Tricyclic antidepressants

Study Reference
Abadie, 2015

Abadie Medication exposure and spontaneous abortion: a case-control study using a French medical database. Clin Exp Obstet Gynecol 2015; 42:431-6

Abadie, D. Drug use and spontaneous abortion: A case/control study Pharmacoepidemiol. Drug Saf. 2012; 21:391-.

Abadie, D. Drug use and spontaneous abortion: A case-control study Drug Saf. 2011; 34:1001-.

Anderson, 2020

Anderson Maternal Use of Specific Antidepressant Medications During Early Pregnancy and the Risk of Selected Birth Defects. JAMA Psychiatry 2020; 77(12):1246-1255.

Avalos (Controls exposed to SSRIs), 2015

Avalos Antidepressant medication use, depression, and the risk of preeclampsia. CNS Spectr 2015; 20:39-47

Avalos (Controls unexposed, disease free), 2015

Avalos Antidepressant medication use, depression, and the risk of preeclampsia. CNS Spectr 2015; 20:39-47

Avalos (Controls unexposed, sick), 2015

Avalos Antidepressant medication use, depression, and the risk of preeclampsia. CNS Spectr 2015; 20:39-47

Bahat, 2020

Bahat, M. Pregnancy outcome after first trimester exposure to Duloxetine Reprod. Toxicol. 2020; 97:3-.

Ban (Controls exposed to SSRIs), 2014

Ban L Maternal depression, antidepressant prescriptions, and congenital anomaly risk in offspring: a population-based cohort study. BJOG 2014;121:1471-81

Ban, L. Risks of major congenital anomaly in the children of women with clinically diagnosed depression: A population-based cohort study from the United Kingdom BJOG Int. J. Obstet. Gynaecol. 2013; 120:2-.

Petersen Selective serotonin reuptake inhibitors and congenital heart anomalies: comparative cohort studies of women treated before and during pregnancy and their children. J Clin Psychiatry 2016; 77:e36-42

Ban (Controls exposed to SSRIs), 2012

Ban Live and non-live pregnancy outcomes among women with depression and anxiety: a population-based study. PLoS One 2012; 7:e43462

Ban (Controls unexposed, disease free), 2014

Ban L Maternal depression, antidepressant prescriptions, and congenital anomaly risk in offspring: a population-based cohort study. BJOG 2014;121:1471-81

Ban, L. Risks of major congenital anomaly in the children of women with clinically diagnosed depression: A population-based cohort study from the United Kingdom BJOG Int. J. Obstet. Gynaecol. 2013; 120:2-.

Petersen Selective serotonin reuptake inhibitors and congenital heart anomalies: comparative cohort studies of women treated before and during pregnancy and their children. J Clin Psychiatry 2016; 77:e36-42

Ban (Controls unexposed, disease free), 2012

Ban Live and non-live pregnancy outcomes among women with depression and anxiety: a population-based study. PLoS One 2012; 7:e43462

Ban (Controls unexposed, sick), 2014

Ban L Maternal depression, antidepressant prescriptions, and congenital anomaly risk in offspring: a population-based cohort study. BJOG 2014;121:1471-81

Ban, L. Risks of major congenital anomaly in the children of women with clinically diagnosed depression: A population-based cohort study from the United Kingdom BJOG Int. J. Obstet. Gynaecol. 2013; 120:2-.

Petersen Selective serotonin reuptake inhibitors and congenital heart anomalies: comparative cohort studies of women treated before and during pregnancy and their children. J Clin Psychiatry 2016; 77:e36-42

Ban (Controls unexposed, sick), 2012

Ban Live and non-live pregnancy outcomes among women with depression and anxiety: a population-based study. PLoS One 2012; 7:e43462

Bérard (Controls exposed to SSRIs), 2017

Bérard Antidepressant use during pregnancy and the risk of major congenital malformations in a cohort of depressed pregnant women: an updated analysis of the Quebec Pregnancy Cohort. BMJ Open 2017; 7:e013372

Ramos Duration of antidepressant use during pregnancy and risk of major congenital malformations. Br J Psychiatry 2008; 192:344-50

Bérard (Controls unexposed, sick), 2017

Bérard Antidepressant use during pregnancy and the risk of major congenital malformations in a cohort of depressed pregnant women: an updated analysis of the Quebec Pregnancy Cohort. BMJ Open 2017; 7:e013372

Bérard, A. Antidepressant use during pregnancy and the risk of major congenital malformations in a cohort of depressed pregnant women: A re-analysis of the Quebec pregnancy cohort Eur. Psychiatry 2017; 41:S155-.

Ramos Duration of antidepressant use during pregnancy and risk of major congenital malformations. Br J Psychiatry 2008; 192:344-50

Bernard, 2019

Bernard Use of antidepressants and anxiolytics in early pregnancy and the risk of preeclampsia and gestational hypertension: a prospective study. BMC Pregnancy Childbirth 2019; 19:146

Boukhris (Controls exposed to SSRIs), 2016

Bérard Selective serotonin reuptake inhibitors and autism: additional data on the Quebec Pregnancy/Birth Cohort. Am J Obstet Gynecol 2016; 215:803-805

Boukhris T Antidepressant Use During Pregnancy and the Risk of Autism Spectrum Disorder in Children. JAMA Pediatr 2016;170:117-24

Boukhris (Controls exposed to SSRIs), 2017

Boukhris Antidepressant Use in Pregnancy and the Risk of Attention Deficit with or without Hyperactivity Disorder in Children. Paediatr Perinat Epidemiol 2017; 31:363-373

Boukhris (Controls unexposed, NOS), 2016

Bérard Selective serotonin reuptake inhibitors and autism: additional data on the Quebec Pregnancy/Birth Cohort. Am J Obstet Gynecol 2016; 215:803-805

Boukhris T Antidepressant Use During Pregnancy and the Risk of Autism Spectrum Disorder in Children. JAMA Pediatr 2016;170:117-24

Boukhris (Controls unexposed, NOS), 2017

Boukhris Antidepressant Use in Pregnancy and the Risk of Attention Deficit with or without Hyperactivity Disorder in Children. Paediatr Perinat Epidemiol 2017; 31:363-373

Chan (Controls exposed to SSRIs), 2024

Chan Prenatal antidepressant use and risk of congenital malformations: A population-based cohort study. Psychiatry Res 2024; 339:116038

Chan (Controls unexposed, general pop), 2024

Chan Prenatal antidepressant use and risk of congenital malformations: A population-based cohort study. Psychiatry Res 2024; 339:116038

Chan (Controls unexposed, sick), 2024

Chan Prenatal antidepressant use and risk of congenital malformations: A population-based cohort study. Psychiatry Res 2024; 339:116038

Chen, 2021

Chen Association between the use of antidepressants and the risk of preterm birth among pregnant women with depression: a retrospective cohort study in Taiwan. J Investig Med 2021; 69:999-1007

Croen, 2011

Croen LA Antidepressant use during pregnancy and childhood autism spectrum disorders. Arch Gen Psychiatry 2011;68:1104-12

Dandjinou, 2019

Dandjinou Antidepressant use during pregnancy and the risk of gestational diabetes mellitus: a nested case-control study. BMJ Open 2019; 9:e025908

Dandjinou, M. Antidepressants use during pregnancy and the risk of gestational diabetes mellitus Pharmacoepidemiol. Drug Saf. 2018; 27:378-.

Davis, 2007

Davis Risks of congenital malformations and perinatal events among infants exposed to antidepressant medications during pregnancy. Pharmacoepidemiol Drug Saf 2007; 16:1086-94

De Vera, 2012

De Vera Antidepressant use during pregnancy and the risk of pregnancy-induced hypertension. Br J Clin Pharmacol 2012; 74:362-9

Greenberg, 1977

Greenberg Maternal drug histories and congenital abnormalities. Br Med J 1977; 2:853-6

Hagberg (Controls exposed to SSRIs), 2018

Hagberg Maternal depression and antidepressant use during pregnancy and the risk of autism spectrum disorder in offspring. Clin Epidemiol 2018; 10:1599-1612

Hagberg (Controls unexposed, disease free), 2018

Hagberg Maternal depression and antidepressant use during pregnancy and the risk of autism spectrum disorder in offspring. Clin Epidemiol 2018; 10:1599-1612

Hagberg (Controls unexposed, sick), 2018

Hagberg Maternal depression and antidepressant use during pregnancy and the risk of autism spectrum disorder in offspring. Clin Epidemiol 2018; 10:1599-1612

Hartwig, 2022

Hartwig In utero antidepressant exposure not associated with ADHD in the offspring: A case control sibling design. Front Pharmacol 2022; 13:1000018

Heuvelman, 2023

Heuvelman Antidepressants in pregnancy: applying causal epidemiological methods to understand service-use outcomes in women and long-term neurodevelopmental outcomes in exposed children. Health Technol Assess 2023; 27:1-83

Huybrechts (Controls unexposed, NOS), 2014

Huybrechts KF Antidepressant use in pregnancy and the risk of cardiac defects. N Engl J Med 2014;370:2397-407

Huybrechts (Controls unexposed, sick), 2014

Huybrechts KF Antidepressant use in pregnancy and the risk of cardiac defects. N Engl J Med 2014;370:2397-407

Källen, 2013

Källen B The use of central nervous system active drugs during pregnancy. Pharmaceuticals (Basel) 2013;6:1221-86

Källén (Controls exposed to SSRIs), 2004

Källen Neonate characteristics after maternal use of antidepressants in late pregnancy. Arch Pediatr Adolesc Med 2004;158:312-6

Källén (Controls unexposed, NOS), 2004

Källen Neonate characteristics after maternal use of antidepressants in late pregnancy. Arch Pediatr Adolesc Med 2004;158:312-6

Kieler, 2015

Kieler Use of antidepressants and association with elective termination of pregnancy: population based case-control study. BJOG 2015; 122:1618-24

Kitchin, 2022

Kitchin The role of prenatal exposure to antidepressants, anxiolytic, and hypnotics and its underlying illness on the risk of miscarriage using BIFAP database. Pharmacoepidemiol Drug Saf 2022; :

Kjaersgaard (Controls unexposed, NOS), 2013

Kjaersgaard Prenatal antidepressant exposure and risk of spontaneous abortion - a population-based study. PLoS One 2013; 8:e72095

Kjaersgaard (Controls unexposed, sick), 2013

Kjaersgaard Prenatal antidepressant exposure and risk of spontaneous abortion - a population-based study. PLoS One 2013; 8:e72095

Kolding (Controls unexposed, disease free), 2021

Kolding Antidepressant use in pregnancy and severe cardiac malformations: Danish register-based study. BJOG 2021; 128:1949-1957

Kolding (Controls unexposed, sick), 2021

Kolding Antidepressant use in pregnancy and severe cardiac malformations: Danish register-based study. BJOG 2021; 128:1949-1957

Kullander - Imipramine, 1976

Kullander A prospective study of drugs and pregnancy. I. Psychopharmaca. Acta Obstet Gynecol Scand 1976; 55:25-33

Laugesen, 2013

Laugesen In utero exposure to antidepressant drugs and risk of attention deficit hyperactivity disorder: a nationwide Danish cohort study. BMJ Open 2013; 3:e003507

Lee (Controls exposed to SSRI), 2025

Lee Antidepressant use during pregnancy and risk of obstetrics and neonatal outcomes: A propensity score-weighted population-based cohort study in 2003-2018. Eur Neuropsychopharmacol 2025; 96:36-45

Lee (Controls unexposed, general pop), 2025

Lee Antidepressant use during pregnancy and risk of obstetrics and neonatal outcomes: A propensity score-weighted population-based cohort study in 2003-2018. Eur Neuropsychopharmacol 2025; 96:36-45

Liu, 2015

Liu Antidepressant use during pregnancy and asthma in the offspring. Pediatrics 2015; 135:e911-7

Louik, 2014

Louik First-trimester exposure to bupropion and risk of cardiac malformations. Pharmacoepidemiol Drug Saf 2014; 23:1066-75

Lupattelli (Controls exposed to SSRIs), 2017

Lupattelli Risk of preeclampsia after gestational exposure to selective serotonin reuptake inhibitors and other antidepressants: A study from The Norwegian Mother and Child Cohort Study. Pharmacoepidemiol Drug Saf 2017; 26:1266-1276

Lupattelli (Controls unexposed, sick), 2017

Lupattelli Risk of preeclampsia after gestational exposure to selective serotonin reuptake inhibitors and other antidepressants: A study from The Norwegian Mother and Child Cohort Study. Pharmacoepidemiol Drug Saf 2017; 26:1266-1276

Martin - Amitriptyline, 2024

Martin Antidepressant use during pregnancy and birth outcomes: analysis of electronic health data from the UK, Norway, and Sweden. medRxiv 2024; :

Nakhai-Pour, 2010

Nakhai-Pour Use of antidepressants during pregnancy and the risk of spontaneous abortion. CMAJ 2010; 182:1031-7

Nijenhuis (Controls exposed to SSRIs), 2012

Nijenhuis Disturbed development of the enteric nervous system after in utero exposure of selective serotonin re-uptake inhibitors and tricyclic antidepressants. Part 2: Testing the hypotheses. Br J Clin Pharmacol 2012; 73:126-34

Nijenhuis (Controls unexposed, NOS), 2012

Nijenhuis Disturbed development of the enteric nervous system after in utero exposure of selective serotonin re-uptake inhibitors and tricyclic antidepressants. Part 2: Testing the hypotheses. Br J Clin Pharmacol 2012; 73:126-34

Nulman (Controls exposed to Fluoxetine), 1997

Nulman I Neurodevelopment of children exposed in utero to antidepressant drugs. N Engl J Med 1997;336:258-62

Nulman (Controls unexposed, disease free), 2002

Nulman Child development following exposure to tricyclic antidepressants or fluoxetine throughout fetal life: a prospective, controlled study. Am J Psychiatry 2002; 159:1889-95

Nulman (Controls unexposed, NOS), 1997

Nulman I Neurodevelopment of children exposed in utero to antidepressant drugs. N Engl J Med 1997;336:258-62

Nulman - Fluoxetine (Controls exposed to Fluoxetine), 2002

Nulman Child development following exposure to tricyclic antidepressants or fluoxetine throughout fetal life: a prospective, controlled study. Am J Psychiatry 2002; 159:1889-95

Ozturk - Amitriptyline, 2016

Ozturk Safety of psychotropic medications in pregnancy: An observational cohort study Klinik Psikofarmakoloji Bulteni 2016; 26:229-.

Palmsten (Controls exposed to SSRIs), 2012

Palmsten Elevated risk of preeclampsia in pregnant women with depression: depression or antidepressants? Am. J. Epidemiol. 2012; 175:988-97

Palmsten (Controls unexposed, sick), 2012

Palmsten Elevated risk of preeclampsia in pregnant women with depression: depression or antidepressants? Am. J. Epidemiol. 2012; 175:988-97

Palmsten a (control exposed to SSRIs), 2013

Palmsten Antidepressant use and risk for preeclampsia. Epidemiology 2013; 24:682-91

Palmsten a (Controls unexposed, sick), 2013

Palmsten Antidepressant use and risk for preeclampsia. Epidemiology 2013; 24:682-91

Palmsten b, 2013

Palmsten Use of antidepressants near delivery and risk of postpartum hemorrhage: cohort study of low income women in the United States. BMJ 2013; 347:f4877

Pastuszak (Controls exposed to Fluoxetine), 1993

Pastuszak A Pregnancy outcome following first-trimester exposure to fluoxetine (Prozac) JAMA 1993;269:2246-8

Pastuszak (Controls unexposed, NOS), 1993

Pastuszak A Pregnancy outcome following first-trimester exposure to fluoxetine (Prozac) JAMA 1993;269:2246-8

Pearson (Controls exposed to SSRIs), 2007

Pearson Birth outcomes following prenatal exposure to antidepressants. J Clin Psychiatry 2007; 68:1284-9

Pearson (Controls unexposed, NOS), 2007

Pearson Birth outcomes following prenatal exposure to antidepressants. J Clin Psychiatry 2007; 68:1284-9

Pedersen, 2010

Pedersen Fetal exposure to antidepressants and normal milestone development at 6 and 19 months of age. Pediatrics 2010; 125:e600-8

Rai - Clomipramine only (Controls exposed to SSRIs), 2017

Rai Antidepressants during pregnancy and autism in offspring: population based cohort study. BMJ 2017; 358:j2811

Rai Parental depression, maternal antidepressant use during pregnancy, and risk of autism spectrum disorders: population based case-control study. BMJ 2013; 346:f2059

Rai - Clomipramine only (Controls unexposed, disease free), 2017

Rai Antidepressants during pregnancy and autism in offspring: population based cohort study. BMJ 2017; 358:j2811

Rai - Clomipramine only (Controls unexposed, sick), 2017

Rai Antidepressants during pregnancy and autism in offspring: population based cohort study. BMJ 2017; 358:j2811

Rai Parental depression, maternal antidepressant use during pregnancy, and risk of autism spectrum disorders: population based case-control study. BMJ 2013; 346:f2059

Reis (Controls exposed to SSRIs), 2010

Källen Neonatal complications after maternal concomitant use of SSRI and other central nervous system active drugs during the second or third trimester of pregnancy. J Clin Psychopharmacol 2012; 32:608-14

Källén Maternal drug use in early pregnancy and infant cardiovascular defect Reproductive Toxicology 2003; 17:255-.

Reis Delivery outcome after maternal use of antidepressant drugs in pregnancy: an update using Swedish data. Psychol Med 2010; 40:1723-33

Reis (Controls unexposed, NOS), 2010

Källen Neonatal complications after maternal concomitant use of SSRI and other central nervous system active drugs during the second or third trimester of pregnancy. J Clin Psychopharmacol 2012; 32:608-14

Källén Maternal drug use in early pregnancy and infant cardiovascular defect Reproductive Toxicology 2003; 17:255-.

Reis Delivery outcome after maternal use of antidepressant drugs in pregnancy: an update using Swedish data. Psychol Med 2010; 40:1723-33

Simon (Controls exposed to SSRIs), 2002

Simon Outcomes of prenatal antidepressant exposure. Am J Psychiatry 2002; 159:2055-61

Simon (Controls unexposed, NOS), 2002

Simon Outcomes of prenatal antidepressant exposure. Am J Psychiatry 2002; 159:2055-61

Solé, 2020

Solé Obstetric complications in bipolar disorder: Psychiatric factors and the risk of caesarean section. Eur Neuropsychopharmacol 2020; 32:47-55

Song, 2023

Song Associations of Preterm Birth with Dental and Gastrointestinal Diseases: Machine Learning Analysis Using National Health Insurance Data. Int J Environ Res Public Health 2023; 20:

Suarez (Controls unexposed, discontinuers), 2022

Suarez Association of Antidepressant Use During Pregnancy With Risk of Neurodevelopmental Disorders in Children. JAMA Intern Med 2022; 182:1149-60

Suarez (Controls unexposed, general pop), 2022

Suarez Association of Antidepressant Use During Pregnancy With Risk of Neurodevelopmental Disorders in Children. JAMA Intern Med 2022; 182:1149-60

Sørensen (Controls exposed to SSRIs), 2013

Gidaya In utero exposure to selective serotonin reuptake inhibitors and risk for autism spectrum disorder. J Autism Dev Disord 2014; 44:2558-67

Hviid Use of selective serotonin reuptake inhibitors during pregnancy and risk of autism. N Engl J Med 2013; 369:2406-15

Sorensen MJ Antidepressant exposure in pregnancy and risk of autism spectrum disorders. Clin Epidemiol 2013;5:449-59

Sørensen (Controls unexposed, NOS), 2013

Gidaya In utero exposure to selective serotonin reuptake inhibitors and risk for autism spectrum disorder. J Autism Dev Disord 2014; 44:2558-67

Hviid Use of selective serotonin reuptake inhibitors during pregnancy and risk of autism. N Engl J Med 2013; 369:2406-15

Sorensen MJ Antidepressant exposure in pregnancy and risk of autism spectrum disorders. Clin Epidemiol 2013;5:449-59

Ter Host (Controls exposed to SSRIs), 2013

ter Horst In utero exposure to antidepressants and the use of drugs for pulmonary diseases in children. Eur J Clin Pharmacol 2013; 69:541-7

Ter Host (Controls unexposed, NOS), 2013

ter Horst In utero exposure to antidepressants and the use of drugs for pulmonary diseases in children. Eur J Clin Pharmacol 2013; 69:541-7

Tran (Controls exposed to SSRI), 2022

Tran Antidepressant use during pregnancy and development of preeclampsia: A focus on classes of action and specific transporters/receptors targeted by antidepressants. J Psychiatr Res 2022; 146:92-101

Tran (Controls unexposed, NOS), 2022

Tran Antidepressant use during pregnancy and development of preeclampsia: A focus on classes of action and specific transporters/receptors targeted by antidepressants. J Psychiatr Res 2022; 146:92-101

Vasilakis-Scaramozza (Controls exposed to SSRIs), 2013

Vasilakis-Scaramozza Antidepressant use during early pregnancy and the risk of congenital anomalies. Pharmacotherapy 2013; 33:693-700

Vasilakis-Scaramozza (Controls unexposed, NOS), 2013

Vasilakis-Scaramozza Antidepressant use during early pregnancy and the risk of congenital anomalies. Pharmacotherapy 2013; 33:693-700

Wall-Wieler, 2020

Wall-Wieler Antidepressant Use around Conception, Prepregnancy Depression, and Risk of Ectopic Pregnancy. Can J Psychiatry 2020; 65:845-853

Yang, 2021

Yang Prenatal antidepressant use and the implication of hypertensive disorders during pregnancy. Am J Obstet Gynecol 2021; 225:672.e1-672.e11

Yaris, 2005

Yaris Psychotropic drugs in pregnancy: a case-control study. Prog Neuropsychopharmacol Biol Psychiatry 2005; 29:333-8

Zakiyah, 2018

Zakiyah Antidepressant use during pregnancy and the risk of developing gestational hypertension: a retrospective cohort study. BMC Pregnancy Childbirth 2018; 18:187