Pregnancy & Medications

Preliminary Data Raises Concerns About Modafinil Use in Pregnancy

Modafinil (brand name Provigil) is a wake-promoting agent which is used to treat sleepiness due to narcolepsy, shift work sleep disorder, or obstructive sleep apnea.  It is also used to in others settings, often [...]

By |2020-11-01T21:53:56-04:00January 31st, 2020|ADHD Medications, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Preliminary Data Raises Concerns About Modafinil Use in Pregnancy

Prenatal Exposure to Maternal Depression and SSRIs Affect Network Connectivity, But in Different Ways

While we have considerable data regarding the reproductive safety of antidepressants, including the selective serotonin reuptake inhibitors (SSRIs), most studies have focused on the prevalence of major malformations in children with prenatal exposure to [...]

By |2020-07-24T10:51:35-04:00January 14th, 2020|Depressive Disorders, Mood Stabilizers, Pregnancy & Medications, Psychiatric Disorders During Pregnancy|Comments Off on Prenatal Exposure to Maternal Depression and SSRIs Affect Network Connectivity, But in Different Ways

Interpreting New Data on the Use of Benzodiazepines During Pregnancy

Data regarding the reproductive safety of benzodiazepines has always been somewhat difficult to understand.  While earlier studies suggested an association between prenatal exposure to benzodiazepines and increased risk of cleft lip and palate, more recent [...]

By |2019-12-09T22:36:51-04:00December 10th, 2019|Anti-Anxiety Medications, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Interpreting New Data on the Use of Benzodiazepines During Pregnancy

Antidepressants and Gestational Diabetes: Maybe, but Not for Commonly Used SSRIs

A recent study looks at the risk for gestational diabetes in women taking antidepressants during pregnancy.  In this study from Quebec, women with gestational diabetes mellitus (GDM) diagnosed after the 20th week of pregnancy [...]

By |2020-08-13T16:06:30-04:00October 9th, 2019|Pregnancy & Medications|Comments Off on Antidepressants and Gestational Diabetes: Maybe, but Not for Commonly Used SSRIs

Lithium and Anticonvulsant Mood Stabilizers: No Higher Risk for Adverse Pregnancy Outcomes

For women with bipolar disorder, choosing whether to maintain or discontinue treatment with a mood stabilizer during pregnancy is challenging.  This is a process which requires careful and thoughtful consideration, weighing the risk of adverse [...]

By |2025-06-26T09:07:40-04:00August 5th, 2019|Pregnancy & Medications|Comments Off on Lithium and Anticonvulsant Mood Stabilizers: No Higher Risk for Adverse Pregnancy Outcomes

Antidepressants Reduce Risk of Depression During Pregnancy, Individualized Treatment Essential

For women with histories of major depression, choosing whether to maintain or to discontinue treatment with an antidepressant during pregnancy is often challenging.  This is a process which requires careful and thoughtful consideration, weighing the [...]

By |2019-07-21T17:49:42-04:00July 17th, 2019|Pregnancy & Medications|Comments Off on Antidepressants Reduce Risk of Depression During Pregnancy, Individualized Treatment Essential

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

Benzodiazepine During Early Pregnancy and Risk of Miscarriage

Many women who come to our clinic with questions regarding the use of medications during pregnancy suffer from some type of anxiety disorder.  Most of those women benefit from treatment with an SSRI or SNRI [...]

By |2019-06-10T23:35:58-04:00June 11th, 2019|Anti-Anxiety Medications, Pregnancy & Medications, Pregnancy Loss|Comments Off on Benzodiazepine During Early Pregnancy and Risk of Miscarriage

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?
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