Use of psychotropic drugs during pregnancy and breast-feeding

E R Larsen, P Damkier, L H Pedersen, J Fenger-Gron, R L Mikkelsen, R E Nielsen, V J Linde, H E D Knudsen, L Skaarup, P Videbech

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

OBJECTIVE: To write clinical guidelines for the use of psychotropic drugs during pregnancy and breast-feeding for daily practice in psychiatry, obstetrics and paediatrics.

METHOD: As we wanted a guideline with a high degree of consensus among health professionals treating pregnant women with a psychiatric disease, we asked the Danish Psychiatric Society, the Danish Society of Obstetrics and Gynecology, the Danish Paediatric Society and the Danish Society of Clinical Pharmacology to appoint members for the working group. A comprehensive review of the literature was hereafter conducted.

RESULTS: Sertraline and citalopram are first-line treatment among selective serotonin reuptake inhibitor for depression. It is recommended to use lithium for bipolar disorders if an overall assessment finds an indication for mood-stabilizing treatment during pregnancy. Lamotrigine can be used. Valproate and carbamazepin are contraindicated. Olanzapine, risperidone, quetiapine and clozapine can be used for bipolar disorders and schizophrenia.

CONCLUSION: It is important that health professionals treating fertile women with a psychiatric disease discuss whether psychotropic drugs are needed during pregnancy and how it has to be administered.

OriginalsprogEngelsk
TidsskriftActa Psychiatrica Scandinavica
Vol/bind132
Udgave nummerSuppl. 445
Sider (fra-til)1-28
Antal sider28
ISSN0001-690X
DOI
StatusUdgivet - 2015

Fingeraftryk

Psychotropic Drugs
Obstetrics
Guidelines
Pediatrics
Sertraline
Citalopram
Risperidone
Clinical Pharmacology
Clozapine
Health
Serotonin Uptake Inhibitors
Valproic Acid
Gynecology
Lithium
Pregnant Women
Consensus
Depression

Citer dette

Larsen, E R ; Damkier, P ; Pedersen, L H ; Fenger-Gron, J ; Mikkelsen, R L ; Nielsen, R E ; Linde, V J ; Knudsen, H E D ; Skaarup, L ; Videbech, P. / Use of psychotropic drugs during pregnancy and breast-feeding. I: Acta Psychiatrica Scandinavica. 2015 ; Bind 132, Nr. Suppl. 445. s. 1-28.
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title = "Use of psychotropic drugs during pregnancy and breast-feeding",
abstract = "OBJECTIVE: To write clinical guidelines for the use of psychotropic drugs during pregnancy and breast-feeding for daily practice in psychiatry, obstetrics and paediatrics.METHOD: As we wanted a guideline with a high degree of consensus among health professionals treating pregnant women with a psychiatric disease, we asked the Danish Psychiatric Society, the Danish Society of Obstetrics and Gynecology, the Danish Paediatric Society and the Danish Society of Clinical Pharmacology to appoint members for the working group. A comprehensive review of the literature was hereafter conducted.RESULTS: Sertraline and citalopram are first-line treatment among selective serotonin reuptake inhibitor for depression. It is recommended to use lithium for bipolar disorders if an overall assessment finds an indication for mood-stabilizing treatment during pregnancy. Lamotrigine can be used. Valproate and carbamazepin are contraindicated. Olanzapine, risperidone, quetiapine and clozapine can be used for bipolar disorders and schizophrenia.CONCLUSION: It is important that health professionals treating fertile women with a psychiatric disease discuss whether psychotropic drugs are needed during pregnancy and how it has to be administered.",
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Larsen, ER, Damkier, P, Pedersen, LH, Fenger-Gron, J, Mikkelsen, RL, Nielsen, RE, Linde, VJ, Knudsen, HED, Skaarup, L & Videbech, P 2015, 'Use of psychotropic drugs during pregnancy and breast-feeding', Acta Psychiatrica Scandinavica, bind 132, nr. Suppl. 445, s. 1-28. https://doi.org/10.1111/acps.12479

Use of psychotropic drugs during pregnancy and breast-feeding. / Larsen, E R; Damkier, P; Pedersen, L H; Fenger-Gron, J; Mikkelsen, R L; Nielsen, R E; Linde, V J; Knudsen, H E D; Skaarup, L; Videbech, P.

I: Acta Psychiatrica Scandinavica, Bind 132, Nr. Suppl. 445, 2015, s. 1-28.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Use of psychotropic drugs during pregnancy and breast-feeding

AU - Larsen, E R

AU - Damkier, P

AU - Pedersen, L H

AU - Fenger-Gron, J

AU - Mikkelsen, R L

AU - Nielsen, R E

AU - Linde, V J

AU - Knudsen, H E D

AU - Skaarup, L

AU - Videbech, P

N1 - © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

PY - 2015

Y1 - 2015

N2 - OBJECTIVE: To write clinical guidelines for the use of psychotropic drugs during pregnancy and breast-feeding for daily practice in psychiatry, obstetrics and paediatrics.METHOD: As we wanted a guideline with a high degree of consensus among health professionals treating pregnant women with a psychiatric disease, we asked the Danish Psychiatric Society, the Danish Society of Obstetrics and Gynecology, the Danish Paediatric Society and the Danish Society of Clinical Pharmacology to appoint members for the working group. A comprehensive review of the literature was hereafter conducted.RESULTS: Sertraline and citalopram are first-line treatment among selective serotonin reuptake inhibitor for depression. It is recommended to use lithium for bipolar disorders if an overall assessment finds an indication for mood-stabilizing treatment during pregnancy. Lamotrigine can be used. Valproate and carbamazepin are contraindicated. Olanzapine, risperidone, quetiapine and clozapine can be used for bipolar disorders and schizophrenia.CONCLUSION: It is important that health professionals treating fertile women with a psychiatric disease discuss whether psychotropic drugs are needed during pregnancy and how it has to be administered.

AB - OBJECTIVE: To write clinical guidelines for the use of psychotropic drugs during pregnancy and breast-feeding for daily practice in psychiatry, obstetrics and paediatrics.METHOD: As we wanted a guideline with a high degree of consensus among health professionals treating pregnant women with a psychiatric disease, we asked the Danish Psychiatric Society, the Danish Society of Obstetrics and Gynecology, the Danish Paediatric Society and the Danish Society of Clinical Pharmacology to appoint members for the working group. A comprehensive review of the literature was hereafter conducted.RESULTS: Sertraline and citalopram are first-line treatment among selective serotonin reuptake inhibitor for depression. It is recommended to use lithium for bipolar disorders if an overall assessment finds an indication for mood-stabilizing treatment during pregnancy. Lamotrigine can be used. Valproate and carbamazepin are contraindicated. Olanzapine, risperidone, quetiapine and clozapine can be used for bipolar disorders and schizophrenia.CONCLUSION: It is important that health professionals treating fertile women with a psychiatric disease discuss whether psychotropic drugs are needed during pregnancy and how it has to be administered.

U2 - 10.1111/acps.12479

DO - 10.1111/acps.12479

M3 - Journal article

C2 - 26344706

VL - 132

SP - 1

EP - 28

JO - Acta Psychiatrica Scandinavica

JF - Acta Psychiatrica Scandinavica

SN - 0001-690X

IS - Suppl. 445

ER -