Evidence map›Paper›PMID 25307228›Full record

SynthesisExpert opinion on drug safety2014

Antihistamines and birth defects: a systematic review of the literature.

Suzanne M Gilboa, Elizabeth C Ailes, Ramona P Rai, Jaynia A Anderson, Margaret A Honein

Registry-linked trialOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Expert opinion on drug safety, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06055192 (Prevalence and Burden of Nausea and Vomiting in Pregnant Women in Switzerland), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06055192 unknown statusnot on this mapstarted 2023, after this paper: background citation

Prevalence and Burden of Nausea and Vomiting in Pregnant Women in Switzerland: Survey Purity 2022

TypeobservationalSponsorEffik SARan2023 to 2024Enrolled200ConditionsNausea, Vomiting of PregnancyArmsSurvey
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 62 citations in OpenAlex.

  1. Article
  2. Observational
  3. Observational
  4. Diagnosis and treatment of hyperemesis gravidarum.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Review
  5. [Ophthalmic agents during pregnancy].Die Ophthalmologie · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. A review of pruritus in pregnancy.Obstetric medicine · 2021
    Review
  10. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  11. How to use antihistamines.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  12. Article
  13. Article
  14. Review
  15. [Dermatological topical and systemic therapy during pregnancy].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2017
    Review
  16. Nausea and vomiting of pregnancy - What's new?Autonomic neuroscience : basic & clinical · 2017
    Review
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Suzanne M GilboaCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Division of Birth Defects and Developmental Disabilities , Mail Stop E-86, 1600 Clifton Road, Atlanta, GA 30333 , USA , +1 404 498 4425 ; sgilboa@cdc.gov.
Elizabeth C Ailes
Ramona P Rai
Jaynia A Anderson
Margaret A Honein
Centers for Disease Control and Prevention · USEmory University · USNational Center on Birth Defects and Developmental Disabilities · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionApproximately 10 - 15% of women reportedly take an antihistamine during pregnancy for the relief of nausea and vomiting, allergy and asthma symptoms, or indigestion. Antihistamines include histamine H1-receptor and H2-receptor antagonists. AREAS COVERED: This is a systematic evaluation of the peer-reviewed epidemiologic literature published through February 2014 on the association between prenatal exposure to antihistamines and birth defects. Papers addressing histamine H1- or H2-receptor antagonists are included. Papers addressing pyridoxine plus doxylamine (Bendectin in the United States, Debendox in the United Kingdom, Diclectin in Canada, Lenotan and Merbental in other countries) prior to the year 2001 were excluded post hoc because of several previously published meta-analyses and commentaries on this medication. EXPERT OPINION: The literature on the safety of antihistamine use during pregnancy with respect to birth defects is generally reassuring though the positive findings from a few large studies warrant corroboration in other populations. The findings in the literature are considered in light of three critical methodological issues: i) selection of appropriate study population; ii) ascertainment of antihistamine exposures; and iii) ascertainment of birth defect outcomes. Selected antihistamines have been very well studied (e.g., loratadine); others, especially H2-receptor antagonists, require additional study before an assessment of safety with respect to birth defect risk could be made.

Indexed as

Congenital AbnormalitiesFemaleHistamine AntagonistsHumansPregnancyPrenatal Exposure Delayed EffectsHistamine Antagonistsantihistaminesbirth defectspregnancyprenatal exposure

Identifiers

PMID25307228
PMCPMC4474179
OpenAlexW2024028287

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.