Patterns and predictors for prescription of psychotropics and mood‐stabilizing antiepileptics during pregnancy in Denmark 2000–2016. (17th September 2018)

• Record Type: Journal Article
• Authors: Damkier, Per; Christensen, Louise Skov; Broe, Anne
• Is Part Of: British journal of clinical pharmacology. Volume 84:Number 11(2018)
• Page Start: 2651
• Page End: 2662
• Publication Date: 2018-09-17
• Subjects: antidepressants -- antipsychotics -- pregnancy -- drug utilization; Pharmacology -- Periodicals; Drugs -- Periodicals; 615.1
• DOI: 10.1111/bcp.13732
• Languages: English
• ISSNs: 0306-5251

Abstract

Abstract : Aims: To analyse prescribing patterns during pregnancy for antipsychotics (APs), antidepressants (ADs) and mood‐stabilizing antiepileptics (AEDs) in Denmark from 2000 to 2016. Methods: Data were obtained from the Danish Medical Birth Register, the Register for Legally Induced Abortions, the Danish National Patient Register and the Register of Medicinal Product Statistics. Data were linked through a unique personal identifier by Statistics Denmark. Results: The use of APs increased 2.5‐fold from a prevalence of 1.5 per 1000 pregnancies to 3.8 for pregnancies ending in a delivery. Use of mood‐stabilizing AEDs increased from a prevalence of 0.1 to 2.1 during the study period. The prevalence for APs and mood‐stabilizing AEDs was nearly twice as high for pregnancies ending in miscarriage or termination compared to pregnancies ending in delivery. A marked increase in the prevalence of ADs use during pregnancy was seen from 2000–2011 (from 6 to 41 per 1000 pregnancies ending in a delivery) but appears slightly in decline. Age, smoking, obesity and social status were generally associated with increased use of psychotropic drugs. Conclusions: The use of APs, ADs and mood‐stabilizing AEDs during pregnancy has increased substantially in Denmark from 2000–2016. The use of ADs appears to be slightly in decline since 2011. Abstract : What is Already Known about this Subject: Treatment indications and choice of psychotropic drug treatment during pregnancy is complex and remain controversial Recent year patterns and predictors of psychotropic drug utilization during pregnancy are insufficiently studied What this Study Adds: A substantial 2–10‐fold increase in the filled prescription of antidepressants, antipsychotics and mood‐stabilizing antiepileptics were found from 2000 to 2016 in Denmark The filled prescription rate of second‐generation antipsychotics, especially quetiapine, has increased sharply since 2005 Age, smoking, obesity and social status were associated with increased rates of filled prescriptions for psychotropic drug