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The researchers compared 1,321 people who had been treated for upper gastrointestinal tract bleeding with 10,000 people of the same age and sex distribution who had not experienced such bleeding. They found that the risk of gastrointestinal bleeding was significantly higher among people taking antidepressants in the popular selective serotonin reuptake inhibitors (SSRI) class, as well as those taking the serotonin-norepinephrine reuptake inhibitor (SNRI) venlafaxine (marketed as Effex). While only 3 percent of those who had never experienced gastrointestinal bleeding were taking SSRIs and only 0.3 percent were taking Effexor, these percentages went up to 5.3 percent and 1.1 percent, respectively, among those who had been treated for gastrointestinal bleeding. The risk of bleeding decreased among those who were taking acid-suppressing drugs. It increased among those who were taking other drugs known to damage the gastrointestinal tract, including nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen. The SSRIs include Prozac, Celexa, Paxil and Zoloft. It was not clear if any SNRIs other than Effex had been tested by the researchers, or if other drugs in that class might cause the same side effects. The researchers noted that because the risk of gastrointestinal bleeding is relatively low in the general population, at one case per 2,000 people, even the elevated risk caused by antidepressants is not necessarily a cause for alarm. But people who are already at risk for gastrointestinal bleeding should be wary if they go on antidepressants, they said. "People with other relevant risk factors for gastrointestinal bleeding should be considered for protecting their stomach with acid-suppressing agents," lead researcher Francisco de Abajo said. Sources for this story include: www.reuters.com. Related CounterThink Cartoons:
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