8.1 Pregnancy - Pregnancy Exposure Registry - There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to antiepileptic drugs (AEDs), such as gabapentin, during Find comprehensive medication information and prescription drugs in our trusted drug directory. Stay informed with the latest medical insights on our drug website. Visit us today for more details. Find comprehensive medication information and prescription drugs in our trusted drug directory. Stay informed with the latest medical insights on our drug website. Visit us today for more details. Gabapentin should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Use in lactation: Gabapentin is excreted into breast milk following oral administration. The combined evidence from this systematic review and animal studies raises concerns about the safety of using gabapentinoids during pregnancy. Careful evaluation of the benefit-risk balance for both mother and fetus/infant is essential when these medications cannot be avoided during pregnancy. Gabapentin (Neurontin®) is mainly used to treat epilepsy and nerve pain, and to prevent migraine. What are the benefits of taking gabapentin in pregnancy? Gabapentin prevents epileptic seizures, which can be dangerous to the woman and also lead to pregnancy complications. Neonatal withdrawal syndrome has been reported in newborns exposed in utero to gabapentin. Co-exposure to gabapentin and opioids during pregnancy may increase the risk of neonatal withdrawal syndrome. Studies in animals have shown reproductive toxicity (see Pharmacology: Toxicology: Preclinical safety data: Teratogenesis under Actions). It is not known if gabapentin can make it harder to get pregnant. Sexual dysfunction (including loss of desire to have sex and loss of ability to have an orgasm) has been reported among people who take gabapentin. Does taking gabapentin increase the chance of miscarriage? Find comprehensive medication information and prescription drugs in our trusted drug directory. Stay informed with the latest medical insights on our drug website. Visit us today for more details. Neonatal withdrawal syndrome has been reported in newborns exposed in utero to gabapentin. Coexposure to gabapentin and opioids during pregnancy may increase the risk of neonatal withdrawal syndrome. Studies in animals have shown reproductive toxicity (see Pharmacology: Toxicology: Preclinical Safety Data: Teratogenesis under Actions). No definite conclusion can be made as to whether gabapentin is associated with an increased risk of congenital malformations when taken during pregnancy, because of epilepsy itself and the presence of concomitant antiepileptic medicinal products during each reported pregnancy. Gabapentin is excreted in human milk. Find comprehensive medication information and prescription drugs in our trusted drug directory. Stay informed with the latest medical insights on our drug website. Visit us today for more details. Drug safety featured on MIMS Ireland. The leading drugs directory for General Practitioners and Healthcare Professionals for over 50 years. 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. 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. We have data on 223 pregnancy outcomes exposed to gabapentin and 223 unexposed pregnancies. The rates of major malformations were similar in both groups (p = 0.845). There was a higher rate of preterm births (p = 0.019) and low birth weight <2,500 g (p = 0.033) in the gabapentin group. MIMS products are highly valued and utilised widely across Australia by healthcare professionals in public and private acute care, primary care, aged care, community services – just to name a few. Find comprehensive medication information and prescription drugs in our trusted drug directory. Stay informed with the latest medical insights on our drug website. Visit us today for more details. Gabapentin should not be used during pregnancy unless the potential benefit to the mother clearly outweighs the potential risk to the foetus. With maternal doses up to 2.1 g/day, estimated doses for fully breastfed infants are 0.2 to 1.3 mg/kg/day (equivalent to 1.3 to 3.8% of the maternal weight-adjusted dose). An expert panel has deemed this drug is an acceptable choice for refractory restless leg syndrome during lactation.
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