Schizophrenia

First-Trimester Exposure to Quetiapine May Not Raise Risk of Birth Defects

Exposure to the antipsychotic quetiapine during the first trimester of pregnancy does not seem to increase the risk of major birth defects in infants, suggest results from a small study published online in The American Journal of Psychiatry.

 

To gauge the risk of major physical malformations with quetiapine use during pregnancy, researchers compared babies born to 152 women who took the drug during the first trimester with babies born to 205 women with a history of psychiatric morbidity who did not use a second-generation antipsychotic during pregnancy.

 

Among the 155 infants exposed to quetiapine during the first trimester, researchers identified 2 birth defects (1.3%). Among the 210 infants unexposed to any antipsychotic during pregnancy, there were 3 birth defects identified (1.4%).

 

Cognition Benefits When Schizophrenia Patients Stop Smoking

 

“Given the considerable use of quetiapine among women of reproductive age across multiple indications, it is critical to have better information regarding the potential risks of fetal exposure to this medication so that women can make informed treatment decisions consistent with their personal wishes and the severity of their underlying psychiatric disorder,” a Psychiatric News Alert article quoted from the study.

 

“The study results suggest that quetiapine is not a major teratogen.”

 

—Jolynn Tumolo

 

References

 

Cohen LS, Góez-Mogollón L, Sosinsky AZ, et al. Risk of major malformations in infants following first-trimester exposure to quetiapine. The American Journal of Psychiatry. 2018 August 16;[Epub ahead of print].

 

Quetiapine use during first trimester does not increase risk of major birth defects, study suggests. Psychiatric News Alert. August 17, 2018.