Steven Kazmierczak's Northern Illinois University shooting sparked another hard look at the linkage between stopping use of antidepressant drugs like Prozac and a rise in violent tendencies. The conclusion of medics is that the halt in the gunman's Prozac therapy had no direct link to his shooting spree.

But while the connection was not established, medical experts said the NIU incident stressed stopping antidepressant therapy without directions from doctors is risky.

Prozac, a branded anti-depressant medication, with the generic name fluoxetine hydrochloride, is the third most prescribed anti-depressant drug in the U.S. In 2006, over 23.1 million prescriptions for fluoxetine hydrochloride were made.

It has FDA approval for treatment of clinical depression, obsessive-compulsive disorder, bulimia, panic disorder and even premenstrual dysphoric disorder. At least one-fifth of its users who halt their use reported a variety of syndromes including abdominal pain, crying bouts, dizziness, irritability and a sharp sensation on the limbs akin to an electric shock.

Kazmierczak's ex-girlfriend Jessica Baty told CNN he stopped taking Prozac because it made him feel like a zombie. However, Baty did not disclose if her former boyfriend merely followed his doctor's advice or decided to stop on his own.

For some users, stopping anti-depressant medicine may cause the patient to feel worse for a brief period as their bodies adjust to the change. Prozac and other similar drugs work on the serotonin, a chemical messenger in the human brain, which delivers signals that affect the mood, appetite and sexuality of the patient.

While some experience the zombie-like feeling described by the NIU gunman, others have the opposite reaction wherein they are ushered into a state of extreme restlessness.

Low dosage of anti-depressants produce the least side effects. The U.S. FDA in 2004 mandated pharmaceutical firms to place a warning label on Prozac and similar drugs that it may provoke suicidal thoughts among young people.