Will giving aspirin apart from sertraline eliminate the minor interaction between the two drugs?
- Posted:
- 17 Aug 2010 by gehnle
- Topics:
- zoloft, aspirin, sertraline, interaction
Details:
I'm told there's a mild interaction between zoloft (sertraline) and aspirin. The interaction is that the anticoagulation effect of aspirin could be increased. If I took aspirin at bedtime and zoloft in the morning, would this interaction be nullified? The half-life of aspirin is short, while the half-life of zoloft is like 24+ hours.
17 Aug 2010
aspirin ↔ sertraline
Applies to: aspirin, Zoloft (sertraline)
MONITOR: Serotonin reuptake inhibitors (SRIs) may potentiate the risk of bleeding in patients treated with ulcerogenic agents and agents that affect hemostasis such as anticoagulants, platelet inhibitors, thrombin inhibitors, thrombolytic agents, or agents that commonly cause thrombocytopenia. The tricyclic antidepressant, clomipramine, is also a strong SRI and may interact similarly. Serotonin release by platelets plays an important role in hemostasis, thus SRIs may alter platelet function and induce bleeding. Published case reports have documented the occurrence of bleeding episodes in patients treated with psychotropic agents that interfere with serotonin reuptake. Additional epidemiological studies have confirmed the association between use of these agents and the occurrence of upper gastrointestinal bleeding, and concurrent use of NSAIDs or aspirin was found to potentiate the risk. Preliminary data also suggest that there may be a pharmacodynamic interaction between SSRIs and oral anticoagulants that can cause an increased bleeding diathesis. Concomitant administration of paroxetine and warfarin, specifically, has been associated with an increased frequency of bleeding without apparent changes in the disposition of either drug or changes in the prothrombin time. Bleeding has also been reported with fluoxetine and warfarin, while citalopram and sertraline have been reported to prolong the prothrombin time of patients taking warfarin by about 5% to 8%.
MANAGEMENT: Caution is advised if SRIs or clomipramine are used in combination with other drugs that affect hemostasis. Close clinical and laboratory observation for hematologic complications is recommended. Patients should be advised to promptly report any signs of bleeding to their physician, including pain, swelling, headache, dizziness, weakness, prolonged bleeding from cuts, increased menstrual flow, vaginal bleeding, nosebleeds, bleeding of gums from brushing, unusual bleeding or bruising, red or brown urine, or red or black stools.
Read more: http://www.drugs.com/interactions-check.php?drug_list=243-0,2057-1348#ixzz0wpjoJGYv
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It sounds like the info from Maso was from the PDR, which is useful reading. I have ulcer disease ( for over 25 years) and I have been taking Zoloft over 2 years now. I have not experienced any problems with bleeding. I think it depends on if you have ever had any bleeding problems and what was the causitive factor involved. My doctor is not concerned about any substantial risk by having me on the Zoloft due to my medical history. Just remember, every case is different and your doctor is trained in these areas. I wish you luck!
Sweetie Pie
Hi sweetie pie, you see this is a the result of waht can happen if you take aspirin mixed with zoloft. Not zoloft on it´s own.
Take care