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Antidepressants such as SSRIs increase the risk of bleeding.
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SUPPORTED
the evidence backs this
Recorded sources
10 sources for · 0 against
Is it true that antidepressants such as SSRIs increase the risk of bleeding?
Yes. Multiple peer-reviewed reviews and pharmacovigilance analyses report that SSRIs increase bleeding risk, with several concluding this is a class-wide concern; some studies cover only SSRI use combined with anticoagulants or NSAIDs.
Verdict: SUPPORTED · 10 sources for, 0 against · Last checked
Evidence for · 10
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SSRIs and Bleeding Risk: What Does the Evidence Say?. (2018). doi.org. https://doi.org/10.64239/pi-vl0504
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More for · 9
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Antidepressants and Risk of Upper Gastrointestinal Bleeding. (2006). doi.org. https://doi.org/10.1111/j.1742-7843.2006.pto_303.x
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Zarkowski, P. (2025). Do SSRIs Increase Major Bleeding Risk with Oral Anticoagulants?. doi.org. https://doi.org/10.64239/pi-qt7703
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Bleeding risk from antidepressants in patients with atrial fibrillation. (2020). doi.org. https://doi.org/10.1002/pu.30616
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Arts, M., Petrykiv, S., & Jonge, L. D. (2022). Review of gastrointestinal bleeding during use of SSRIs combined with use of NSAID. doi.org. https://doi.org/10.1192/j.eurpsy.2022.439
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Serotonin Reuptake Inhibitor Antidepressants and Abnormal Bleeding. (2010). doi.org. https://doi.org/10.4088/jcp.09r05786blu
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Chang, K., Chang, K., Chen, C., Chen, C., Wang, C., & Wang, C. (2022). Major Bleeding Risk in Patients With Non-valvular Atrial Fibrillation Concurrently Taking Direct Oral Anticoagulants and Antidepressants. doi.org. https://doi.org/10.3389/fnagi.2022.791285
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Y, R., Y, Z., Y, C., & H, L. (2026). Association between concomitant use of direct oral anticoagulants with antidepressants and an increased risk of hemorrhage: analysis of the food and drug administration adverse event reporting system database.. doi.org. https://doi.org/10.3389/fmed.2026.1765791
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Higueras, T. G., Cortés, F. C., Alonso, S. S. D. L. C., & Forés, S. V. (2021). Bleeding risk between newer direct-acting oral anticoagulants and selective serotonin reuptake inhibitors. Case report and literature review. doi.org. https://doi.org/10.1192/j.eurpsy.2021.1293
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ACY, C. (2026). Pharmacovigilance Analysis of Bleeding Events Associated With Selective Serotonin Reuptake Inhibitors (SSRIs) Using the US Food and Drug Administration Adverse Event Reporting System (FAERS).. doi.org. https://doi.org/10.7759/cureus.110163
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