Title |
Teratogenicity of the newer antiepileptic drugs – the Australian experience
|
---|---|
Published in |
Journal of Clinical Neuroscience, November 2011
|
DOI | 10.1016/j.jocn.2011.08.003 |
Pubmed ID | |
Authors |
F.J.E. Vajda, J. Graham, A. Roten, C.M. Lander, T.J. O’Brien, M. Eadie |
Abstract |
Data on the use in pregnancy of the new antiepileptic drugs (AED) are limited. We analysed data collected by the Australian Pregnancy Register to provide information on their relative teratogenicity. The database containing pregnancy outcomes from 1317 women with epilepsy (WWE) was examined for three widely used new AED in monotherapy in the first trimester--lamotrigine, levetiracetam and topiramate. This was compared with outcomes of pregnant WWE on monotherapy with three traditional AED, and with untreated women. The incidence of malformations associated with lamotrigine monotherapy was 12/231 (5.2%), with topiramate 1/31 (3.2%) and with levetiracetam 0/22 (0%). This compares with rates of 1/35 (2.9%) for phenytoin, 35/215 (16.3%) for valproate (VPA), 19/301 (6.3%) for carbamazepine and 6/116 (5.2%) for untreated women. There was no evidence of dose-dependent risks of foetal malformation, except with VPA monotherapy. We conclude that the new AED appear no more teratogenic than traditional drugs in monotherapy. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Australia | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 3% |
Japan | 1 | 2% |
Unknown | 61 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 13 | 20% |
Student > Master | 9 | 14% |
Other | 6 | 9% |
Student > Ph. D. Student | 6 | 9% |
Student > Bachelor | 5 | 8% |
Other | 18 | 28% |
Unknown | 7 | 11% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 35 | 55% |
Neuroscience | 6 | 9% |
Agricultural and Biological Sciences | 4 | 6% |
Psychology | 3 | 5% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 5% |
Other | 4 | 6% |
Unknown | 9 | 14% |