Tag Archives: pregnancy

New (But Still Not Enough) Data on Modafinil and Pregnancy

Modafinil (brand name Provigil) is a wake-promoting agent which is used to treat sleepiness due to narcolepsy, shift work sleep disorder, or obstructive sleep apnea.  It is also used in other settings, often in combination with other medications, to treat ADHD symptoms, depressive symptoms, and cognitive dysfunction.   In 2018, an interim report from a registry… Read More »

Pregnancy diet rich in protein

Pregnant women age 19 and over need diet, milligrams of calcium a day; pregnant teens, ages 14 to 18, need 1, milligrams daily, according to ACOG. Pregnancy date consumption during the third trimester may rich facilitate cervical dilation and reduce protein need to induce labor 58, So if you rich a question, just get in… Read More »

Lamotrigine (Lamictal) Dosing During Pregnancy

For many women with bipolar disorder, lamotrigine (Lamictal) is an effective mood stabilizer.  Given its favorable reproductive safety profile, lamotrigine is a reasonable option for women who require treatment with a mood stabilizer during pregnancy.   When advising women regarding the use of medications during pregnancy, we typically recommend that women remain on the dose of… Read More »

Use of Prescription Opioids During Pregnancy Is Relatively Common

According to the most recent Pregnancy Risk Assessment Monitoring System (PRAMS) survey conducted in 2019, 6.6% of the respondents reported prescription opioid use during pregnancy.  Use of prescription opioids was more common in certain groups. Prescription opioid use was the highest (10%) in women 19 years and under.  Among women who smoked cigarettes during pregnancy,… Read More »

What is the Risk for Relapse After Stopping Antidepressants During Pregnancy?

For women taking antidepressants, how do we decide whether or not they should maintain their medication during pregnancy? Based on our previous research and clinical experiences, we know that many women who discontinue antidepressant therapy will relapse during pregnancy.  Our decision is typically guided by the severity of the woman’s illness.  If she has had… Read More »