Hacker ApprovedDepartments

Prozac

The most recommended of 7 antidepressants

More people criticize it than recommend it. Many say it lifted depression and is cheap with few side effects; critics note modest gains over placebo and serious side effects and withdrawal.

10 people recommended Prozac in Hacker News comments, 2 had mixed feelings and 28 criticized it, November 2025 to October 2026.

8 of the 10 people who recommend it commented in one thread, “Prozac 'no better than placebo' for treating children with depression, experts”.

These are opinions from Hacker News comments, not medical advice. Talk to a doctor.

Summary written by Claude from the comments below.

40 people gave an opinion

recommend it
10
mixed feelings
2
warn against or regret it
28

The record

Each figure is one person. RecommendsMixed feelingsCriticizes

Recommended in 3 of 12 months

In 3 different threads.

  1. November 2025: recommended
  2. December 2025: not recommended
  3. January 2026: not recommended
  4. February 2026: recommended
  5. March 2026: not recommended
  6. April 2026: not recommended
  7. May 2026: not recommended
  8. June 2026: not recommended
  9. July 2026: not recommended
  10. August 2026: not recommended
  11. September 2026: not recommended
  12. October 2026: recommended

Why it doesn’t carry the badge

  • 10 people recommend itNeeds 10 or more, met.
  • 0.3 recommenders for every criticNeeds 2 to 1 or better, not met.
  • Recommended in 3 of 12 monthsNeeds 4 or more, not met.
  • Recommended in 3 threadsNeeds 5 or more, not met.
  • 8 of its 10 recommenders came from one threadNeeds half or less, not met.
  • A health productHealth and money products are never badged, not met.

The same rules apply to every product, and the badge can’t be bought. Mixed feelings count toward neither side. How the badge works

What people say about it

Reasons grouped from a sample of 40 of the 53 opinions about it, picked in proportion to how many people recommend it, have mixed feelings and criticize it. Each mark is one comment in the sample. Open a reason to read what they said.

What people warn about

Each mark is one comment

  • Withdrawal and unpleasant side effects

    “Because this class of drugs was so heavily promoted for such a long time, the side effects have always been swept under the rug.”

    Comment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “after taking them for a few months in my 20's, and experiencing how terrible the withdrawal symptoms are when stopping”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “No change in my mindset, just the unpleasant side effects when we changed or discontinued my medications.”

    Comment from 20 Nov 2025 in “My stages of learning to be a socially normal person”
  • Suicidal thoughts in young people

    “Increased risk of suicidal thinking and behavior in children, adolescents, and young adults taking antidepressants”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “so generations were poisoned with side-effects: suicidal ideation, homicidal tendencies, etc.”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “Prozac and other SSRIs are proven to cause MORE suicidal tendencies in children.”

    Comment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”
  • Only modestly better than placebo

    “no better at placebo at treating depression but also carries a host of known side effects”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “treatment is more helpful than a sugar pill in only 1 out of 6 cases”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”
  • Psychosis and homicidal impulses

    “had a psychotic episode described as a "murderous impulse" just after starting a brand new "wonder pill", Prozac.”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “SSRIs, at their inception, carried black-box warnings about homicidal ideations.”

    Comment from 28 Oct 2026 in “Millions Use Antidepressants. We Still Don't Understand How They Work”

Why people recommend it

Each mark is one comment

  • Life-changing improvement in mood

    “I take prozac and it's far better than paxil (for me and many others). Has been transformative in my life.”

    Comment from 28 Oct 2026 in “Millions Use Antidepressants. We Still Don't Understand How They Work”

    “A little prozac fixed something that was just chemically wrong in my head.”

    Comment from 20 Feb 2026 in “A psychedelic medicine performs well against depression”

    “As an adult, Prozac for me has been life changing and for the better.”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”
  • Works better than placebo

    “Studies repeated with just major depression all conclude antidepressants are better than a placebo.”

    Comment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “current evidence suggests that prozac is effective well over placebo for adults”

    Comment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “Having seen the reversal myself, it's hard to understand how this is placebo.”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”
  • Cheap with few side effects

    “effectively treated a condition that may be hereditary with no negative side effects”

    Comment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “since Prozac is cheap and I don't seem to suffer any side effects”

    Comment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”
  • Helps those with genetic predisposition

    “for those with genetic predispositions it can be extremely helpful”

    Comment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

    “If a small dose can help someone have a somewhat "normal" childhood, then its worth a try.”

    Comment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

Other antidepressants people recommend

The four most recommended other antidepressants, with the same counts for each, so you can compare like for like. The tick on each bar marks the 2 to 1 line the badge needs.

Prozac compared with 4 alternatives
ProductRecommendMixedCriticizeApprovalMonthsHad forBadge
ProzacThis page1022826%3——
Ketamine84562%6——
Bupropion84373%3——
Lexapro80373%2——
Wellbutrin60275%4——
See all 7 antidepressants, ranked

What people said

40 of the 53 opinions about it, picked in proportion to the three counts, newest first. Each links to the original comment.

“I take prozac and it's far better than paxil (for me and many others). Has been transformative in my life.”

RecommendsComment from 28 Oct 2026 in “Millions Use Antidepressants. We Still Don't Understand How They Work”

“they probably didn't factor that in (or much of anything besides profit sadly”

CriticizesComment from 28 Oct 2026 in “Millions Use Antidepressants. We Still Don't Understand How They Work”

“SSRIs, at their inception, carried black-box warnings about homicidal ideations.”

CriticizesComment from 28 Oct 2026 in “Millions Use Antidepressants. We Still Don't Understand How They Work”

“A little prozac fixed something that was just chemically wrong in my head.”

RecommendsComment from 20 Feb 2026 in “A psychedelic medicine performs well against depression”

“a made up story by big pharma to sell prozac in the late 1980's”

CriticizesComment from 7 Jan 2026 in “Research identify two psychological traits that predict conspiracy theory belief”

“we have seen the studies these drug companies made disappear”

CriticizesComment from 23 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“Prozac and other SSRIs are proven to cause MORE suicidal tendencies in children.”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“Putting them on something that encourages a behavior that they don't understand”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“SSRIs often have a very positive, even life changing effect”

RecommendsComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“increased rates of suicidal behavior and aggression in children”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“current evidence suggests that prozac is effective well over placebo for adults”

RecommendsComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“for those with genetic predispositions it can be extremely helpful”

MixedComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“A seven-year old child is being given a brain-altering drug?”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“giving a 7 year old prozac is psycho behaviour”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“Because this class of drugs was so heavily promoted for such a long time, the side effects have always been swept under the rug.”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“These huge lists of side effects are haunting”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“You-on-the-pill becomes you, and you can't ever stop.”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“I have gone off of Prozac a few times and always found that I gradually became frustrated and depressed again”

MixedComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“effectively treated a condition that may be hereditary with no negative side effects”

RecommendsComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“If a small dose can help someone have a somewhat "normal" childhood, then its worth a try.”

RecommendsComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“prozac gave me the worst, most horrible pit of sadness I've ever had in my entire life”

CriticizesComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“Studies repeated with just major depression all conclude antidepressants are better than a placebo.”

RecommendsComment from 22 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“As an adult, Prozac for me has been life changing and for the better.”

RecommendsComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“Lower bone mineral density, increased risk of fractures, osteoporosis”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“The drug absolutely destroyed me. Within a few days of taking it, I was in a bizarre state of delirium”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“None of those drugs helped me personally in the 90s”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“no better at placebo at treating depression but also carries a host of known side effects”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“Increased risk of suicidal thinking and behavior in children, adolescents, and young adults taking antidepressants”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“treatment is more helpful than a sugar pill in only 1 out of 6 cases”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“Having seen the reversal myself, it's hard to understand how this is placebo.”

RecommendsComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“that kid's going to have his brain chemistry altered and essentially be addicted to a drug”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“For some people, Prozac is a very dangerous drug.”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“since Prozac is cheap and I don't seem to suffer any side effects”

RecommendsComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“after taking them for a few months in my 20's, and experiencing how terrible the withdrawal symptoms are when stopping”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“It belongs in the bin of crackpot treatments like chiropractic.”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“so generations were poisoned with side-effects: suicidal ideation, homicidal tendencies, etc.”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“had a psychotic episode described as a "murderous impulse" just after starting a brand new "wonder pill", Prozac.”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“Evidently not for children with depression.”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“after Prozac dosage adjustments made his brain chemistry go haywire”

CriticizesComment from 21 Nov 2025 in “Prozac 'no better than placebo' for treating children with depression, experts”

“No change in my mindset, just the unpleasant side effects when we changed or discontinued my medications.”

CriticizesComment from 20 Nov 2025 in “My stages of learning to be a socially normal person”

Counts come from 1,791,911 Hacker News comments labeled by Claude, November 2025 to October 2026, with data through October 31, 2026. Counts updated 2 Nov 2026. How we count. Report a mistake.