Use of Phenytoin, Phenobarbital Carbamazepine, Levetiracetam Lamot-E Rigine and Valproate in Pregnancy and Breastfeeding: Risk of Major Malformations, Dose-Dependency, Monotherapy Vs Polytherapy, Pharmacokinetics and Clinical Implications

dc.contributor.author Kaplan Y.C.
dc.contributor.author Demir O.
dc.date.accessioned 2023-06-16T15:03:05Z
dc.date.available 2023-06-16T15:03:05Z
dc.date.issued 2021
dc.description.abstract It is challenging to balance the fetal risks associated with the use of antiepileptic drugs (AEDs) against maternal and fetal risks of seizure worsening, and therefore it is very important to define and distinguish the possible risks entailed by different AEDs. This paper aims to undertake a comprehensive review regarding the possible risks of four classical (phenytoin’ carbamazepine’ phenobarbital’ and valproate) and two newer (lamotrigine and levetiracetam) AEDs during pregnancy. The review focuses on major and organ-specific malformations’ dose-dependent risks’ mono vs polytherapy’ and clinical pharmacokinetics. A discussion regarding the safety of AED use during breastfeeding is also provided. © 2021 Bentham Science Publishers en_US
dc.identifier.doi 10.2174/1570159X19666210211150856
dc.identifier.issn 1570-159X
dc.identifier.scopus 2-s2.0-85119579157
dc.identifier.uri https://doi.org/10.2174/1570159X19666210211150856
dc.identifier.uri https://hdl.handle.net/20.500.14365/3723
dc.language.iso en en_US
dc.publisher Bentham Science Publishers en_US
dc.relation.ispartof Current Neuropharmacology en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.subject Antiepileptics en_US
dc.subject Breastfeeding en_US
dc.subject Carbamazepine en_US
dc.subject Lamotrigine en_US
dc.subject Levetiracetam en_US
dc.subject Major malformations en_US
dc.subject Phenobarbital en_US
dc.subject Phenytoin en_US
dc.subject Pregnancy en_US
dc.subject Valproate en_US
dc.subject carbamazepine en_US
dc.subject cytochrome P450 2B6 en_US
dc.subject cytochrome P450 2C9 en_US
dc.subject lamotrigine en_US
dc.subject levetiracetam en_US
dc.subject phenobarbital en_US
dc.subject phenytoin en_US
dc.subject valproic acid en_US
dc.subject anticonvulsive agent en_US
dc.subject carbamazepine en_US
dc.subject lamotrigine en_US
dc.subject levetiracetam en_US
dc.subject phenobarbital en_US
dc.subject phenytoin en_US
dc.subject valproic acid en_US
dc.subject body weight loss en_US
dc.subject breast feeding en_US
dc.subject cardiovascular malformation en_US
dc.subject cholestatic hepatitis en_US
dc.subject cleft lip en_US
dc.subject congenital malformation en_US
dc.subject drug safety en_US
dc.subject female en_US
dc.subject gestational age en_US
dc.subject human en_US
dc.subject hypospadias en_US
dc.subject leg inequality en_US
dc.subject liver injury en_US
dc.subject monotherapy en_US
dc.subject muscle hypotonia en_US
dc.subject neural tube en_US
dc.subject pregnancy en_US
dc.subject prevalence en_US
dc.subject Review en_US
dc.subject seizure en_US
dc.subject spinal dysraphism en_US
dc.subject breast feeding en_US
dc.subject epilepsy en_US
dc.subject pregnancy en_US
dc.subject pregnancy complication en_US
dc.subject Anticonvulsants en_US
dc.subject Breast Feeding en_US
dc.subject Carbamazepine en_US
dc.subject Epilepsy en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Lamotrigine en_US
dc.subject Levetiracetam en_US
dc.subject Phenobarbital en_US
dc.subject Phenytoin en_US
dc.subject Pregnancy en_US
dc.subject Pregnancy Complications en_US
dc.subject Valproic Acid en_US
dc.title Use of Phenytoin, Phenobarbital Carbamazepine, Levetiracetam Lamot-E Rigine and Valproate in Pregnancy and Breastfeeding: Risk of Major Malformations, Dose-Dependency, Monotherapy Vs Polytherapy, Pharmacokinetics and Clinical Implications en_US
dc.type Review en_US
dspace.entity.type Publication
gdc.author.scopusid 56541140000
gdc.bip.impulseclass C4
gdc.bip.influenceclass C5
gdc.bip.popularityclass C4
gdc.coar.access open access
gdc.coar.type text::review
gdc.collaboration.industrial false
gdc.description.departmenttemp Kaplan, Y.C., Terafar - Izmir Katip Celebi University Teratology Information, Training and Research Center, Izmir, Turkey, Izmir Katip Celebi University School of Medicine, Department of Pharmacology Izmir, Turkey, Izmir University of Economics Faculty of Medicine, Izmir, Turkey; Demir, O., University of Health Sciences, Izmir Tepecik Training and Research Hospital, Teratology Information Center, Izmir, Turkey en_US
gdc.description.endpage 1824 en_US
gdc.description.issue 11 en_US
gdc.description.publicationcategory Diğer en_US
gdc.description.scopusquality Q1
gdc.description.startpage 1805 en_US
gdc.description.volume 19 en_US
gdc.description.wosquality Q1
gdc.identifier.openalex W3127080526
gdc.identifier.pmid 33573557
gdc.index.type Scopus
gdc.index.type PubMed
gdc.oaire.diamondjournal false
gdc.oaire.impulse 19.0
gdc.oaire.influence 3.1327752E-9
gdc.oaire.isgreen true
gdc.oaire.keywords Epilepsy
gdc.oaire.keywords Levetiracetam
gdc.oaire.keywords Valproic Acid
gdc.oaire.keywords Lamotrigine
gdc.oaire.keywords Article
gdc.oaire.keywords Pregnancy Complications
gdc.oaire.keywords Breast Feeding
gdc.oaire.keywords Carbamazepine
gdc.oaire.keywords Pregnancy
gdc.oaire.keywords Phenobarbital
gdc.oaire.keywords Phenytoin
gdc.oaire.keywords Humans
gdc.oaire.keywords Anticonvulsants
gdc.oaire.keywords Female
gdc.oaire.popularity 1.512312E-8
gdc.oaire.publicfunded false
gdc.oaire.sciencefields 0301 basic medicine
gdc.oaire.sciencefields 03 medical and health sciences
gdc.oaire.sciencefields 0302 clinical medicine
gdc.openalex.collaboration National
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gdc.openalex.normalizedpercentile 0.99
gdc.openalex.toppercent TOP 1%
gdc.opencitations.count 24
gdc.plumx.crossrefcites 2
gdc.plumx.mendeley 87
gdc.plumx.pubmedcites 12
gdc.plumx.scopuscites 33
gdc.scopus.citedcount 33
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relation.isOrgUnitOfPublication.latestForDiscovery e9e77e3e-bc94-40a7-9b24-b807b2cd0319

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