International Journal of Molecular Sciences (Jan 2024)

COVID-19 and Antipsychotic Therapy: Unraveling the Thrombosis Risk

  • Eszter-Anna Dho-Nagy,
  • Attila Brassai,
  • Patrick Lechsner,
  • Corina Ureche,
  • Erika-Gyöngyi Bán

DOI
https://doi.org/10.3390/ijms25020818
Journal volume & issue
Vol. 25, no. 2
p. 818

Abstract

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In the context of the COVID-19 pandemic, this study investigates the potential correlation between the increased use of antipsychotic medications and the rising incidence of venous thromboembolism (VTE). As psychiatric disorders surged, the consequential escalation in antipsychotic drug use raised concerns about thrombotic risks. We conducted a comprehensive literature review using PubMed, focusing on articles that intersected COVID-19, antipsychotic medication, and thrombosis. This approach allowed for a nuanced examination of the historical and recent data on antipsychotic drugs and their association with thrombotic events. Our findings reveal a notable link between the use of antipsychotic medications, particularly second-generation antipsychotics, and an increased risk of VTE, including pulmonary embolism and deep vein thrombosis. This association was evident, despite variations in study designs and populations. The study underscores the need for cautious medication management in psychiatric care, especially during pandemic conditions like COVID-19, to mitigate thrombotic risks. It advocates a personalized approach to prescribing antipsychotics, considering individual patient factors and comorbidities, to balance the benefits against potential thrombotic complications.

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