Pregnancy & Medications

Fluvoxamine and Pregnancy: Is There a Right Choice?

  Every day, we see women in our clinic who are deciding whether to continue a selective serotonin reuptake inhibitor (SSRI) for management of depression or anxiety during pregnancy. As a class, SSRI use during [...]

By |2018-09-10T12:34:17-04:00May 16th, 2018|Antidepressants, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Fluvoxamine and Pregnancy: Is There a Right Choice?

United Kingdom Limits the Use of Valproate in Reproductive Age Women

  Last year France banned the use of the antiepileptic during valproate in certain populations of reproductive age women.  Now the United Kingdom's Medicines and Healthcare products Regulatory Agency (MHRA) has banned the use of [...]

By |2018-09-10T12:34:17-04:00May 9th, 2018|Anti-Epileptic Drugs, Pregnancy & Medications|Comments Off on United Kingdom Limits the Use of Valproate in Reproductive Age Women

Fetal exposure to depression: How does ‘dose’ figure in?

The following post was first published in OB/GYN News. Please see our OB/GYN News archives here. Publish date: April 23, 2018 The last two decades have seen an ever-growing number of reports on risks of fetal exposure to [...]

By |2018-09-10T12:34:18-04:00May 7th, 2018|Depressive Disorders, ObGyn News, Pregnancy & Medications, Psychiatric Disorders During Pregnancy|Comments Off on Fetal exposure to depression: How does ‘dose’ figure in?

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

Prenatal SSRI Exposure, Untreated Maternal Depression and the Amygdala

We have, over the last twenty years, seen many studies assessing the risks associated with prenatal exposure to antidepressants.  For the serotonin reuptake inhibitors (SRIs), we have a fairly large body of data regarding the [...]

By |2018-09-10T12:34:22-04:00April 25th, 2018|Pregnancy & Medications|Comments Off on Prenatal SSRI Exposure, Untreated Maternal Depression and the Amygdala

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

Serotonin Reuptake Inhibitors and Postpartum Hemorrhage: Maybe There Are Other Factors Involved

  Serotonin reuptake inhibitor (SRI) antidepressants may affect platelet aggregation and thus may increase the risk of bleeding.  Over the last few years, we have seen several studies which have sought to determine if exposure [...]

By |2018-09-10T12:34:24-04:00April 10th, 2018|Pregnancy & Medications|Comments Off on Serotonin Reuptake Inhibitors and Postpartum Hemorrhage: Maybe There Are Other Factors Involved

Higher Doses of Topiramate (Topamax) During Pregnancy, Increased Risk of Oral Clefts

Topiramate (TPM, marketed as Topamax) is an antiepileptic drug which is also used for migraine prophylaxis, weight loss, and, less commonly, as a mood stabilizer.  Over the last few years we have seen several studies [...]

By |2018-01-09T11:32:37-04:00January 9th, 2018|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Higher Doses of Topiramate (Topamax) During Pregnancy, Increased Risk of Oral Clefts

Good News: More Data on the Use of ADHD Medications During Pregnancy

For women with mild to moderate attention-deficit/hyperactivity disorder (ADHD) symptoms, we often recommend discontinuing stimulant medications and switching to a non-pharmacologic intervention.  Many women experience some decrease in their level of functioning; however, they are [...]

By |2019-10-15T15:57:57-04:00December 22nd, 2017|ADHD Medications, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Good News: More Data on the Use of ADHD Medications During Pregnancy
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