ssri + varfarin

Hello to everyone! It is known from recent researche that ssri antidepressants increase bleeding tendency. Taking this fact in consideration how do you manage in your daily practice pacients who are concomitantly on ssri + clopidogrel or varfarin regiment ?  Do you think that we should lower the inr target in pacents who are taking varfarin and ssri ? 
Source: Doc2Doc BMJ Cardiology - Category: Cardiology Authors: Source Type: forums