Mirtazapine in pregnancy and lactation: data from a case series.

Abstract:

:Depression is a common disorder in pregnancy and associated with adverse effects for both mother and neonate. Pharmacological treatment and prevention options include mirtazapine. In a series of 56 cases, we investigated neonatal outcome after intrauterine exposure to mirtazapine and exposure through lactation in the first days postpartum.No increase in any neonatal complication was observed. None of the infants exposed to mirtazapine in the first trimester were born with a major malformation. Of the 54 infants exposed to mirtazapine in the third trimester, 14 were diagnosed with poor neonatal adaptation syndrome (PNAS). This incidence (25.9%) is similar to the incidence of PNAS after intrauterine exposure to other antidepressants. The incidence of PNAS after exposure to mirtazapine was significantly diminished in children who were partially or fully breastfed (18.6% versus 54.5%, P = 0.024).

journal_name

J Clin Psychopharmacol

authors

Smit M,Wennink H,Heres M,Dolman KM,Honig A

doi

10.1097/JCP.0000000000000279

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

163-7

issue

2

eissn

0271-0749

issn

1533-712X

journal_volume

35

pub_type

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