The safety of escitalopram during pregnancy and breastfeeding: a comprehensive review
Article first published online: 9 OCT 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Human Psychopharmacology: Clinical and Experimental
Volume 27, Issue 6, pages 534–539, November 2012
How to Cite
Bellantuono, C., Bozzi, F., Orsolini, L. and Catena-Dell'Osso, M. (2012), The safety of escitalopram during pregnancy and breastfeeding: a comprehensive review. Hum. Psychopharmacol. Clin. Exp., 27: 534–539. doi: 10.1002/hup.2265
- Issue published online: 6 NOV 2012
- Article first published online: 9 OCT 2012
- Manuscript Accepted: 12 SEP 2012
- Manuscript Received: 15 MAR 2012
- selective serotonin reuptake inhibitors (SSRIs);
- major malformations;
- perinatal complications
Escitalopram (ESC) is considered one of the most effective selective serotonin reuptake inhibitors for the treatment of major depression. However, little is known on its potential risk of inducing major malformations (MMs) and perinatal complications (PCs). Hence, aim of the present study is to provide a comprehensive review of the available literature on the safety profile of ESC during pregnancy and breastfeeding.
MEDLINE and PubMed databases were searched for English language articles by using the following keywords: escitalopram, selective serotonin reuptake inhibitors, major malformations, perinatal complications, pregnancy, and breastfeeding.
Although some cases of MMs have been reported after maternal exposure to ESC during early pregnancy, the rate of these adverse events is substantially in the range of those reported in unexposed women. On the contrary, exposure to ESC seems to be significantly associated with some PCs. No adverse effects have been reported in the few studies evaluating its safety during breastfeeding.
The available data seem to support the notion that ESC might be considered safe during pregnancy, in particular as far as MMs is concerned. However, similar to other selective serotonin reuptake inhibitors, it could be associated with an increased risk of PCs. Given the paucity of the studies published so far, no definitive conclusions can be drawn on its safety profile during breastfeeding. Copyright © 2012 John Wiley & Sons, Ltd.