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PPHN and SSRIs: Yet Another Study - Thu, 26 Jan 2012
A few weeks after the FDA called into question the association between SSRI exposure and persistent pulmonary hypertension of the newborn or PPHN, BMJ published another article supporting an increased risk of PPHN among infants exposed to SSRIs in utero. This large study is similar to the studies published by Kallen and colleagues using the [...]
Depression in Women: Is There a Role for Vitamin D? - Tue, 24 Jan 2012
Sources of vitamin D include sunlight (ultraviolet B, or UVB, rays), dietary intake, and supplements. Sunlight is the main source of human vitamin D. Vitamin D refers to different forms of a steroid hormone. Vitamin D3 (also called 1, 25-dihydroxycholecalciferol or calcitriol) is produced by the body when ultraviolet light (in the form of UV [...]
SSRIs and PPHN: The FDA Revises Its Warning - Tue, 17 Jan 2012
In 2006, Chambers and colleagues published an article in the New England Journal of Medicine linking SSRI use during late pregnancy to an increased risk of persistent pulmonary hypertension in the newborn (PPHN). Based on these findings, the “Usage in Pregnancy” section on the labels for SRRI antidepressants was updated to include the following warning: “Infants exposed [...]
PTSD and Pregnancy - Tue, 20 Dec 2011
Understanding posttraumatic stress disorder (PTSD) during pregnancy is important given that PTSD is relatively common and persistent in nature. PTSD will occur in approximately 10% of women in their lifetime, with one-third of episodes lasting more than five years. Given the relatively high prevalence of PTSD in young women and the chronic nature of the [...]
Clinical Case: Would You Use Gabapentin (Neurontin) During Pregnancy? - Tue, 13 Dec 2011
Ms. P is a 32-year-old married woman who presented for consultation regarding the use of medication during pregnancy. She had been taking fluoxetine (Prozac) 20 mg for many years for the treatment of recurrent major depression and generalized anxiety. In addition, she was prescribed gabapentin (Neurontin) for sleep. During the consultation, we reviewed the risks [...]
Psychiatry and Mental Health News
Getting ready for DSM-5: Part 1 - 02-Feb-2012 11:4
Rajiv Tandon, MD
Ultra-rapid cycling in bipolar disorder, mood instability in attention-deficit/hyperactivity disorder, Dr. Goldberg responds - 02-Feb-2012 11:4
Psychiatric illness during pregnancy - 02-Feb-2012 11:4
Maria Muzik, MD, MSc; Susan Hamilton, MS
Mood instability in ADHD - 02-Feb-2012 11:3
Managing chronic pain: Consider psychotropics and other non-opioids - 02-Feb-2012 11:3
Kartik Ananth, MD; Steven Richeimer, MD; Melissa J. Durham, PharmD
Differentiating restless legs syndrome from psychotropic side effects - 02-Feb-2012 11:2
Samuel W. Baker, MD
Beyond psychiatry's reach: Fringe behaviors that defy treatment - 02-Feb-2012 11:2
Henry A. Nasrallah, MD
A paranoid, violent teenager - 02-Feb-2012 11:2
Gaurav A. Kulkarni, MD; Parikshit A. Deshmukh, MD; Michael T. Sorter, MD; Drew H. Barzman, MD
DECEMBER POLL RESULTS - 01-Feb-2012 01:1
This month's instant poll - 01-Feb-2012 01:1
