Preview Mode Links will not work in preview mode

Psychopharmacology and Psychiatry Updates

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.