Document Detail


SSRIs & the risk of abnormal bleeding.
MedLine Citation:
PMID:  17477325     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Considerable research is needed to fully understand the interactions of SSRIs and hematological functioning. Adequate studies of platelet function in patients taking SSRIs are lacking. The risk of bleeding with SSRI treatment appears to be low, and the occurrence of bleeding is usually minor when it does occur. However, the risk does exist and must be considered in any patient taking SSRIs who develops abnormal bleeding or bruising not otherwise explained by an appropriate assessment to determine the etiology. Routine monitoring of patients taking SSRIs should probably include questions about bruising or bleeding, particularly in patients with blood dyscrasias and in older patients taking medications that affect platelet function. Caution should be exercised before starting patients with preexisting bleeding risks on SSRIs, including patients taking NSAIDs, aspirin, or other drugs that may impair coagulation.
Authors:
Roy R Reeves; P Melonee Wise; Sera K Cox
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of psychosocial nursing and mental health services     Volume:  45     ISSN:  0279-3695     ISO Abbreviation:  J Psychosoc Nurs Ment Health Serv     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-05-04     Completed Date:  2007-05-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200911     Medline TA:  J Psychosoc Nurs Ment Health Serv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15-21     Citation Subset:  IM; N    
Affiliation:
Montgomery VA Medical Center, Jackson, MS 39216, USA. roy.reeves@med.va.gov
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MeSH Terms
Descriptor/Qualifier:
Anti-Inflammatory Agents, Non-Steroidal / adverse effects
Aspirin / adverse effects
Case-Control Studies
Cohort Studies
Databases, Factual
Drug Monitoring
Drug Synergism
Evidence-Based Medicine
Fibrinolytic Agents / adverse effects
Hemorrhage / chemically induced*,  epidemiology,  prevention & control
Humans
Nursing Assessment
Population Surveillance
Research Design
Retrospective Studies
Risk Assessment
Risk Factors
Serotonin Uptake Inhibitors / adverse effects*
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents, Non-Steroidal; 0/Fibrinolytic Agents; 0/Serotonin Uptake Inhibitors; 50-78-2/Aspirin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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