Selective serotonin reuptake inhibitors related bleeding risk: case report and review of literature

被引:0
|
作者
Boccatonda, Andrea [1 ]
D'Ardes, Damiano [2 ]
Guagnano, Maria Teresa [2 ]
Cipollone, Francesco [2 ]
Santilli, Francesca [2 ]
机构
[1] AUSL Bologna, Bentivoglio Hosp, Internal Med, Bentivoglio, BO, Italy
[2] Ctr Aging Sci & Translat Med CESI Met, Dept Med & Aging, Chieti, Italy
关键词
SSRI; bleeding; platelet; thrombocytopenia; ATRIAL-FIBRILLATION; ORAL ANTICOAGULANTS; PLATELET RESPONSE; ESCITALOPRAM; CITALOPRAM; WARFARIN; IMPACT; NSAIDS; SSRIS;
D O I
10.4081/ecj.2023.11349
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Gastrointestinal bleedings are relevant side effects in patients during anticoagulant therapy for atrial fibrillation. Direct oral anticoagulants (DOACs) are less correlated with major bleeding events than vitamin K antagonists (VKAs), but concerns are present about the relative risk of gastrointestinal bleeding. Here we report the case of a patient with atrial fibrillation and dementia on DOAC treatment who developed a SSRI-associated thrombocytopenia with subsequent life-threatening bleeding. Physicians should be aware of the possible correlation between SSRI-induced thrombocytopenia and concomitant use of anticoagulant and/or antiplatelet drugs, thus preventing life-threatening bleedings.
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页数:5
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