Why do SSRIs cause stomach problems beloc

The side effects of antidepressants can cause problems at first, but then generally improve with time. While the initial clinical trials of SSRIs did not report any increased incidence of bleeding events compared to placebo, such rare side effects usually do not show up in the initial trials. It is believed that SSRIs increase bleeding by decreasing the ability of platelets to clot the blood. Only a minority of serotonin receptors live in the brain, and in fact platelets contain more than 90% of circulating serotonin. Antidepressants can also cause nausea and vomiting when treatment is stopped too suddenly. A side effects strategy can … Van Walraven and colleagues at Ontario's Ottawa Health Research Institute also conducted a study of SSRIs and "Even for those at high risk, this is not a black-and-white issue," van Walraven tells WebMD. "The choice of a medication for Differences between feeling depressed and feeling blue.Famous people who've struggled with persistent sadness.WebMD does not provide medical advice, diagnosis or treatment.

Furthermore, the higher the dose, the higher the bleeding risk. The best evidence would be a randomized double blind controlled trial specifically designed to detect SSRI-induced bleeding, but in the absence of such gold standard studies, researchers have had to resort to less robust research designs. For the typical healthy non-elderly patient, SSRI-induced bleeding is likely to be a non-issue, and may not even require that you mention it in your discussion of side effects as it occurs relatively infrequently.However, you should mention this risk in the following situations:In these patients, we recommend you say something like, “Although it seems to be a rare effect, your antidepressant may affect the way your blood naturally clots. With time, you should find that the benefits of treatment outweigh any problems from side effects.During the first few months of treatment, you'll usually see your doctor or a specialist nurse at least once every 2 to 4 weeks to see how well the medicine is working.For more information about your specific medicine, see the patient information leaflet that comes with it.Common side effects of selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs) can include:These side effects should improve within a few weeks, although some can occasionally persist.The side effects should ease after a couple of weeks as your body begins to get used to the medicine.Serotonin syndrome is an uncommon, but potentially serious, set of side effects linked to SSRIs and SNRIs.Serotonin syndrome occurs when the levels of a chemical called serotonin in your brain become too high.

The risk of abnormal bleeding is also increased when SSRIs are used in combination with the antiplatelet treatment clopidogrel (Plavix) and the anticoagulant warfarin (Coumadin). Serotonin promotes platelet aggregation and therefore blood clotting. Antidepressants and other drugs for anxiety have the potential to cause side effects in some people. It's usually triggered when you take an SSRI or SNRI in combination with another medicine (or substance) that also raises serotonin levels, such as another antidepressant or St John's Wort.If you experience these symptoms, you should stop taking the medicine and seek immediate advice from your GP or specialist. In addition to sexual problems such as post-SSRI sexual dysfunction (PSSD) and persistent genital arousal disorder (PGAD), a range of other urological problems linked to antidepressants are increasingly coming into view, and can sometimes be long-lasting after the drugs are stopped. In one study of 66 patients undergoing total hip replacement while taking SSRI medication, the mean blood loss was 95 ml which was a 17% increased amount compared to controls (vanHaelst LMM et al, Aside from upper GI bleeds and perioperative bleeding, there have been reports of other kinds of bleeding.

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