1. Antidepressant use and the risk of seizure: a meta-analysis of observational studies.
- Author
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Yang W, Jia YH, Jiang HY, and Li AJ
- Subjects
- Humans, Selective Serotonin Reuptake Inhibitors adverse effects, Antidepressive Agents, Tricyclic adverse effects, Serotonin and Noradrenaline Reuptake Inhibitors adverse effects, Risk Factors, Seizures chemically induced, Seizures drug therapy, Antidepressive Agents adverse effects, Observational Studies as Topic
- Abstract
Purpose: The association between antidepressant use and the risk of seizures remains controversial. Therefore, this meta-analysis examined whether antidepressant use affects the risk of seizures., Methods: To identify relevant observational studies, we conducted systematic searches in PubMed and Embase of studies published through May 2023. Random-effects models were used to estimate overall relative risk., Results: Our meta-analysis included eight studies involving 1,709,878 individuals. Our results showed that selective serotonin reuptake inhibitors (SSRI) (odds ratio [OR] 1.48, 95% confidence interval [CI] 1.32-1.66; P < 0.001) and selective noradrenalin reuptake inhibitors (SNRI) (OR 1.65, 95% CI 1.24-2.19; P = 0.001), but not tricyclic antidepressants (TCA) (OR 1.27, 95% CI 0.84-1.92; P = 0.249), were associated with an increased risk of seizures. Subgroup analyses revealed an OR of 2.35 (95% CI 1.7, 3.24; P < 0.001) among short-term (< 30 days) antidepressant users., Conclusions: The findings of this meta-analysis support an increased risk of seizures in new-generation antidepressant users, expanding previous knowledge by demonstrating a more pronounced risk in short-term users., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Published
- 2024
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