Clonazepam (Psy and Mixed indications) updated on 02-10-2025

Cleft lip with or without cleft palate

R analysis
id Study   Lib. in paper Exposition period    Study type  Control type 
 
Tags OR 95%CI x1/n1 x0/n0 no cases no exposed ROB Ref.
S15651
R64618
Blotière (Indications other than epilepsy), 2019 Cleft lip with or without cleft palate 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No BZD Coexposure: No (among antiseizure medications) 0.58 [0.04;9.35] C 0/980   1,637/1,875,733 1,637 980
ref
S15601
R64294
Tinker (Mixed indications), 2019 Cleft lip with or without cleft palate 1st trimester case control unexposed (general population or NOS) Adjustment: Yes BZD Coexposure: Yes (with psychiatric (ATD and/or psychotropics) medications) 1.00 [0.40;2.60] 6/27   3,080/14,592 3,086 27
ref
S17865
R75459
Eros (Indications NOS), 2002 Cleft lip /- palate during pregnancy (anytime or not specified) excluded case control unexposed (general population or NOS) Adjustment: No BZD Coexposure: Yes (with psychiatric (ATD and/or psychotropics) medications) Matched no data
excluded (exposition period)
1/-   -/- - -
ref
Total 2 studies 0.95 [0.39;2.30] 4,723 1,007
x1: number of endpoints among exposed, n1: number of exposed; x0: number of endpoints among non exposed, n0: number of non exposed; C: calculated odds ratio from numbers of events and effectives

Forest plot

StudyTE95% CIn casesn exposedweightROBABCDEF Blotière (Indications other than epilepsy), 2019Blotière, 2019 1 0.58[0.04; 9.35]1,63798010%ROB confusion: criticalROB selection: moderateROB classification: criticalROB missing: unclearROB mesure: moderateROB reporting: moderate Tinker (Mixed indications), 2019Tinker, 2019 2 1.00[0.40; 2.60]3,0862790%ROB confusion: criticalROB selection: criticalROB classification: criticalROB missing: lowROB mesure: unclearROB reporting: moderate Total (2 studies) I2 = 0% 0.95[0.39; 2.30]4,7231,0070.22.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Indications other than epilepsy; 2: Mixed indications;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.58[0.04; 9.35]1,637980 -NABlotière (Indications other than epilepsy), 2019 1 case control studiescase control studies 1.00[0.39; 2.55]3,08627 -NATinker (Mixed indications), 2019 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 0.95[0.39; 2.30]4,7231,0070%NABlotière (Indications other than epilepsy), 2019 Tinker (Mixed indications), 2019 2 Tags Adjustment   - No  - No 0.58[0.04; 9.35]1,637980 -NABlotière (Indications other than epilepsy), 2019 1   - Yes  - Yes 1.00[0.39; 2.55]3,08627 -NATinker (Mixed indications), 2019 1 BZD Coexposure   - No (among antiseizure medications)  - No (among antiseizure medications) 0.58[0.04; 9.35]1,637980 -NABlotière (Indications other than epilepsy), 2019 1   - Yes (with psychiatric (ATD and/or p ...  - Yes (with psychiatric (ATD and/or psychotropics) medications) 1.00[0.39; 2.55]3,08627 -NATinker (Mixed indications), 2019 1 All studiesAll studies 0.95[0.39; 2.30]4,7231,0070%NABlotière (Indications other than epilepsy), 2019 Tinker (Mixed indications), 2019 20.210.01.0

Publication bias and p-hacking diagnosis

funnel plot

Funnel plot not drawn. Less than 3 points.

Asymetry test p-value = NaN (by Egger's regression)

not enought points

p values plot

Funnel plot not drawn. Less than 3 points.

Sub-groups analysis using all included studies

excluded

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 0.95[0.39; 2.30]4,7231,0070%NABlotière (Indications other than epilepsy), 2019 Tinker (Mixed indications), 2019 20.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Veroniki a (NMA) (Clonazepam) (All indication ...Veroniki a (NMA) (Clonazepam) (All indications) (Cleft lip/palate) Out of scale13.63[0.28; 103.10]NA-Wwhatever (meta-analysis)Anyduring pregnancy (anytime or not specified)studies TTT-9 metaPregmetaPreg 0.95[0.39; 2.30]0%1,007----Blotière (Indications other than epilepsy), 2019 Tinker (Mixed indications), 2019 20.510.01.0