Treating hearts and minds: adverse cardiovascular effects of psychiatric medications - PubMed
10 hours ago
- #Psychiatric medications
- #Drug safety
- #Cardiovascular risk
- Psychiatric medications contribute to cardiovascular risks in patients with severe mental illness, who have a 3.3 times higher CVD mortality.
- Short-term adverse effects include QTc prolongation and torsades de pointes, linked to SSRIs, TCAs, and antipsychotics.
- Long-term risks involve QT dispersion, Brugada phenotype, myocarditis, cardiomyopathy, and cardiometabolic derangements from various psychiatric drugs.
- Specific medications like ADHD drugs cause tachycardia, AChEIs lead to bradycardia, and SNRIs, MAOIs increase hypertension risk.
- Drug interactions, especially CYP450 inhibition, can worsen cardiovascular side effects, necessitating careful prescribing to reduce harm.