Experts advise against epilepsy drug in pregnancy

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An expert committee from Europe's medicines watchdog recommended on Friday that a drug used to treat epilepsy and linked to malformations in children not be used in pregnancy.

The compound, valproate, is also used for migraine and bipolar disorder, and doctors already advised against prescribing the medicine for pregnant women in France.

France's medicines regulator, known by the acronym ANSM, asked the London-based European Medicines Agency (EMA) to conduct a risk review.

The EMA's Pharmacovigilance Risk Assessment Committee (PRAC) said in a statement Friday it was recommending that valproate not be used by pregnant women for any of the three medical conditions.

For women suffering from epilepsy, however, it may be impossible for some to stop after becoming pregnant, it said. These may have to continue treatment, though with "appropriate specialist care".

The experts also advised against prescribing the drug for women "from the time they become able to have children", unless using contraception.

An expert committee of Europe's medicines watchdog recommended that a drug used to treat epilepsy and linked to malformations in children not be used in pregnancy. /Photo via VCG

Valproate medicines are licensed under different names by different national drugs authorities.

The committee recommendations will now go to another body of the EMA, which deals with concerns over drugs that are not centrally authorized in the EU.

Last April, a preliminary study showed that valproate caused "severe malformations" in as many as 4,100 children in France since the drug was first marketed in the country in 1967.

Women who took the drug during pregnancy to treat epilepsy were four times more likely to give birth to babies with congenital malformations, said a report of the French National Agency for the Safety of Medicines (ANSM) and the national health insurance administration.

Birth defects included spina bifida – a condition in which the spinal cord does not form properly and can protrude through the skin – as well as defects of the heart and genital organs.

The risk of autism and developmental problems was also found to be higher.

In the meantime, women who have any concerns should consult their doctor. Women and girls who have been prescribed valproate should not stop taking their medicines without consulting their doctor as doing so could result in harm to themselves or to an unborn child.

Source(s): AFP