Central Nervous System and Limb Anomalies in Case Reports of First-Trimester Statin Exposure

作者: Robin J. Edison , Maximilian Muenke

DOI: 10.1056/NEJM200404083501524

关键词: SurgeryPediatricsGestationFetusFirst trimesterCentral nervous systemNeonatal DisorderPregnancyStatinFood and drug administrationMedicineGeneral Medicine

摘要: To the Editor: The cholesterol-lowering statin drugs are contraindicated in pregnancy1; therefore, few data exist regarding their safety human gestation. We reviewed 178 cases of first-trimester exposure reported to Food and Drug Administration (FDA) from 1987 through 2001 for patterns suggesting possible drug-related effects on embryogenesis. After exclusion involving elective or spontaneous abortions (46 42 cases, respectively), pregnancy loss due maternal illness (15), fetal genetic disorders (3), transient neonatal (5), follow-up 52 were considered evaluable (Table 1). Among these there 20 reports . . .

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