Pregnancy & Medications

Prenatal Exposure to Levetiracetam and Topiramate: No Evidence of Cognitive Deficits

Many of the newer antiepileptic drugs (AEDs) have uses beyond the treatment of epilepsy.  Topiramate (marketed as a Topamax), in addition to its use for the treatment of epilepsy, is now being prescribed to reproductive [...]

By |2016-10-03T11:24:32-04:00October 3rd, 2016|Pregnancy & Medications|Comments Off on Prenatal Exposure to Levetiracetam and Topiramate: No Evidence of Cognitive Deficits

Taking a Look at the New FDA Pregnancy Labeling and Lactation Rule

The U.S. Food and Drug Administration (FDA) has proposed major revisions to prescription drug labeling in order to provide more accurate and helpful information on the effects of medications used during pregnancy and breastfeeding. The [...]

By |2020-02-13T21:39:20-04:00September 12th, 2016|Breastfeeding & Medications, Pregnancy & Medications|Comments Off on Taking a Look at the New FDA Pregnancy Labeling and Lactation Rule

New Research from the CWMH: Prenatal Exposure to Atypical Antipsychotics Does Not Increase Risk of Malformations

The use of the newer “atypical” or second-generation antipsychotic agents continues to increase.  These medications are used to treat a spectrum of psychiatric disorders, including schizophrenia, bipolar disorder, major depression, PTSD and anxiety disorders.  Although [...]

By |2020-11-26T08:33:55-04:00August 23rd, 2016|Antipsychotic Medications, Outcomes, Pregnancy & Medications, Research at CWMH, Risk of Malformations|Comments Off on New Research from the CWMH: Prenatal Exposure to Atypical Antipsychotics Does Not Increase Risk of Malformations

Preliminary Study: Folic Acid Reduces Risk for Autism in Kids Prenatally Exposed to Antiepileptic Drugs

Several studies have observed that fetal exposure to the antiepileptic drug (AED), valproic acid (Depakote), may significantly increase the risk of having a child with an autism spectrum disorder.  In contrast, exposures to other AEDs, [...]

By |2025-06-26T09:07:59-04:00August 10th, 2016|Pregnancy & Medications|Comments Off on Preliminary Study: Folic Acid Reduces Risk for Autism in Kids Prenatally Exposed to Antiepileptic Drugs

You Asked: What Dose of Folic Acid for Pregnant Women Taking Lamotrigine (Lamictal)?

In our community of perinatal psychiatrists, we have recently seen many questions regarding the use of folic acid supplementation in women taking lamotrigine (Lamictal).  While all recognize that all women of childbearing age should receive [...]

By |2025-06-26T09:07:03-04:00July 28th, 2016|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on You Asked: What Dose of Folic Acid for Pregnant Women Taking Lamotrigine (Lamictal)?

Antidepressants and Postpartum Hemorrhage: No Risk with SSRIs, Small Risk with SNRIs

Serotonin reuptake inhibitor (SRI) antidepressants may affect platelet aggregation and thus may increase the risk of bleeding.  Several studies have sought to determine if exposure to SSRI antidepressants in late pregnancy is associated with an [...]

By |2016-07-18T10:53:53-04:00July 19th, 2016|Pregnancy & Medications|Comments Off on Antidepressants and Postpartum Hemorrhage: No Risk with SSRIs, Small Risk with SNRIs

More Data on SAGE-547, A Novel Treatment for Severe Postpartum Depression

About a year ago, we first reported on SAGE-547 (SAGE Therapeutics), a new medication for the treatment of severe postpartum depression.  SAGE-547  is a new drug, an allosteric modulator of GABAA receptors, which was initially [...]

By |2016-07-13T11:25:44-04:00July 12th, 2016|Depressive Disorders, Pregnancy & Medications|Comments Off on More Data on SAGE-547, A Novel Treatment for Severe Postpartum Depression

New Research from the CWMH: Evaluating the Risk of Major Malformations in Children Prenatally Exposed to Atypical Antipsychotics

Despite the increasing use of the newer “atypical” or second-generation antipsychotic agents to treat a spectrum of psychiatric disorders, including schizophrenia, bipolar disorder, major depression, PTSD and other anxiety disorders, we have relatively little data [...]

By |2016-07-12T15:30:24-04:00July 11th, 2016|Antipsychotic Medications, Outcomes, Pregnancy & Medications, Research at CWMH, Risk of Malformations|Comments Off on New Research from the CWMH: Evaluating the Risk of Major Malformations in Children Prenatally Exposed to Atypical Antipsychotics

Should We Just Say No? Valproic Acid and Women of Childbearing Age

  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 |2016-06-16T23:14:25-04:00June 16th, 2016|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Should We Just Say No? Valproic Acid and Women of Childbearing Age

Methylphenidate and Pregnancy: No Increase in Risk of Malformations

For women with mild to moderate attention-deficit/hyperactivity disorder (ADHD) symptoms, we typically recommend discontinuing medication and switching to a nonpharmacologic intervention.  Although these women might experience some decrease in their level of functioning, they are [...]

By |2016-06-06T07:36:20-04:00June 6th, 2016|ADHD Medications, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Methylphenidate and Pregnancy: No Increase in Risk of Malformations
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