Hematologic side effects of psychotropics

Psychiatrists are often unaware of the potential hematologic complications of the psychotropics they prescribe. Although this review is nor a hematolo gic text reference, relevant hematologic syndromes are described so that th e consultation-liaison psychiatrist will be familiar with the usual signs, symptoms, and treatments of these syndromes. This article reviews the hemat ologic side effects of the commonly prescribed psychotropics, including ant ipsychotics, antidepressants, benzodiazepines, lithium, mood stabilizers (i ncluding some of the anticonvulsants), and the acetylcholinesterase inhibit ors. Clinical signs and symptoms that should alert the physician to obtain a complete blood count are described.