA brought people in from outside of the United States when there's so many experts here in the United States who truly know this [medical] literature inside and out.'
A spokesperson for the FDA said in a statement that the claim that the panel was one-sided was 'insulting to the independent scientists, clinicians, and researchers who dedicate their expertise to these panels.' The spokesperson added that FDA Commissioner Martin Makary 'has an interest in ensuring policies reflect the latest gold standard science and protect public health.'
Health and Human Services Secretary Robert F. Kennedy Jr. has called for a probe into the risks of antidepressants. His 'Make America Healthy Again' report in May claimed there were 'potentially major long-term repercussions' associated with use of the drugs in childhood.
The panel discussion focused on a class of antidepressants known as selective serotonin reuptake inhibitors, or SSRIs, which includes Lexapro, Prozac and Zoloft. The medications increase levels of serotonin, a chemical messenger in the brain that can improve mood.
Psychiatrists often advise women who are taking SSRIs to continue doing so during pregnancy, since the risks of untreated depression tend to outweigh the potential risks of the medication to mother and child. However, the decision is a personal one.
For ethical reasons, there are no randomized-control trials of SSRIs in pregnant women, meaning data on potential risks mostly comes from observational studies and drug registries.
Some babies born to mothers taking SSRIs may develop symptoms such as jitteriness, irritability or difficulty eating or sleeping that resolve quickly — what's known as 'neonatal adaptation syndrome.' The symptoms may be caused by medication in the babies' systems or withdrawal from it.
Certain studies have also found a slightly elevated risk of miscarriage associated with antidepressant use in pregnancy, though others have found no association. However, there's no convincing evidence to suggest that SSRIs are linked to autism or birth defects.
'Well-controlled studies continue to not find an association,' Payne said.
Women with histories of depression are also at an increased risk of symptoms' recurring during pregnancy, and depression can come with its own risks — including thoughts of self-harm or low birth weight.
'The best thing a pregnant individual could do for herself and her baby is to get the treatment that they need,' said Dr. Nancy Byatt, a perinatal psychiatrist at UMass Chan Medical School, who wasn't part of the panel.
In addition to raising concerns about side effects, several panelists questioned the efficacy of antidepressants or suggested that data favoring the use of SSRIs was manipulated by the pharmaceutical industry.
'It's been said that SSRIs help people who are severely depressed. They don't,' said David Healy, an FDA panelist and fellow at the Royal College of Psychiatrists in the United Kingdom.
Goldberg and other psychiatrists said that's simply untrue.
'You can say the moon landing was faked. Conspiracy theories abound in our world. But there is not a doubt about whether SSRIs work,' said Goldberg, a past president of the American Society of Clinical Psychopharmacology who has previously consulted for pharmaceutical companies. He said he was invited to join the FDA panel but declined because the language of the invitation suggested it wouldn't be a fair discussion.
Healy, the panelist, also claimed that some people 'recover spontaneously' from depression.
Another panelist, psychologist Roger McFillin — who hosts a podcast that challenges conventional mental health advice — suggested that depression wasn't an illness but rather a product of 'women just naturally experiencing their emotions more intensely.' He added, without evidence, that many women feel coerced into taking antidepressants.
Psychiatrists who weren't part of the discussion broadly decried those characterizations.
'I have never, ever, ever, ever heard of a third party pushing a prescription in pregnancy,' Goldberg said. However, he said he is aware of some obstetrician-gynecologists who aren't as familiar with SSRIs who have wrongly told pregnant patients to stop taking the medications.
The American College of Obstetricians and Gynecologists said in a statement Monday that SSRIs can be lifesaving for some pregnant people.
'Today's FDA panel on SSRIs and pregnancy was alarmingly unbalanced and did not adequately acknowledge the harms of untreated perinatal mood disorders in pregnancy,' it said. 'On a panel of 10 experts, only one spoke to the importance of SSRIs in pregnancy as a critical tool, among others, in preventing the potentially devastating effects of anxiety and depression when left untreated during pregnancy.'
One panelist, Dr. Kay Roussos-Ross, a psychiatrist and an OB-GYN at the University of Florida College of Medicine, was the most vocal advocate for using SSRIs, often pushing back against others' assessments of the risks. Psychiatrists who weren't on the panel praised her science-backed commentary.
'All of us can find a study that agrees with exactly what we think,' Roussos-Ross told the panel. 'But we need to look at the data very objectively.'
Several psychiatrists who weren't on the panel said they worry that the discussion could lead to regulatory action that makes it harder to access SSRIs. For example, one panelist, Dr. Adam Urato, chief of maternal-fetal medicine at MetroWest Medical Center in Framingham, Massachusetts, called for stronger warnings on SSRI labels.
'I am just very nervous that some of the discourse around the risks of antidepressants could lead to even more barriers for people seeking care,' said Dr. Lindsay Lebin, an assistant professor of psychiatry at the University of Colorado Anschutz Medical Campus, who wasn't part of the FDA discussion.
This article was originally published on NBCNews.com
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12 minutes ago
- Forbes
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Yahoo
39 minutes ago
- Yahoo
Talc Is Suddenly in the Spotlight. Is it Bad for You?
Credit - Photo-Illustration by TIME (Source Images: Liudmila Chernetska—Getty Images, LanaSweet/Getty Images) Federal health officials are scrutinizing a mineral—added to some makeup, medications, and foods—that many people have never thought twice about: talc. In a recent viewpoint article called 'Priorities for a New FDA,' published in the medical journal JAMA, Dr. Martin Makary, commissioner of the U.S. Food and Drug Administration (FDA), and Dr. Vinay Prasad, the FDA's Chief Medical and Scientific Officer, wrote that the FDA conducted an expert panel on talc in May. They also noted that some companies have removed talc from baby powder because it's a carcinogen. Johnson & Johnson, for example, stopped using talc in 2023 following more than 60,000 legal claims from ovarian cancer patients. The JAMA article added that talc remains common, since people still 'ingest it regularly' as an ingredient in various medications and foods. Despite the lawsuits, though, research hasn't confirmed whether talc causes cancer, especially when consumed through food. Meanwhile, companies continue to use talc in powders and cosmetics. Here's how people get exposed to talc, the potential health risks, and what to do about them. Talc and asbestos A naturally occurring mineral, talc consists of several elements like magnesium and silicon. When ground into fine particles, talc becomes talcum powder, which works to absorb moisture and soothe the skin. People have used cosmetics and powders with talc for more than a century. Before talc is mined by companies from deep within the earth, it mixes with another mineral, asbestos. This often results in talc's contamination with asbestos, which is proven to cause cancer. Talc, when laced with asbestos, is a carcinogen, especially when it's inhaled. Less clear is the cancer-causing potential of talc when it's not contaminated. 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Read More: Inflammation May Be the Culprit Behind Our Deadliest Diseases But Jennifer Permuth, an epidemiologist at the Moffitt Cancer Center who has served as an expert witness for J&J and signed the letter to Makary, questions how talc would migrate from where it's applied to cause cancer in the ovaries—without causing cancer in other organs along the way, such as the cervix. 'We would expect cancer to also develop in those other organs,' but studies find only weak links to these cancers, says Permuth. In a 2024 review, the World Health Organization found that, overall, evidence doesn't prove talc causes cancer, but it's 'probably carcinogenic.' The review focused on ovarian cancer 'because that's where the most evidence was' compared to other cancers, says Schildkraut, who served on the review committee. Meanwhile, the American Cancer Society states that, if there's an increased cancer risk, it's 'likely to be very small.' The E.U. has designated talc as a carcinogen, and it's expected to ban talc from cosmetics in 2027. Other potential health issues There's less research on other health issues related to talc. Some studies suggest that when miners repeatedly inhale talc, even if it's asbestos-free, their risk of lung cancer increases—but evidence on inhaling baby powder is more limited. In addition, a deadly cancer called mesothelioma is closely linked to asbestos exposure, though links to talc are less clear (partly because mesothelioma is extremely rare). Read More: What to Expect at a Mammogram Karen Selby, a patient advocate for the Mesothelioma Center at team of advocates, doctors, and attorneys supporting people with mesothelioma—works with patients who developed the disease decades after early-life exposure to cosmetics, she says. Every Christmas as a kid, Selby got a new box of cosmetic powder to play with. She'd cover herself and act like Casper the Friendly Ghost. She doesn't have mesothelioma, but recalling the haze of talc dust, she sometimes thinks, 'Holy cow, what was I doing to myself?' These makeup kits often have cheaper ingredients like asbestos-contaminated talc, despite that 'children are a susceptible group in environmental health,' says Beins, the Environmental Working Group scientist. 'I would try to keep talc away from them.' Safety precautions As researchers continue to study talc, Beins recommends using products with talc substitutes like cornstarch. (That's what J&J now uses instead of talc.) 'We can acknowledge the uncertainty and use safer alternatives,' Beins says. The Environmental Working Group has a database called Skin Deep that tracks which cosmetics contain ingredients like talc. Currently, the database lists about 150,000 products, and 8,000 have talc, Beins estimates. 'I wouldn't use talc personally,' Schildkraut says. 'It's not worth the risk because you don't need much exposure to asbestos to develop cancer.' Read More: 6 Things to Eat to Reduce Your Cancer Risk If possible, try passing on baby powders in general. Even if they lack talc, 'there may be other chemicals of concern,' such as ones added for fragrance or texture, O'Brien notes. If you've been exposed to talc for decades—whether through personal product use or occupations that often involve talc, like those in hair care—share this information with your doctors. They may recommend screening for ovarian cancer and other conditions, O'Brien says. What about food and medicine? Talc is commonly added to several foods like chewing gum and candy to keep them from sticking to wrappers and caking together. However, relatively few foods have talc. 'It's there and present sometimes, but it's not in a ton of food,' Beins says. To find which foods contain talc, you can search EWG's Food Scores, which tracks ingredients. Out of 80,000 products in the database, only 39 are currently listed to contain talc. In addition, the Environmental Working Group's Verified program certifies brands that meet its strictest health standards. To be certified, brands must disclose their ingredients, provide testing data, and avoid ingredients of concern. Products with talc can't be certified. Read More: Why Food Chemicals Are a Problem—And How to Reduce Your Exposure Talc is also added to some pill coatings because it helps pills travel smoothly through manufacturing equipment during production. But very little is known about cancer risk from talc in either food or pills. 'There's some thought that gastrointestinal issues might happen due to food exposure, because it's pro-inflammatory,' Beins says. However, this effect is mostly theoretical at this point. 'For the sake of public health, we shouldn't raise false alarms and make people scared of their food and medications,' says Permuth, who researches gastrointestinal cancer. 'Frequent users of talc-based personal care products or cosmetics are at the highest risk,' O'Brien says, adding that there's no medical reason for using these products. Whereas other established environmental risks like air pollution may be hard to avoid, O'Brien notes that for the most part, the 'use of talc products is something that individuals can control.' Contact us at letters@ Solve the daily Crossword


Associated Press
39 minutes ago
- Associated Press
Beyond the numbers: rethinking diets for overweight kids
GA, UNITED STATES, July 23, 2025 / / -- Tackling childhood obesity has long centered around rigid calorie counting and restrictive diets—methods that often backfire when applied to children. A new review proposes a gentler, more effective strategy: focusing on structure, not strictness. By encouraging consistent mealtimes, improving breakfast quality, simplifying food group choices, and cultivating a positive relationship with food, the approach shifts from control to cooperation. The goal is not immediate weight loss, but the establishment of healthy habits that last. These strategies reduce stress, empower families, and offer a sustainable path toward preventing obesity—without the numbers game. Over the past decades, childhood obesity has become a global health crisis, intensified by the sedentary routines and dietary disruptions of the COVID-19 pandemic. Excess weight gained early in life not only leads to physical and psychological complications but also sets the stage for obesity in adulthood. Traditional treatment models often involve strict calorie control, which can overwhelm young children and create negative associations with food. In fact, research shows that pressure to diet can worsen weight gain and emotional eating. Due to these challenges, there is a growing need for kinder, more developmentally appropriate approaches to childhood nutrition and obesity prevention. On January 10, 2025, Pediatric Discovery published a narrative review (DOI: 10.1002/pdi3.2524 ) led by Dr. Karolina Kuźbicka from the Medical University of Gdańsk. Drawing on two decades of scientific literature and clinical insights, the study outlines a practical set of nutritional strategies to combat childhood obesity—without the use of calorie counting. Aimed at healthcare providers, educators, and parents, the review emphasizes simple, flexible routines that respect children's emotional needs and foster lasting behavioral change. Instead of calorie limits or rigid meal plans, the review introduces four foundational strategies: structured meal timing, balanced breakfasts, proportion-based food planning, and a healthy attitude toward eating. For instance, the author recommends eliminating unplanned snacks between meals, maintaining consistent mealtimes, and encouraging family meals to promote mindful eating. Breakfast is highlighted as a vital habit that supports better nutrient intake and cognitive function; small changes—like replacing sugary cereal with fiber-rich porridge—can make a meaningful difference. The review also advocates using visual plate models or daily portion guidelines to simplify food decisions without invoking calorie anxiety. Importantly, the emotional context of eating takes center stage. Rather than forcing children to eat certain foods, parents are encouraged to model healthy choices and create a low-pressure, positive environment around meals. Techniques such as sticker charts or involving children in meal prep help build confidence and ownership. These strategies aim not just to reduce weight but to reframe eating as a supportive, family-centered activity—one that sets the foundation for lifelong health. 'Childhood obesity isn't just a nutritional issue—it's an emotional one,' said Dr. Karolina Kuźbicka, the lead author of the review. 'What children need most is not dietary control, but guidance, routine, and trust. Our role is to shape a home environment where healthy choices feel natural, not forced. By making small, sustainable changes, we can help families shift the focus from counting calories to nurturing long-term well-being.' These nutrition-first strategies offer a low-stress, high-impact solution for professionals and families confronting the rise in childhood obesity. Their adaptability makes them especially useful in schools, clinics, and at home, with no need for complex diets or rigid tracking tools. While this review centers on nutrition, the framework opens doors for integration with physical activity and psychological support to further enhance impact. As research and practice evolve, this gentle, child-centered method may become a cornerstone of public health efforts—empowering children not through restriction, but through healthy habits and a positive food culture. DOI 10.1002/pdi3.2524 Original Source URL Lucy Wang BioDesign Research email us here Legal Disclaimer: EIN Presswire provides this news content 'as is' without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above.