Ruta Nonacs

About Ruta Nonacs, MD PhD

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So far Ruta Nonacs, MD PhD has created 315 blog entries.

Taking a Closer Look at Motor Development in Children with Prenatal Exposure to Antidepressants

While we have data to support the use of antidepressants, including the selective serotonin reuptake inhibitors (SSRIs) and the serotonin norepinephrine reuptake inhibitors (SNRIs), during pregnancy, most studies have focused on risk of congenital [...]

By |2024-03-25T08:31:46-04:00January 19th, 2021|Antidepressants, Child Outcomes, Outcomes, Pregnancy & Medications|Comments Off on Taking a Closer Look at Motor Development in Children with Prenatal Exposure to Antidepressants

Postpartum Depression: Unipolar or Bipolar?

About 15% of women will experience postpartum depression after the birth of a child.  While most of those women will have unipolar depression, a certain number of women will have bipolar depression.  At this juncture, [...]

By |2024-04-14T16:06:43-04:00January 12th, 2021|Bipolar Disorder, Depressive Disorders, Diagnosis & Screening, Postpartum Depression, Postpartum Psychiatric Disorders, Prevalence & Risk Factors|Comments Off on Postpartum Depression: Unipolar or Bipolar?

Essential Reads: Screening for Perinatal Anxiety Disorders

Anxiety symptoms are common during pregnancy and the postpartum period.  According to a recent meta-analysis from Fawcett and colleagues, about one out of every five women has at least one type of anxiety disorder [...]

By |2024-04-14T16:16:16-04:00December 9th, 2020|Anxiety Disorders, Diagnosis & Screening, Essential Reads, Postpartum Psychiatric Disorders, Psychiatric Disorders During Pregnancy|Comments Off on Essential Reads: Screening for Perinatal Anxiety Disorders

Prenatal Valproic Acid (Depakote) Exposure Increases Risk for Neurodevelopmental Disorders

While we have considerable information regarding the teratogenic risk associated with prenatal exposure to various antiepileptic drugs (AEDs), we have considerably less information on the impact of exposure to AEDs on behavioral outcomes in [...]

By |2025-06-26T09:07:38-04:00November 11th, 2020|Anti-Epileptic Drugs, Neurodevelopmental Disorders, Outcomes, Pregnancy & Medications|Comments Off on Prenatal Valproic Acid (Depakote) Exposure Increases Risk for Neurodevelopmental Disorders

More Data on the Neuroactive Steroid Zuranolone for Postpartum Depression

While we have heard a lot about brexanolone, marketed by Sage Therapeutics as Zulresso, for the treatment of postpartum depression, an oral version of this novel antidepressant – SAGE 217 or zuranolone – has been [...]

By |2026-03-10T12:50:13-04:00September 14th, 2020|Medication, Postpartum Depression, Postpartum Psychiatric Disorders, Treatment|Comments Off on More Data on the Neuroactive Steroid Zuranolone for Postpartum Depression

Clinical Update 2020: Lamotrigine (Lamictal) and Pregnancy

Clinical Update 2020:  Lamotrigine (Lamictal) and Pregnancy Maintenance treatment with a mood stabilizer during pregnancy can significantly reduce the risk of relapse in women with bipolar disorder; however, many of the mood stabilizers commonly [...]

By |2025-06-26T09:06:58-04:00July 28th, 2020|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Clinical Update 2020: Lamotrigine (Lamictal) and Pregnancy

You Asked: Should Women Taking Lamotrigine (Lamictal) Use Higher Dose of Folic Acid When Planning for Pregnancy?

We have really enjoyed our weekly virtual rounds.  It’s been a great opportunity to meet other perinatal psychiatrists in the community, and discussions with new people always brings up interesting clinical questions.  Last week [...]

By |2025-06-26T09:06:59-04:00May 20th, 2020|Anti-Epileptic Drugs, Pregnancy & Medications, Treatment, You Asked|Comments Off on You Asked: Should Women Taking Lamotrigine (Lamictal) Use Higher Dose of Folic Acid When Planning for Pregnancy?

New Study Estimates the Astonishing Cost of Neglected Perinatal Mood and Anxiety Disorders in US Mothers

A recently published article in the American Journal of Public Health has attributed a substantial financial cost to untreated perinatal mood and anxiety disorders among mothers. The study, conducted by researchers with the think [...]

By |2025-12-11T09:48:31-04:00May 13th, 2020|Psychiatric Disorders During Pregnancy|Comments Off on New Study Estimates the Astonishing Cost of Neglected Perinatal Mood and Anxiety Disorders in US Mothers

Development of Zuranolone (SAGE 217) for PPD Will Move Forward

Zuranolone or SAGE-217 is similar to brexanolone (marketed as Zulresso), the medication which was FDA-approved for the treatment of  postpartum depression. Zuranolone is a neurosteroid, an analogue of allopregnanolone, which is a positive allosteric [...]

By |2026-03-10T12:50:14-04:00April 9th, 2020|Medication, Postpartum Depression, Postpartum Psychiatric Disorders, Treatment|Comments Off on Development of Zuranolone (SAGE 217) for PPD Will Move Forward
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