Just in case your doctor did not get the memo that SSRIs originally thought to help rehab do not really help. Good thing I was only on these for a couple of months because I fell a lot on my left hip in order to strengthen it and prevent breaking my hip when I really get old. Don't listen to me, I'm not medically trained.
A while ago SSRIs were considered helpful in recovery.
Common antidepressant can help stroke patients improve movement and coordination Sept. 2015
Antidepressants may help people recover from stroke even if they are not depressed Jan. 2013
Have your doctor explain why this discrepancy occurred between the upper two and this lower one.
Then further research disproved that.
Is there a suitable drug for stroke recovery?
The latest here:
Risk of Fractures in Stroke Patients Treated With a Selective Serotonin Reuptake Inhibitor
Abstract
Background and Purpose:
Stroke survivors have an increased risk of depression and bone fractures. Selective serotonin reuptake inhibitors (SSRIs) have been associated with an increased risk of fractures in observational studies. Several randomized controlled trials (RCTs) reporting the effect of SSRIs on the risk of fractures in stroke survivors have been published recently but have not been subject to a meta-analysis. We aimed to determine the risk of fractures associated with the use of SSRIs, and the risk of falls, seizures, and recurrent strokes as possible mediators of fractures, in stroke survivors.
Methods:
We conducted a systematic review and meta-analysis of RCTs of SSRIs in stroke survivors according to a protocol registered in PROSPERO (CRD42020192632). Web of Science, EMBASE, PsycINFO, and Ovid Medline/PubMed bibliographic databases, clinical trial registers, and grey literature sources were searched. RCTs of SSRIs versus placebo or no intervention that report the risk of fractures in adult survivors of hemorrhagic or ischemic stroke were included. Two reviewers independently screened search results and extracted data. Meta-analyses were conducted for each outcome using the Mantel-Haenszel random-effects models.
Results:
The searches yielded 683 records, of which 4 RCTs of 6 months duration with a total of 6549 participants were included in the meta-analysis: 3 studies of fluoxetine and 1 study of citalopram. Treatment with an SSRI for 6 months increased the risk of fractures with a risk ratio of 2.36 (95% CI, 1.64–3.39) compared with placebo. The risk of falls, seizures, and recurrent stroke was not statistically significantly increased. Only studies of fluoxetine and citalopram were available for inclusion in the review, and hence the generalizability of the findings to other SSRIs is uncertain.
Conclusions:
Based on available RCTs of fluoxetine and citalopram, SSRIs used for 6 months doubled the risk of fractures in stroke survivors.(So unless your doctors and therapists have a perfect fall prevention protocol you probably don't want this.)
Registration:
URL: https://www.crd.york.ac.uk/prospero/; Unique identifier: CRD42020192632.
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