Gabapentin (Neurontin) is an antiepileptic drug that is now used to treat a wide variety of clinical settings — for the treatment of pain management, restless leg syndrome, anxiety, and sleep disturbance. So far, data regarding the use of gabapentin during pregnancy has been reassuring, and it does not appear that gabapentin Data from the Medicaid Analytic eXtract The largest study to date Gabapentin is an antiepileptic drug that may cause birth defects and harm the fetus or breastfed infant. Learn about the risks, benefits, and alternatives of using gabapentin during pregnancy and lactation. This sheet discusses gabapentin use during pregnancy and breastfeeding, offering guidance on potential risks and safety considerations. Learn about the reproductive safety of gabapentin, a medication used for various conditions, from a study and a review of the available data. The risk of major malformations is low, but there may be higher rates of preterm births and low birth weight. Despite the widespread use, only sparse information is available on the safety of gabapentin during pregnancy. We sought to evaluate the association between gabapentin exposure during pregnancy and risk of adverse neonatal and maternal outcomes. Gabapentin is an anti-seizure drug and some of these can affect folic acid levels. Women taking gabapentin while trying to conceive and during pregnancy should therefore be prescribed a high dose folic acid supplement (5mg/day). Due to mixed findings on its safety during pregnancy, gabapentin shouldn’t be taken during pregnancy without first discussing it with your doctor. Gabapentin (Neurontin) is an anti-seizure medication that’s also used for certain types of neuropathic pain. Data on gabapentin use in pregnancy are mixed—some studies suggest it can result in increases in birth defects and other pregnancy Abstract Gabapentin is a γ-aminobutyric acid analog formally indicated for the treatment of epilepsy and neuropathic pain that is gaining increased popularity. Gabapentin has been historically considered a safe medication, including during pregnancy and lactation, with low reported concerns for misuse and use disorders. Study question Is gabapentin use during pregnancy associated with an increased risk of congenital malformations and neonatal intensive care unit (NICU) admissions among newborns? What's already known Various studies reported a potential increased risk of malformations with gabapentin use during pregnancy, including cardiac defects. What this Ohman I, Tomson T. Gabapentin kinetics during delivery, in the neonatal period, and during lactation. Epilepsia 2009;50 (Suppl. 10):108. Abstract. Patorno E, et al. 2020. Gabapentin in pregnancy and the risk of adverse neonatal and maternal outcomes: A population-based cohort study nested in the US Medicaid Analytic eXtract dataset. In this large population-based study, we did not find evidence for an association between gabapentin exposure during early pregnancy and major malformations overall, although there was some evidence of a higher risk of cardiac malformations. Maternal use of gabapentin, particularly late in pregnancy Methods A systematic review was performed in PubMed and Reprotox using the search terms: “gabapentin”, “pregabalin”, “antiepileptic drugs” and terms associated with pregnancy. We included all studies in English that reported on the use and safety of gabapentin and pregabalin during pregnancy. Are there any risks of taking gabapentin during pregnancy? Gabapentin use in pregnancy is not very well-studied. While the available information does not strongly suggest that it causes problems for the baby, further research is required to prove that gabapentin is safe. As a precaution, gabapentin is only prescribed in pregnancy when the benefits (most commonly of controlling seizures in Learn about gabapentin use in pregnancy and breastfeeding, based on published literature and expert opinions. Find out the potential risks, benefits, and alternatives of this medication for seizures, nerve pain, and restless legs syndrome. Expert insights on gabapentin and pregnancy safety considerations. Learn about risks, benefits, and medical recommendations for managing this medication during pregnancy. A study from the European Gabapentin Registry included prospective and retrospective data with a total of 51 outcomes and 44 live births of women with epilepsy and other disorders exposed to gabapentin during pregnancy. In a cohort study of pregnant women included in the US Medicaid Analytic eXtract (MAX) dataset, Elisabetta Patorno and colleagues investigate neonatal and maternal outcomes associated with gabapentin exposure during pregnancy. Is gabapentin safe during pregnancy? Learn about the potential risks and benefits of taking gabapentin while pregnant, and what you should discuss with your doctor. Potential risks When taking gabapentin while pregnant, there are potential risks that should be considered. It is important to consult with your healthcare provider to fully understand the potential impact on both you and your baby. 1. Risk of birth defects Studies have shown a potential increased risk of certain birth defects in babies born to mothers who took gabapentin during pregnancy Does taking gabapentin in pregnancy increase the chance of other pregnancy-related problems? Pregnancy-related problems, such as preterm delivery (birth before week 37) or low birth weight (weighing less than 5 pounds, 8 ounces [2500 grams] at birth) have been reported in some studies looking at the use of gabapentin during pregnancy.
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