Antiepilepsy drugs: Valproate linked to risk on cognitive function for unborn children


Interim results of a study being conducted by scientists at the University of Liverpool suggest that children aged three years and younger, who are born to women taking the anti-epileptic drug sodium Valproate whilst pregnant, are likely to have an IQ of six to nine points lower than average.

The research, in collaboration with Emory University in the US and the Central Manchester University Hospitals NHS Foundation Trust, tested more than 300 three-year-olds in the UK and US, whose mothers took one of four anti-epilepsy drugs ( AEDs ) whilst pregnant. The preliminary findings suggest that children exposed to the drug sodium Valproate had lower IQ results than children exposed to other antiepilepsy drugs, regardless of the mother’s IQ. The results also took dosage, duration of pregnancy and mother’s consumption of Folic acid whilst pregnant, into account.

Around 5,000 women with epilepsy become pregnant every year in the UK and the majority of these, including those on antiepilepsy drugs, will experience uncomplicated pregnancies and births. Previous research conducted by the team has already shown that children exposed to AEDs such as sodium Valproate in the womb are more likely to suffer birth defects characterised by heart malformations, dysmorphic features and minor limb deformities.

It is important to stress that sodium Valproate has a favourable safety profile for all adult patients who use it. It has a range of pharmaceutical uses including bipolar disorder, migraine, epilepsy, and in adults sodium Valproate is extremely effective.

The research, funded by the US National Institute of Health, is published in the New England Journal of Medicine.

Source: University of Liverpool, 2009

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