Feb 6, 2019
Today’s question is: Do SSRIs increase the risk of bleeding?
Here is a summary of this episode:
- Prescribe SSRIs with caution in patients with a defect in
platelet number or function and those with H.pylori infection.
- Concomitant SSRI and NSAID use is only of concern in patients
taking daily and/or high doses.
- Avoid prescribing fluvoxamine with warfarin. There are no other
warnings regarding the use of SSRIs and anticoagulants.
- It is generally not recommended to stop an SSRI before delivery
and the absolute risk of postpartum bleeding is insignificant
except in patients with a bleeding diathesis.