Review Article

Serotonin Reuptake Inhibitors in Pregnancy: Can Genes Help Us in Predicting Neonatal Adverse Outcome?

Table 1

Principal papers which focused on the role of genotypes and possible neonatal outcomes.

Laine et al., 2004 [20]32-year-old woman SSRI exposed Chlorpromazine,
paroxetine
Genetic analysis: CYP2D6*4 mutation in both alleles = poor metabolizer
APGAR 7/8/9
Poorly reactive, respiratory distress, tremors, hypotonia, and hypoglycemia
Oberlander et al., 2008 [19]37 women SSRI exposed versus 47 nonexposedParoxetine, fluoxetine, sertraline, venlafaxine, citalopramSS alleles: lower 5 min APGAR score (reduced respiratory effort)
LL alleles: lower birth weight
Hilli et al., 2009 [22]20 women SSRI exposed during pregnancy and lactationCitalopram
Fluoxetine
No differences between 5HTT and 5HT receptors genotypes and serotoninergic symptoms scores.
Higher scores in infants with two high activity alleles of the MAO-A polymorphism and rapid CYP2DS metabolizers.