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Citalopram-induced bleeding due to severe thrombocytopenia
Frank Andersohn1, Christine Konzen, Elisabeth Bronder
1Institute for Social Medicine, Epidemiology, and Health Economics, Charité University Medical Center, 10098 Berlin, Germany. frank.andersohn@charite.de
Background:
In case reports and observational studies, serotonin reuptake-inhibitors (SSRIs) have been linked to an increased risk of bleeding, possibly due to platelet dysfunction as a consequence of serotonin-uptake blockade into platelets.
Objective:
The authors propose that bleeding as a result of SSRI use may also be caused by other mechanisms.
Method:
Here, the authors report on a 32-year-old woman with hemorrhages resulting from severe drug-induced immune thrombocytopenia after 4 weeks of citalopram therapy.
Results:
After withdrawal of citalopram and treatment with platelet concentrates and prednisolone, the patient recovered completely.
Conclusion:
As this case report shows, drug-induced immune thrombocytopenia may present another possible mechanism for bleeding in SSRI-treated patients.
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