Revista Científica y Arbitrada de Ciencias Sociales y Trabajo Social ‘‘Tejedora’’: Vol. 5 (Núm. 9) (ene-jun 2022). ISSN: 2697-3626  
What is Prozac? A debate between science and society perspective, during SARS-COV2  
WHAT IS PROZAC? A DEBATE BETWEEN SCIENCE AND SOCIETY PERSPECTIVE, DURING SARS-  
COV2  
¿
QUÉ ES PROZAC? UN DEBATE ENTRE LA PERSPECTIVA DE LA CIENCIA Y LA SOCIEDAD,  
DURANTE EL SARS-COV2  
Tite-Haro María Belén 1  
Espinoza de los Monteros-Fernández Carlos  
2
3
Tite-Naranjo Milton Daniel  
1
Estudiante de Medicina de la Universidad San Francisco de Quito. Quito, Ecuador. Correo:  
tite.belen2001@gmail.com. ORCID ID: https://orcid.org/0000-0001-7416-6167.  
2
Médico Ocupacional de Petroamanozas. Ecuador. Correo:  
espinosadelosmonteros@eppetroecuador.ec. ORCID ID: https://orcid.org/0000-0003-2213-5793.  
Médico Residente del Hospital José María Velasco Ibarra. Tena. Correo: milton.tite@hjmvi.gob.ec.  
ORCID ID: https://orcid.org/0000-0003-0344-067X.  
3
ABSTRACT:  
This study will test the efficacy of Prozac in patients that think were sick with COVID-19 virus or any other serious  
respiration condition is not fun. The SARS-COV2 had and has dramatic effects. This investigation was necessary to  
prevent serious outcomes, especially suicide. It is a strategy to prevent COVID-19 infection specially. Many people  
thought that had COVID 19. Patients who are presumptively depression for COVID-19 will be entered into the study  
and given the option to start the medication Prozac. The testimonies of patients who were treated with Prozac were  
used after developing a clinical picture of stress, anxiety and depression as a consequence of the confinement of the  
pandemic.The case will be monitored daily for COVID-19 symptoms and weekly for side effects and tolerance of  
Prozac. The testimony, in this case, expressed through a first-person interview, offered not only information  
regarding the perceptions, ideas and meanings of patients prescribed Prozac; but also expressed meanings beyond  
words. For example: the type of posture, the reactions, sadness, happiness, the same meaning that they gave to  
their life. The subjects were vicivilized by means of this technique and autonomy, self-confidence, desire to live were  
fostered.  
Keywords: Antidepressant, depression, illness, life, physiological complications.  
RESUMEN:  
Este estudio probará la eficacia de Prozac en pacientes que creen que estaban enfermos con el virus COVID-19 o que  
cualquier otra afección respiratoria grave, o que presumían se contagiarán. El SARS-COV2 tuvo y tiene efectos  
dramáticos. Esta investigación fue necesaria para evitar resultados graves, especialmente el suicidio. Es una  
estrategia para prevenir la infección por COVID-19 especialmente en muchas personas que pensaron que tenían  
COVID 19. Los pacientes con depresión serán ingresados al estudio y se les dará la opción de comenzar con el  
medicamento prozac. Se utilizaron los testimonios de pacientes que fueron tratados con prozac luego de desarrollar  
un cuadro clínico de estrés, ansiedad y depresión como consecuencia del confinamiento de la pandemia, el caso será  
monitoreado diariamente para detectar síntomas de COVID-19 y semanalmente para detectar efectos secundarios  
y tolerancia de prozac. El testimonio, en este caso, expresado a través de una entrevista en primera persona, ofreció  
no solo información sobre las percepciones, ideas y significados de los pacientes a los que se les prescribió prozac;  
pero también expresó significados más allá de las palabras. Por ejemplo: el tipo de postura, las reacciones, la tristeza,  
la alegría, el mismo sentido que le dieron a su vida. Los sujetos fueron visibilizados mediante la técnica de la narrativa  
esta técnica y se fomentó la autonomía, la autoconfianza, el deseo de vivir.  
Palabras Clave: antidepresivo, depresión, enfermedad, vida, complicaciones fisiológicas.  
Recibido: 05 de octubre de 2021; Aceptado: 27 de diciembre de 2021; Publicado: 07 de enero de 2022.  
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1
. INTRODUCTION  
Up to ¿what point science can explain the  
no relacionado con los triciclos, que bloquea  
la incorporación de la serotonina en las  
plaquetas humanas”. It is known that it is a  
hydrocarbon with derivation of a monocycle  
conforms by bridges of a carbon molecule at  
its beginning, without three new chains of a  
different compound. So that: "Both  
fluoxetine and its metabolite norfluoxetine  
act by selectively inhibiting the reuptake of  
serotonin in the neuronal presynaptic  
membrane, thereby enhancing the effect of  
this neurotransmitter" (Word Heald: 2007).  
reaches of mind? Which means considering  
the scientific method and arguments  
supported in biological process to  
understand abstract thoughts. Therefore,  
the mind studies are bigger than concepts as  
neurons, emotion or perception; that is why  
the health community is up to build  
treatments or manage metal illness whit  
pharmacology.  
By the way, the society impact it is still a  
relevant perspective to understand the  
connection of mind and human. What it  
means natural principles that explain the  
process of cause and effect, for example  
disease and cure, and social and economic  
effect as trace of neuropsychiatric  
medications in populations with disorders  
associated with deficiencies in mental  
processes. That is why this text aims to  
analyze the relevance of Fluoxetine or  
Prozac as an antidepressant, which is useful  
in an inhibitory action of deficient serotonin  
This allows molecules a facility to complete  
inhibitory functions by reacting the  
neurotransmitter at brain, which means a  
neuronal stimulation that in a chemical  
perspective results in happiness. At the time,  
this is a scientific argument that can be  
recognized as a logical support, which arises  
from  
a
cause-and-effect relationship  
between chemical concepts to justify the  
efficiency of the drug.  
Hence, the scientific impact on the solution  
of mental disorders that affect individuals  
and society in different axes is seen in a  
positive panorama. This, since, identifying a  
deficiency in levels of serotonin at the  
organism and using medicines with  
(scientific angle), and its consequence in  
different social approaches.  
¿
What is the scientific basis of Fluoxetine?  
The drug also known as prozac, (Rosenteins,  
011:198) “es un antidepresivo clínicamente  
2
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What is Prozac? A debate between science and society perspective, during SARS-COV2  
hydrocarbon origin of characteristic  
Selective Inhibitors of Serotonin Reception'  
electric shock ... a decrease of the time they  
remain immobile ... after previous exposure  
to a cat ... fluoxetine reduces the amount of  
vocalizations emitted by rat and guinea pig  
pups in the maternal separation test, which  
measures the anxiety level of exposed pups  
'
to block the reabsorption of this, redirecting  
it to enhance the electrical communication  
between neurons (Pérez, Speranza, &  
Tamosiunas, 2016).  
(
Oyarzabal, 2007).  
As consequence, according to literature its  
able a management of depressive disorders,  
obsessive compulsive disorders and bulimia.  
In this way, it is possible to understand the  
scope of a reuptake process (redirection of  
the impact of the neurotransmitter) applied  
to medicine to have an immediate effect  
related to mental, emotional and  
physiological complications (Word Heald,  
With the aforementioned appointment, it  
can be seen how, in a scientific method  
during the experimentation phase, animals  
such as mice were adapted to similar  
contexts such as human beings, to recreate  
an environment related to social concerns  
and stress; where electrical sensors quantify  
the neuronal synapse in the energy  
exchange, evaluating the variables before  
and after the application of the drug. A fact  
that in the twentieth century with  
pioneering neuropsychiatric pharmacology,  
was questionable and unorthodox, (Healy,  
2
007).  
Moreover, to what extent the positive  
effects on drug application may involve  
compensation methods and adverse  
consequences? Ergo the benefits in patients  
treated with fluoxetine in relation to adverse  
effects and experimental approach.  
2
012). Likewise, contraindications such as  
anxiety, nervousness, sleep disorders,  
fatigue, asthenia, sweating, tremor,  
anorexia, diarrhea, dizziness, vertigo and  
Research that addresses the study of the  
behavioral effects of fluoxetine in ... animals  
subjected to stressful situations have shown  
an improvement in behavior after chronic  
treatment with this drug ... in rats subjected  
to the paradigm of fear conditioned by  
nausea;  
have  
been  
related  
to  
experimentation in animals and a bias based  
on the dosage of the drug (Rosenteins,  
2
011). In other words, adverse symptoms  
related to limitations seen in  
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experimentation have an impact on the  
image.  
However, how viable is the application of a  
logical judgment from social precepts, but  
not from the scientific argument?  
Furthermore, at the end of the 20th century,  
after various contexts such as the Vietnam  
War, Afghanistan, the massive registration  
of serial murderers, and even the post-  
traumatic stress that the population  
suffered; the sciences associated with  
mental health reaffirmed its importance.  
Due to this, interest is put in the ability of  
pharmacology to respond to these social  
conventions. Afterwards Prozac has a  
leading role, which, however, was  
questioned in several trials because of the  
facts mentioned in the previous paragraph.  
Noting: “efectos secundarios que observa en  
los pacientes a… finales de los años  
ochenta... incrementa el riesgo suicida en las  
primeras semanas de tratamiento lo decide  
un tribunal de Kentucky y no la Comunidad  
científica” (Soto & Villareal , 2015).  
Finally, the present trial was able to explore  
different perspectives that arise around  
Fluoxetine; demonstrating how the social  
impact is not completely independent of the  
scientist to validate its application. Initially, a  
scientific argument could be seen that  
explains the impact of 'Selective Serotonin  
Reception Inhibitors' for the use of this  
neurotransmitter in the synapse and its  
result: "happiness". In other words, starting  
from a molecular justification to treat mainly  
depression, obsessive compulsive disorder.  
Later, another scientific aspect was taken  
into account, such as methodology, to  
address a limitation in experimentation due  
to the difficulty of recreating human  
emotions in animals. This calls into question  
the overall efficacy of the drug, creating a  
debate about contraindications as a result of  
the inability to fully interpret brain processes  
and their functional or personality  
consequences. On the other hand, reference  
was made to the impact of the context and  
society to validate scientific knowledge, this  
means evaluating the efficacy of a drug not  
only taking into account the scientific and  
This quote reflects a controversial position  
between the advantages of a cure with  
continuous dosing and guided by a doctor, as  
opposed to the social precepts based on the  
fear of suicide. Therefore, it can be seen  
how, to some extent, society from a  
community perspective can, in some  
contexts, overcome the Scientific Academy.  
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logical argument; but taking into account the  
extensive clinical trials are time-consuming  
processes (Baldin, Cotelli, & Guarino, 2020).  
needs of society. Therefore, a relationship  
between science and society to evaluate the  
quality of a medicine becomes evident.  
Disasters, including earthquakes, wildfires,  
terrorist attacks, and infectious disease  
outbreaks, are catastrophic events that  
expose individuals to stress, disrupt  
community routines and dynamics,  
undermine infrastructure and businesses,  
and result in economic losses for a significant  
period (Kuntz, 2019).  
Since December 2019, SARS-CoV-2 has been  
spreading around the globe. More than  
seven million infections have been  
registered worldwide, and more than  
4
00,000 people have died from the disease.  
When treating severely ill patients,  
Remdesivir is still the only drug option that  
has been shown to have a positive effect on  
the course of the disease (Maximilians,  
Other substances that are ideally more  
effective are therefore urgently sought after,  
and scientists around the world are working  
hard to pinpoint them. However, the  
problem is that new drugs have to undergo  
various stages of clinical trials before being  
approved for use on patients, which is a very  
time-consuming process.  
2
2
019). The zoonotic coronavirus SARS-CoV-  
and the resulting COVID-19 pandemic  
impressively 36 show the global threat  
potential of a newly emerging pathogen.  
More than one million people 37 have died  
so far from the current outbreak, and the  
proportion of infected people was 38  
estimated to reach more than 10% of the  
global population, with still unknown fatality  
rates 39 Because of the pressing burden on  
2
. METHODOLOGY  
The study includes fifteen narratives of  
clinical diagnostic. This study is based on a  
small town of Ecuador. The project  
population includes the population living in  
the city. The control cohort consisted of  
people uses Prozac drugs for fifteen days  
during 2019 were excluded. While reading  
the material found in the narrative. We  
4
0 national health systems and economic  
losses, safe and efficient treatment  
strategies are 41 urgently required.  
Developing a vaccine is a high priority.  
However, the rigorous testing and 42  
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forged ours research questions. Based upon  
the research questions, we wanted to  
consider how best to approach them. It was  
necessary made those: Rationale of the  
Study: The rationale of this study grew out of  
general concern for the perceived rigor and  
quality of qualitative research. There was a  
general focus on what is perceived to be  
reliable and valid knowledge. It includes a  
conceptually rich methodology. where the  
methodology is analytically more rigorous  
coding, detailed step-by-step procedure  
clearly outlined, verification of data analysis,  
etc (Johnson & Christensen, 2014).  
husband saved my life, but more than him,  
the drug Prozac”. (Woman)  
“At sixteen I had surgery on a fear of the  
brain, apparently it was fine, but the only  
girlfriend I had left me, since then I have  
been very depressed. My treating doctor  
transferred me where a psychiatrist was  
doing well. But in this time of confinement I  
have become so depressed that I wanted to  
kill myself. My mother avoided it and we  
visited my psychiatrist, I submitted to prozac  
for fifteen days. At first I had dizziness but I  
managed to stabilize myself and I am calm”  
(Young).  
“From a very young age I have felt  
“I have felt neither sadness nor joy for what  
abandoned. I was barely six years old, my  
mother left me in the care of my  
grandmother, I have never heard from her  
is happening to me. Before the pandemic, a  
lot of things were stolen from my apartment;  
I sat and watched, nothing more. I have not  
been able to sleep. Through social networks,  
I contacted someone who was in charge of  
giving psychological first aid. We talked  
several times and I contacted a doctor, he  
evaluated me and prescribed Prozac for  
fifteen days in a dose of twenty milligrams.  
At first I felt strange, today I am well  
receiving therapy and general medical  
attention”. (Adult)  
again. When  
I
eighteen,  
I
made  
a
commitment, I have a girl. Despite being an  
accountant, I have always felt that I am less  
than my husband, I look fat and useless,  
that's why I got depressed and decided to  
visit the doctor who advised me to treat a  
psychiatrist. I have been feeling fine  
consuming 20 milligrams of Prozac by fifteen  
days. The pandemic happened and it made  
me depressed again. I was afraid of getting  
infected, so I decided to take my life. My  
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Interviews: Interviews are a very common  
was epistemological in conception.  
Following the pilot study, it became clear  
that this approach allowed for great depth to  
understanding and evaluating narrative. It  
also enabled me to gain practical experience  
conducting narrative patients, if even in part,  
which enhanced my own understanding of  
the area and enabled me to provide a deeper  
evaluation than otherwise (Johnson &  
Christensen, 2014).  
methodological approach within narrative  
research. They provide a way for the  
researcher and participant to engage in  
rapport to capture the testimony and  
provide meaning of that testimony. This  
provided the primary means by which I  
would conduct my narrative component of  
this study (Riessman, 2008).  
The three narratives compile the stories of a  
sample of fifteen patients given Prozac that  
coincide in age and gender ranges. Especially  
in symptoms of anxiety, depression, fear of  
dying and at the same time wanting to die as  
an escape from being infected and finally  
those who seem that nothing is wrong.  
Finally, the present trial was able to explore  
different perspectives that arise around  
Fluoxetine; demonstrating how the social  
impact is not completely independent of the  
scientist to validate its application. Initially, a  
scientific argument could be seen that  
explains the impact of 'Selective Serotonin  
Reception Inhibitors' for the use of this  
neurotransmitter in the synapse and its  
result: "happiness". In other words, starting  
from a molecular justification to treat mainly  
depression, obsessive compulsive disorder.  
3
. RESULTS  
Pathak, Jena,  
Qualitative  
&
Sanjay (2013:192)  
“
research focuses in  
understanding a research query as a  
humanistic or idealistic approach. It is the  
process of collecting, analyzing, and  
interpreting non-numerical data, such as  
language. Qualitative research can be used  
to understand how an individual subjectively  
perceives”. That investigation included both  
a qualitative part that was narrative in  
design as well as a philosophical part that  
4
. DISCUSSION  
There were relationship investigation  
between the methods were differences for  
example Amitai, Chen , & Bari (2018:2)  
“Although serotonin-specific reuptake  
inhibitors (SSRIs), and in particular  
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fluoxetine, have revolutionized the  
treatment of depressive and anxiety  
disorders, there is a sizable minority of  
patients who do not improve during the  
course of treatment”. In this exploratory  
study the measurement of personality in  
psychiatric settings may contribute to the  
understanding of treatment response and  
have clinical utility.  
philosophical part that was epistemological  
in conception. The narratives compile the  
stories of a sample of patients given Prozac  
that coincide in age and gender ranges.  
5. CONCLUSIONS  
This investigation was necessary to prevent  
serious outcomes, especially suicide. It is a  
strategy to prevent COVID-19 infection  
specially. Many people thought that had  
COVID 19. Patients who are presumptively  
depression for COVID-19 will be entered into  
the study and given the option to start the  
medication Prozac. The testimonies of  
patients who were treated with Prozac were  
used after developing a clinical picture of  
Molla, Sohel, & Shutter (2020:2) Prozac or  
“
Fluoxetine is FDA-approved for major  
depressive disorder (age eight and older),  
obsessive-compulsive disorder, panic  
disorder, bulimia, binge eating disorder,  
premenstrual dysphoric disorder, bipolar  
depression,  
and  
treatment-resistant  
stress, anxiety and depression as  
a
depression when used in combination with  
olanzapine. It also has several non-FDA  
approved indications”.  
consequence of the confinement of the  
pandemic.  
This project aims to reduce the serious  
outcomes of COVID-19 infection by  
preventing or inhibiting the cytokine storm  
associated with organ failure, respiratory  
failure and death. Participants will be  
monitored daily for COVID-19 symptoms and  
weekly for side effects and tolerance of  
Prozac (Mccullumsmith, 2020). That  
investigation included both a qualitative part  
that was narrative in design as well as a  
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