Display options
Share it on

Ther Adv Drug Saf. 2011 Oct;2(5):227-34. doi: 10.1177/2042098611419003.

Long-term consequences after exposure to antiepileptic drugs in utero.

Therapeutic advances in drug safety

Lisa Forsberg, Katarina Wide

Affiliations

  1. Astrid Lindgren Children's Hospital at Karolinska University Hospital Huddinge and Department of Clinical Science, Intervention and Technique (CLINTEC), Karolinska Institutet, Stockholm, Sweden.

PMID: 25083215 PMCID: PMC4110809 DOI: 10.1177/2042098611419003

Abstract

Most pregnant women with epilepsy need pharmacological treatment during pregnancy. Children exposed to antiepileptic drugs have an increased risk of being born with major malformations. Some antiepileptic drugs seem to have negative effects on psychomotor or cognitive development in children exposed during foetal life. Neither carbamazepine nor lamotrigine in monotherapy seem to affect the cognition of exposed children. Several studies have shown negative effects on the long-term neurodevelopment of children prenatally exposed to valproic acid or polytherapy (two or more antiepileptic drugs during pregnancy). For most of the newer antiepileptic drugs there are insufficient data regarding long-term outcome.

Keywords: anticonvulsants; child development; cognitive; epilepsy; intelligence; neurodevelopment; pregnancy

References

  1. Epilepsia. 2010 Oct;51(10):2058-65 - PubMed
  2. JAMA. 2011 May 18;305(19):1996-2002 - PubMed
  3. Epilepsia. 1997 Sep;38(9):981-90 - PubMed
  4. JAMA. 1994 Mar 9;271(10):767-70 - PubMed
  5. Acta Paediatr. 2004 Feb;93(2):174-6 - PubMed
  6. Dev Med Child Neurol. 2001 Mar;43(3):202-6 - PubMed
  7. Seizure. 2010 Nov;19(9):558-61 - PubMed
  8. J Neurol Neurosurg Psychiatry. 2004 Nov;75(11):1575-83 - PubMed
  9. Brain. 2011 Feb;134(Pt 2):396-404 - PubMed
  10. Neurology. 2009 Jul 14;73(2):126-32 - PubMed
  11. Am J Obstet Gynecol. 2002 Jul;187(1):171-7 - PubMed
  12. Neurology. 2008 Dec 2;71(23):1923-4 - PubMed
  13. BMJ. 2010 Dec 02;341:c6581 - PubMed
  14. Teratology. 2000 Mar;61(3):196-202 - PubMed
  15. JAMA. 1995 Nov 15;274(19):1518-25 - PubMed
  16. J Neurol Neurosurg Psychiatry. 2001 Jan;70(1):15-21 - PubMed
  17. Acta Paediatr. 2000 May;89(5):533-41 - PubMed
  18. Pharmacol Res. 1992 Oct-Nov;26(3):207-21 - PubMed
  19. Epilepsy Res. 2005 Jul;65(3):189-200 - PubMed
  20. Epilepsy Behav. 2011 Jun;21(2):147-52 - PubMed
  21. Neurotoxicol Teratol. 1992 Sep-Oct;14(5):329-35 - PubMed
  22. N Engl J Med. 2009 Apr 16;360(16):1597-605 - PubMed
  23. Epilepsy Behav. 2008 Jul;13(1):229-36 - PubMed
  24. Dev Med Child Neurol. 2000 Feb;42(2):87-92 - PubMed
  25. Dev Med Child Neurol. 2008 Feb;50(2):117-22 - PubMed
  26. Neurology. 2011 Jan 25;76(4):383-9 - PubMed
  27. Acta Paediatr. 1994 Sep;83(9):955-60 - PubMed
  28. Eur J Clin Pharmacol. 2010 Nov;66(11):1151-60 - PubMed
  29. Acta Paediatr. 2002;91(4):409-14 - PubMed
  30. Dev Med Child Neurol. 2005 Aug;47(8):551-5 - PubMed
  31. Epilepsia. 1998 Aug;39(8):887-92 - PubMed
  32. Epilepsia. 2009 May;50(5):1237-46 - PubMed
  33. Lancet Neurol. 2009 Jul;8(7):600-1 - PubMed
  34. J Pediatr. 1988 Oct;113(4):677-84 - PubMed
  35. Lancet. 1976 Mar 27;1(7961):692 - PubMed
  36. J Int Neuropsychol Soc. 2011 Jan;17(1):133-42 - PubMed
  37. Neurology. 2004 Jan 13;62(1):28-32 - PubMed
  38. Pediatrics. 2010 Nov;126(5):e1134-42 - PubMed
  39. N Engl J Med. 2010 Jun 10;362(23):2185-93 - PubMed
  40. Epilepsia. 2009 May;50(5):1247-55 - PubMed
  41. Perspect Sex Reprod Health. 2006 Jun;38(2):90-6 - PubMed
  42. Proc Natl Acad Sci U S A. 2002 Nov 12;99(23):15089-94 - PubMed
  43. J Pediatr. 2005 Jan;146(1):118-22 - PubMed
  44. Epilepsia. 2011 Feb;52(2):364-9 - PubMed
  45. Arch Dis Child Fetal Neonatal Ed. 2006 Mar;91(2):F90-5 - PubMed
  46. Clin Pharmacokinet. 2007;46(3):209-19 - PubMed
  47. BMJ. 2010 Dec 02;341:c6582 - PubMed
  48. Neurology. 2008 Sep 30;71(14):1109-17 - PubMed
  49. Acta Paediatr. 1994 Sep;83(9):961-6 - PubMed

Publication Types