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

Congenital heart defects

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.
S15391
R63455
Noh (Mixed indications), 2022 Heart malformations 1st trimester population based cohort retrospective unexposed, sick Adjustment: Yes BZD Coexposure: Not specified 1.10 [0.84;1.45] 58/1,454   83,584/3,053,381 83,642 1,454
ref
S15601
R64272
Tinker (Mixed indications), 2019 Heart defect (any) 1st trimester case control unexposed (general population or NOS) Adjustment: Yes BZD Coexposure: Yes (with psychiatric (ATD and/or psychotropics) medications) 0.80 [0.50;1.50] 23/44   12,175/23,687 12,198 44
ref
S17865
R75470
Eros (Indications NOS), 2002 Cardiovascular congenital anomalies 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 1.00 [0.10;15.00]
excluded (exposition period)
1/-   -/- - -
ref
Total 2 studies 1.03 [0.80;1.33] 95,840 1,498
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 Noh (Mixed indications), 2022Noh, 2022 1 1.10[0.84; 1.45]83,6421,45479%ROB confusion: moderateROB selection: moderateROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: low Tinker (Mixed indications), 2019Tinker, 2019 2 0.80[0.50; 1.50]12,1984421%ROB confusion: criticalROB selection: criticalROB classification: criticalROB missing: lowROB mesure: unclearROB reporting: moderate Total (2 studies) I2 = 3% 1.03[0.80; 1.33]95,8401,4980.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Mixed indications; 2: Mixed indications;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.10[0.84; 1.45]83,6421,454 -NANoh (Mixed indications), 2022 1 case control studiescase control studies 0.80[0.46; 1.39]12,19844 -NATinker (Mixed indications), 2019 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 0.80[0.46; 1.39]12,19844 -NATinker (Mixed indications), 2019 1 unexposed, sickunexposed, sick 1.10[0.84; 1.45]83,6421,454 -NANoh (Mixed indications), 2022 1 Tags Adjustment   - Yes  - Yes 1.03[0.80; 1.33]95,8401,4983%NANoh (Mixed indications), 2022 Tinker (Mixed indications), 2019 2 BZD Coexposure   - Not specified  - Not specified 1.10[0.84; 1.45]83,6421,454 -NANoh (Mixed indications), 2022 1   - Yes (with psychiatric (ATD and/or p ...  - Yes (with psychiatric (ATD and/or psychotropics) medications) 0.80[0.46; 1.39]12,19844 -NATinker (Mixed indications), 2019 1 All studiesAll studies 1.03[0.80; 1.33]95,8401,4983%NANoh (Mixed indications), 2022 Tinker (Mixed indications), 2019 20.25.01.0

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) 0.80[0.46; 1.39]12,19844 -NATinker (Mixed indications), 2019 1 unexposed, sick controlsunexposed, sick controls 1.10[0.84; 1.45]83,6421,454 -NANoh (Mixed indications), 2022 10.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Veroniki a (NMA) (Clonazepam) (All indication ...Veroniki a (NMA) (Clonazepam) (All indications) (Cardiac malformations) 3.04[0.60; 10.14]NA-Wwhatever (meta-analysis)Anyduring pregnancy (anytime or not specified)studies TTT-9 metaPregmetaPreg 1.03[0.80; 1.33]3%1,498----Noh (Mixed indications), 2022 Tinker (Mixed indications), 2019 20.510.01.0