Ruta Nonacs

About Ruta Nonacs, MD PhD

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So far Ruta Nonacs, MD PhD has created 311 blog entries.

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

Weekly Roundup for APRIL 27, 2018: Recent Publications in Women’s Mental Health

What’s worse? Exposure to antidepressant medication? Or exposure to untreated maternal depression?  In the first paper on the list, Mitchell and colleagues analyze data from 11 studies, finding that there were few differences between these [...]

By |2025-06-26T09:07:49-04:00April 28th, 2018|Weekly Roundup|Comments Off on Weekly Roundup for APRIL 27, 2018: Recent Publications in Women’s Mental Health

Prenatal Valproic Acid Exposure and Poor School Performance in Older Children

  There have long been concerns regarding the use of the anticonvulsant valproate (Depakote) during pregnancy.  First trimester use of valproate has been associated with a 3-5% risk of neural tube defects, as well as [...]

By |2025-06-26T09:07:50-04:00April 17th, 2018|Pregnancy & Medications|Comments Off on Prenatal Valproic Acid Exposure and Poor School Performance in Older Children

Are Mood and Anxiety Disorders More Common in Women with Polycystic Ovarian Syndrome?

Polycystic ovary syndrome (PCOS) is a common hormonal disorder, affecting about 10% of reproductive aged women. It is also the most common cause of infertility in younger women; however, many women are unaware they have [...]

By |2025-12-11T09:56:52-04:00March 7th, 2018|Anxiety Disorders, Bipolar Disorder, Depressive Disorders, Infertility and Mental Health, PCOS|Comments Off on Are Mood and Anxiety Disorders More Common in Women with Polycystic Ovarian Syndrome?

Weekly Roundup for February 23, 2018: Recent Publications in Women’s Mental Health

Lupattelli and colleagues, analyzing data from the prospective Norwegian Mother and Child Cohort Study, look at the impact of prenatal SSRI exposure on children’s behavior.  Another study documents the deleterious effects of valproic acid exposure [...]

By |2025-06-26T09:07:51-04:00February 24th, 2018|Weekly Roundup|Comments Off on Weekly Roundup for February 23, 2018: Recent Publications in Women’s Mental Health
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