Skip to content

    Announcements

    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!


    Yours in health,
    WebMD Message Boards Management

    Visit our Crisis Assistance Link for resources. For immediate help, get to the ER.

    *No Dr Outside Contact Please*
    Includes Expert Content
    Dr. G: Meds & Anemia?
    avatar
    pixe5 posted:
    Hi Dr. G,

    Can some psych meds cause anemia?

    Thanks,

    Pixie
    Reply
     
    avatar
    Joseph F Goldberg, MD responded:
    Dear Pixie,

    There are a handful of case reports with Depakote (valproate) causing low red blood cells (anemia) -- it has a particular appearance under a microscope, called "macrocytic" anemia (big cells). That's about it. More common causes of anemia are iron deficiency (microcytic, not macrocytic), alcoholism, nutritional deficiencies or malabsorption syndromes, liver failure, or endocrine problems. Oral contraceptives and some antibiotics can cause anemias. Usually when drugs cause anemias (typically, antibiotics) they are known as hemolytic anemias, meaning the blood cells hemolyze or break, and they have a normal size under a microscope (ie, neither macro- nor micro-cytic). There are many descriptors of anemia that a doctor is guided by to determine the likely cause, so, better than guessing would be to ask your doctor what type of anemia is present.

    - Dr. G.


    Featuring Experts

    Joseph F. Goldberg, MD, is a Clinical Professor of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY. He also maintains a private prac...More

    Helpful Tips

    NSAIDS and lithiumExpert
    Nonsteroidal anti-inflammatory drugs (eg, Motrin/ibuprofen, Advil, Naprosyn) raise lithium levels by about 20%. We often therefore say ... More
    Was this Helpful?
    74 of 98 found this helpful

    Related Drug Reviews

    • Drug Name User Reviews

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.