diff --git a/langchain_postgres/vectorstores.py b/langchain_postgres/vectorstores.py
index a3743e4..a9873b3 100644
--- a/langchain_postgres/vectorstores.py
+++ b/langchain_postgres/vectorstores.py
@@ -6,6 +6,7 @@
 import logging
 import uuid
 import warnings
+import threading
 from typing import (
     Any,
     AsyncGenerator,
@@ -100,11 +101,14 @@ class DistanceStrategy(str, enum.Enum):
     .union(SPECIAL_CASED_OPERATORS)
 )
 
+_embedding_collection_store_lock = threading.Lock()
 
-def _get_embedding_collection_store(vector_dimension: Optional[int] = None) -> Any:
+def _get_embedding_collection_store(vector_dimension: Optional[int] = None, extend_existing: bool = False) -> Any:
     global _classes
-    if _classes is not None:
-        return _classes
+    
+    with _embedding_collection_store_lock:
+        if _classes is not None:
+            return _classes
 
     from pgvector.sqlalchemy import Vector  # type: ignore
 
@@ -113,6 +117,9 @@ class CollectionStore(Base):
 
         __tablename__ = "langchain_pg_collection"
 
+        if extend_existing:
+            __table_args__ = {'extend_existing': True}
+
         uuid = sqlalchemy.Column(
             UUID(as_uuid=True), primary_key=True, default=uuid.uuid4
         )
@@ -216,13 +223,15 @@ class EmbeddingStore(Base):
         cmetadata = sqlalchemy.Column(JSONB, nullable=True)
 
         __table_args__ = (
-            sqlalchemy.Index(
-                "ix_cmetadata_gin",
-                "cmetadata",
-                postgresql_using="gin",
-                postgresql_ops={"cmetadata": "jsonb_path_ops"},
-            ),
-        )
+                sqlalchemy.Index(
+                    "ix_cmetadata_gin",
+                    "cmetadata",
+                    postgresql_using="gin",
+                    postgresql_ops={"cmetadata": "jsonb_path_ops"},
+                ),
+            )
+        if extend_existing:
+            __table_args__ = __table_args__ + ({'extend_existing': True}, )
 
     _classes = (EmbeddingStore, CollectionStore)
 
@@ -387,6 +396,7 @@ def __init__(
         use_jsonb: bool = True,
         create_extension: bool = True,
         async_mode: bool = False,
+        extend_existing: bool = False,  
     ) -> None:
         """Initialize the PGVector store.
         For an async version, use `PGVector.acreate()` instead.
@@ -415,6 +425,9 @@ def __init__(
             create_extension: If True, will create the vector extension if it
                 doesn't exist. disabling creation is useful when using ReadOnly
                 Databases.
+            extend_existing: If True, will set extend_existing=True in table_args for
+                SQLAlchemy models. This helps prevent race conditions when multiple
+                threads try to create tables simultaneously. (default: False)
         """
         self.async_mode = async_mode
         self.embedding_function = embeddings
@@ -428,6 +441,7 @@ def __init__(
         self._engine: Optional[Engine] = None
         self._async_engine: Optional[AsyncEngine] = None
         self._async_init = False
+        self._extend_existing = extend_existing
 
         if isinstance(connection, str):
             if async_mode:
@@ -470,7 +484,8 @@ def __post_init__(
             self.create_vector_extension()
 
         EmbeddingStore, CollectionStore = _get_embedding_collection_store(
-            self._embedding_length
+            self._embedding_length,
+            extend_existing=self._extend_existing,
         )
         self.CollectionStore = CollectionStore
         self.EmbeddingStore = EmbeddingStore
@@ -486,7 +501,8 @@ async def __apost_init__(
         self._async_init = True
 
         EmbeddingStore, CollectionStore = _get_embedding_collection_store(
-            self._embedding_length
+            self._embedding_length,
+            extend_existing=self._extend_existing,
         )
         self.CollectionStore = CollectionStore
         self.EmbeddingStore = EmbeddingStore
@@ -514,10 +530,13 @@ async def acreate_vector_extension(self) -> None:
         async with self._async_engine.begin() as conn:
             await conn.run_sync(_create_vector_extension)
 
+    _create_tables_lock = threading.Lock()    
     def create_tables_if_not_exists(self) -> None:
-        with self._make_sync_session() as session:
-            Base.metadata.create_all(session.get_bind())
-            session.commit()
+        """Create tables if they don't exist in a thread-safe manner."""
+        with _create_tables_lock:
+            with self._make_sync_session() as session:
+                Base.metadata.create_all(session.get_bind())
+                session.commit()
 
     async def acreate_tables_if_not_exists(self) -> None:
         assert self._async_engine, "This method must be called with async_mode"