Literature DB >> 29044597

Short- and long-term complications of in utero exposure to lamotrigine.

Merav Cohen-Israel1, Itai Berger2, Einat Y Martonovich1,3, Gil Klinger1,4, Bracha Stahl3, Nehama Linder3,4.   

Abstract

AIMS: The present study evaluates the effect of antenatal lamotrigine exposure, on short- and long-term paediatric outcome.
METHODS: The study included the children of 83 epileptic women treated with lamotrigine during pregnancy, at a tertiary medical centre between 2004-2014. All newborns were monitored for vital signs, congenital malformations and Finnegan score. In addition, the parents completed a questionnaire regarding their child's development and health up to the age of 12 years.
RESULTS: No major malformations were found in the newborns. None of the newborns had significant withdrawal symptoms by Finnegan score. The children were followed-up to the age of 12 years (56.6% were 6-12 years at the time of evaluation). There were no significant findings in the incidence of neurodevelopmental disorders.
CONCLUSIONS: According to our experience, lamotrigine is generally safe for pregnancy use, associated with minimal short-term complications with no long-term effects on the outcome.
© 2017 The British Pharmacological Society.

Entities:  

Keywords:  in utero; lamotrigine; neonatal; neurodevelopmental; outcome; pregnancy

Mesh:

Substances:

Year:  2017        PMID: 29044597      PMCID: PMC5736833          DOI: 10.1111/bcp.13437

Source DB:  PubMed          Journal:  Br J Clin Pharmacol        ISSN: 0306-5251            Impact factor:   4.335


  26 in total

1.  Differential interactions of lamotrigine and related drugs with transmembrane segment IVS6 of voltage-gated sodium channels.

Authors:  G Liu; V Yarov-Yarovoy; M Nobbs; J J Clare; T Scheuer; W A Catterall
Journal:  Neuropharmacology       Date:  2003-03       Impact factor: 5.250

Review 2.  Teratogenic effects of antiepileptic drugs.

Authors:  Torbjörn Tomson; Dina Battino
Journal:  Lancet Neurol       Date:  2012-07-16       Impact factor: 44.182

3.  Intrauterine growth retardation in foetuses of women with epilepsy.

Authors:  Anette Huuse Farmen; Jacob Grundt; Torbjörn Tomson; Karl Otto Nakken; Jakob Nakling; Petter Mowinchel; Morten Lossius
Journal:  Seizure       Date:  2015-02-28       Impact factor: 3.184

4.  Finnegan neonatal abstinence scoring system: normal values for first 3 days and weeks 5-6 in non-addicted infants.

Authors:  Urs Zimmermann-Baer; Ursula Nötzli; Katharina Rentsch; Hans Ulrich Bucher
Journal:  Addiction       Date:  2010-03       Impact factor: 6.526

5.  Newer-generation antiepileptic drugs and the risk of major birth defects.

Authors:  Ditte Mølgaard-Nielsen; Anders Hviid
Journal:  JAMA       Date:  2011-05-18       Impact factor: 56.272

6.  IQ at 6 years after in utero exposure to antiepileptic drugs: a controlled cohort study.

Authors:  Gus A Baker; Rebecca L Bromley; Maria Briggs; Christopher P Cheyne; Morris J Cohen; Marta García-Fiñana; Alison Gummery; Rachel Kneen; David W Loring; George Mawer; Kimford J Meador; Rebekah Shallcross; Jill Clayton-Smith
Journal:  Neurology       Date:  2014-12-24       Impact factor: 9.910

7.  Women treated for epilepsy during pregnancy: outcomes from a nationwide population-based cohort study.

Authors:  Miia Artama; Jemina Braumann; Jani Raitanen; Jukka Uotila; Mika Gissler; Jouko Isojärvi; Anssi Auvinen
Journal:  Acta Obstet Gynecol Scand       Date:  2017-03-20       Impact factor: 3.636

8.  The prevalence of neurodevelopmental disorders in children prenatally exposed to antiepileptic drugs.

Authors:  Rebecca Louise Bromley; George E Mawer; Maria Briggs; Christopher Cheyne; Jill Clayton-Smith; Marta García-Fiñana; Rachel Kneen; Sam B Lucas; Rebekah Shallcross; Gus A Baker
Journal:  J Neurol Neurosurg Psychiatry       Date:  2013-01-31       Impact factor: 10.154

Review 9.  Neonatal abstinence syndrome: Pharmacologic strategies for the mother and infant.

Authors:  Walter K Kraft; Megan W Stover; Jonathan M Davis
Journal:  Semin Perinatol       Date:  2016-01-12       Impact factor: 3.300

Review 10.  Treatment for epilepsy in pregnancy: neurodevelopmental outcomes in the child.

Authors:  Rebecca Bromley; Jennifer Weston; Naghme Adab; Janette Greenhalgh; Anna Sanniti; Andrew J McKay; Catrin Tudur Smith; Anthony G Marson
Journal:  Cochrane Database Syst Rev       Date:  2014-10-30
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  4 in total

1.  Short- and long-term complications of in utero exposure to lamotrigine.

Authors:  Merav Cohen-Israel; Itai Berger; Einat Y Martonovich; Gil Klinger; Bracha Stahl; Nehama Linder
Journal:  Br J Clin Pharmacol       Date:  2017-10-22       Impact factor: 4.335

2.  Clinical challenges of glioma and pregnancy: a systematic review.

Authors:  A van Westrhenen; J T Senders; E Martin; A C DiRisio; M L D Broekman
Journal:  J Neurooncol       Date:  2018-04-06       Impact factor: 4.130

3.  Pharmacokinetic changes and therapeutic drug monitoring of lamotrigine during pregnancy.

Authors:  Ye Ding; Xiaoping Tan; Shuo Zhang; Yang Guo
Journal:  Brain Behav       Date:  2019-05-18       Impact factor: 2.708

4.  Epilepsy Benchmarks Area IV: Limit or Prevent Adverse Consequence of Seizures and Their Treatment Across the Life Span.

Authors:  Jana E Jones; Miya R Asato; Mesha-Gay Brown; Julia L Doss; Elizabeth A Felton; Jennifer A Kearney; Delia Talos; Penny A Dacks; Vicky Whittemore; Annapurna Poduri
Journal:  Epilepsy Curr       Date:  2020-01-23       Impact factor: 7.500

  4 in total

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