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drug interaction(s) of NSAIDs with SSRIs
Drug interactions:
- risk of GI bleed, conflicting data
a) SSRI used concurrently with NSAIDs increases risk of GI-bleeding 12-fold [1]
b) combining an NSAID with an SSRI did not further elevate the risk of GI bleeding [2]
c) combination of NSAID with SSRI increases risk of upper GI bleed [3]
Properties
DRUGS: non-steroidal anti-inflammatory agent
serotonin reuptake inhibitor
References
- Prescriber's Letter 12(7): 2005
Selective Serotonin Reuptake Inhibitors (SSRIs) and
Antiplatelet Activity
Detail-Document#: 210715
(subscription needed) http://www.prescribersletter.com
- Targownik LE et al
Selective serotonin reuptake inhibitors are associated with
a modest increase in the risk of upper gastrointestinal
bleeding.
Am J Gastroenterol 2009 Jun; 104:1475.
PMID: 19491861
- Masclee GMC et al.
Risk of upper gastrointestinal bleeding from different drug
combinations.
Gastroenterology 2014 Oct; 147:784
PMID: 24937265
- Laine L.
NSAID-associated gastrointestinal bleeding: Assessing the
role of concomitant medications.
Gastroenterology 2014 Oct; 147:730.
PMID: 25167988