Ruta Nonacs

About Ruta Nonacs, MD PhD

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

Perinatal Anxiety: Common But Not Frequently Recognized or Treated

According to a recent meta-analysis published in the Journal of Clinical Psychiatry, one in five pregnant women experience at least one type of anxiety disorder. While this may be surprising to some, anybody who works [...]

By |2025-12-11T09:58:56-04:00July 30th, 2019|Anxiety Disorders, Psychiatric Disorders During Pregnancy|Comments Off on Perinatal Anxiety: Common But Not Frequently Recognized or Treated

Behavior Problems More Common In Children with Prenatal Exposure to Valproic Acid

While we have considerable information regarding the teratogenic risk associated with prenatal exposure to various antiepileptic (AED) drugs, we have less impact on exposure to AEDs on behavior outcomes in children.  Several studies have shown [...]

By |2025-06-26T09:07:41-04:00July 15th, 2019|Anti-Epileptic Drugs, Neurodevelopmental Disorders, Outcomes, Pregnancy & Medications|Comments Off on Behavior Problems More Common In Children with Prenatal Exposure to Valproic Acid

Perinatal Anxiety Disorders: What is the Best Screening Tool?

There is a growing body of literature which indicates that anxiety symptoms are common during pregnancy and the postpartum period.  Anxiety during pregnancy places the woman at greater risk for postpartum depression and may also [...]

By |2025-12-11T09:48:21-04:00April 24th, 2019|Anxiety Disorders, Diagnosis & Screening, Psychiatric Disorders During Pregnancy|Comments Off on Perinatal Anxiety Disorders: What is the Best Screening Tool?

Clinical Update (2019): Is Oxcarbazepine (Trileptal) Safe to Use During Pregnancy?

We don’t hear this clinical question so often but it does come up from time to time.  While the anticonvulsant oxcarbazepine (Trileptal) was initially promoted as a mood stabilizer for patients with bipolar disorder, it [...]

By |2025-06-26T09:07:42-04:00April 22nd, 2019|Pregnancy & Medications|Comments Off on Clinical Update (2019): Is Oxcarbazepine (Trileptal) Safe to Use During Pregnancy?

Anti-Epileptic Drugs in Reproductive Age Women: Valproic Acid and Topiramate Commonly Used

There have long been concerns regarding the safety of the anticonvulsant valproic acid (Depakote) during pregnancy.  Back in 2009, the American Academy of Neurology and American Epilepsy Society recommended against the use of valproic acid [...]

By |2025-06-26T09:07:43-04:00April 9th, 2019|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Anti-Epileptic Drugs in Reproductive Age Women: Valproic Acid and Topiramate Commonly Used

Prenatal Exposure to Valproic Acid: ADHD and Other Deficits in Cognitive Functioning

Previous studies have shown that children exposed to antiepileptic drugs (AEDs) during pregnancy may be at increased risk for neurodevelopmental disorders.  In a recent population-based cohort study from Denmark, researchers examined the prevalence of [...]

By |2025-06-26T09:07:45-04:00January 11th, 2019|Anti-Epileptic Drugs, Neurodevelopmental Disorders, Pregnancy & Medications|Comments Off on Prenatal Exposure to Valproic Acid: ADHD and Other Deficits in Cognitive Functioning

Using the EPDS During Pregnancy: What Exactly are We Screening For?

The American College of Obstetrics and Gynecology now recommends that women be screened for depression during pregnancy in addition to screening during the postpartum period.  Because depressive symptoms during pregnancy have been associated with worse [...]

By |2025-12-11T09:56:50-04:00October 3rd, 2018|Depressive Disorders, Diagnosis & Screening, Psychiatric Disorders During Pregnancy|Comments Off on Using the EPDS During Pregnancy: What Exactly are We Screening For?

Antiepileptic Drugs and Pregnancy: The Good,The Bad, and The Ugly

EURAP is an international registry for antiepileptic drugs and pregnancy.  At its inception in 1999, it included only European countries but EURAP has grown and now includes 42 countries from Europe, Australia, Asia, South America. [...]

By |2025-06-26T09:07:47-04:00May 1st, 2018|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Antiepileptic Drugs and Pregnancy: The Good,The Bad, and The Ugly
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