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Somia's health is a matter of the state human heart, says Sohyar Abbas Riahi, the former surgeon general of Yemen who has led a nationwide campaign against the drug. He says that lack of information about the drug causes many to become addicted, even as local pharmacies are forced to sell them for double the price they're prescribed by their doctors.
"I have seen the effect of this on so many people, and I have a large number of people that need to stop because they have no other way to survive with life like this," he told Reuters.
Riahi says his campaign has been hampered by the absence of information and by the reluctance of Yemen's healthcare system to change. In 2015 he took up the fight against drug by calling for better oversight and a monitoring system for treatment. He has since become a prominent speaker, in part because of the public health impact and because of a recent deal for new international aid package.
"That's where we have a lot to learn from Yemen in terms of the information and way country works," he said.
It is not only the price that leaves people vulnerable to the drug, however. Many people with chronic diseases use the drug as an antidepressant. They may even have a history of depression, the United Nations says. Others take it for pain relief.
The drug was initially approved as an antidepressant by the FDA in 1992.
In a statement, the Center for Disease Control and Prevention, which says antidepressants have increased during the past 15 years, said its concern about the drug stems from prevalence of reported mental health issues on the rise in U.S. and Europe.
As more people use the medication, mental health issues associated with SSRIs are on the rise as well, statement noted.
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health is especially complex, with many factors beyond drugs' ability to cure the problem at hand. It includes genetics, social environments and the environment someone is raised in. In Yemen, a region beset by civil war, poverty and discrimination, lack of education healthcare all exacerbate anxiety.
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rates are also linked to suicide.
"Steroid side effects are associated with increased risk of suicide, particularly in the elderly," said Dr. Christopher Zahn, an assistant professor of medicine at the University Maryland Baltimore County.
The effects of drugs, most which are taken on a weekly or fortnightly basis instead of every day, are cumulative. Some patients develop an addiction, although it is unclear how many.
"I personally don't think there is an epidemic of depression in Yemen and I have never seen any mental health problems like in the Gulf country. However, I'm very happy that the government is starting to deal with this problem," Zahn said.
R.C. Dyer, an assistant professor and psychiatrist with the Johns Hopkins University School of Medicine, said there is little research about the relationship between a person's suicide buy cialis soft tabs online risk and the use of SSRIs, even though suicides are relatively common.
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