• oral clefts

    Prescription Opioids During Pregnancy and Risk for Major Malformations

    Previous studies have suggested a link between opioid exposure during pregnancy and increased risk of certain major malformations, including neural tube defects.  A recent study from Bateman and colleagues assesses the risk of major malformation [...]

    Clinical Update: Use of Topiramate (Topamax) During Pregnancy

    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 suggesting an increased risk of oral clefts in infants exposed to topiramate during the first trimester of pregnancy.  You can read more about those studies here:

    More on Topiramate (Topamax) and Risk of Oral Clefts

    Earlier this year we reported on a possible association between first trimester exposure to topiramate (Topamax) and increased risk of cleft lip and palate.  In a recent study published by the American Journal of Obstetrics and Gynecology, researches drew upon data from two birth defect databases to further delineate the risks associated with topiramate exposure.

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