Essential Reads: Lamotrigine (Lamictal) and Breastfeeding (2021)
Lamotrigine is detected in the breast milk and in the serum of the nursing infant; however, the risk of adverse events is very low.
Essential Reads: Oxcarbazepine (Trileptal) and Pregnancy
Given limited data on the reproductive safety of oxcarbazepine, we would recommend using alternate medications during pregnancy, when possible.Â
Essential Reads: Topiramate and Pregnancy (2021)
Multiple studies have associated first trimester exposure to topiramate with increased risk of oral clefts.
Prenatal Valproic Acid (Depakote) Exposure Increases Risk for Neurodevelopmental Disorders
While we have considerable information regarding the teratogenic risk associated with prenatal exposure to various antiepileptic drugs (AEDs), we have considerably less information on the impact of exposure to AEDs on behavioral outcomes in [...]
You Asked: Should Women Taking Lamotrigine (Lamictal) Use Higher Dose of Folic Acid When Planning for Pregnancy?
We have really enjoyed our weekly virtual rounds. It’s been a great opportunity to meet other perinatal psychiatrists in the community, and discussions with new people always brings up interesting clinical questions. Last week [...]
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. Â Topiramate (marketed as a Topamax), in addition to its use for the treatment of epilepsy, is now being prescribed to reproductive [...]