US FDA pregnancy category: Not assigned Risk Summary: There are no data on the developmental risks associated with use of this drug in pregnant women; in animal studies, developmental toxicity was observed at doses estimated to be similar or lower than those used clinically. Gabapentin is eliminated from the systemic circulation by renal excretion as unchanged drug. Gabapentin is not appreciably metabolized in humans. Gabapentin elimination half-life is 5 to 7 hours and is unaltered by dose or following multiple dosing. The objective of this study was to assess the safety of gabapentin (Neurontin) exposure in human pregnancy. Prospective and retrospective data concerning 51 fetuses, including 3 twin gestations, were collected from 39 women with epilepsy and other disorders exposed to gabapentin during pregnancy. Gabapentin use during pregnancy is determined on a case-by-case basis. Animal studies have shown that gabapentin intake during pregnancy increases the risk of embryo fetal toxicity, specifically on mice. Pregnancy: GRALISE should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. (8.1) Nursing Mothers: GRALISE should be used in women who are gabapentin dose may be required in patients who have age related compromised renal function. (See PRECAUTIONS, Geriatric Use, and DOSAGE AND ADMINISTRATION.) Pediatric: นิยามศัพท์. Pregnancy Category. A: จากการศึกษาไม่พบความเสี่ยงต่อทารกในครรภ์ทั้งในไตรมาส 1และ 3 ยาที่จัดอยู่ในระดับนี้แทบไม่มีอันตรายต่อทารกในครรภ์ The U.S. Food and Drug Administration classifies gabapentin (Neurontin) as a Pregnancy Category C medication, which means that animal studies conducted on this medication has caused harm on the fetus. During the controlled epilepsy trials in patients older than 12 years of age receiving doses of gabapentin up to 1800 mg daily, somnolence, dizziness, and ataxia were reported at a greater rate in patients receiving gabapentin compared to placebo: i.e., 19% in drug versus 9% in placebo for somnolence, 17% in drug versus 7% in placebo for category หมายเหตุ อาการผิดปกติที่เกิดกับทารกในครรภ (Fetal / Neonatal effects) Lactation Acetylcysteine B ไม มีการศึกษาการใช ยาในหญิงมีครรภ , (inj.)Inadequate human studies but reported safety the underlying information that informed the assignment of the pregnancy category. FDA believes that a narrative structure for pregnancy labeling, rather than a category system, is best able to Advice and warnings for the use of Gabapentin enacarbil (Horizant) during pregnancy. FDA Pregnancy Category C - Risk cannot be ruled out In addition to being currently US Food and Drug Administration (FDA)-approved for the treatment of partial seizures and postherpetic neuralgia [1, 2] and—in its prodrug version—restless legs syndrome [3], gabapentin is extensively used off-label for many pain conditions, including diabetic neuropathy and other neuropathic pain, fibromyalgia, pos Learn about the new FDA pregnancy and lactation labeling system that replaced the former letter categories in 2015. Find out how gabapentin is classified in the new system and what information it provides. Pregnancy-related problems, such as preterm delivery (birth before week 37) or low birth weight (weighing less than 5 pounds, 8 ounces [2500 grams] at birth) have been reported in some studies looking at the use of gabapentin during pregnancy. Drug FDA pregnancy category* AAP rating Lactation risk category†; Anxiolytics and hypnotics: Benzodiazepines: Alprazolam (Xanax) D: Unknown, of concern: L3: Chlordiazepoxide (Librium) FDA warning § Use of an MAOI such as mesoridazine (Serentil), thioridazine, or linezolid (Zyvox) Opioids may increase levels of gabapentin. Pregnancy category C, limited data that it is safe NEURONTIN in patients 5 to 11 years of age is 25 mg/kg/day to 35 mg/kg/day, given in three divided doses. NEURONTIN may be administered as the oral solution, capsule, or tablet, or The Pregnancy subsection (8.1) includes information for a pregnancy exposure registry for the drug when one is available. Pregnancy exposure registries collect and maintain data on the effects of
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