Lorazepam - Congenital, Prenatal & Neonatal Adverse Rections


This table shows all Adverse Drug Reactions reported to the FDA's Adverse Event Reporting System between 2004 and the 2nd Quarter of 2008 where the listed psychiatric drug was identified as the Primary Suspect Drug (FDA's term) deemed responsible for causing or inducing these reactions and where one or more of the Adverse Reactions reported for the Case described a congenital, prenatal or neonatal condition. Where no Age, Date of Event or Indication (the condition being treated) are shown, none were present in the FDA records.

Reported By: CN-Consumer, LW-Lawyer, MD-Physician, OT-Other Healthcare Provider, PH-Pharmacist, Blank-Not Reported in ISR (Individual Safety Report).

The Oxford English Dictionary defines a poison as "a substance that causes death or harm when introduced into or absorbed by a living organism."  This psychiatric drug fits that definition. Healthcare Provider, PH-Pharmacist, Blank-Not Reported in ISR (Individual Safety Report)



Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
F 4090194 4289371 12/05/2003 02/06/2004 Ativan CN Prophylaxis Caesarean Section, Foetal Distress Syndrome, Maternal Drugs Affecting Foetus, Premature Baby
F 4125028 4333766 01/01/2003 04/02/2004 Temesta Agitation Neonatal, Anorectal Disorder, Complications of Maternal Exposure To Therapeutic Drugs, Drug Withdrawal Syndrome, Electroencephalogram Abnormal, Feeding Problem In Newborn, Gastrooesophageal Reflux Disease, Hypotonia Neonatal, Laryngomalacia, Maternal Drugs Affecting Foetus, Microcephaly, Monocytosis, Neonatal Tachypnoea, Nervous System Disorder, Oesophagitis, Polyhydramnios
F 4125048 4333769 01/01/2003 04/02/2004 Lorazepam Depression Complications of Maternal Exposure To Therapeutic Drugs, Drug Exposure During Pregnancy, Polyhydramnios, Premature Baby
4143606 4358947 04/15/2004 05/11/2004 Ativan Agitation, Craniosynostosis, Drug Withdrawal Syndrome Neonatal, Feeding Problem In Newborn, Hypertonia, Nasal Flaring, Neonatal Respiratory Distress Syndrome, Pyrexia
4144310 4360057 04/15/2003 05/13/2004 Ativan OT Agitation Neonatal, Caesarean Section, Craniosynostosis, Drug Exposure During Pregnancy, Drug Withdrawal Syndrome, Feeding Problem In Newborn, Hypertonia Neonatal, Neonatal Respiratory Distress Syndrome, Pyrexia
4208893 4445302 08/10/2004 09/03/2004 Lorazepam OT Drug Exposure During Pregnancy, Neonatal Apnoeic Attack
4212048 4448838 12/01/2003 09/09/2004 Ativan MD Caesarean Section, Congenital Ectopic Bladder, Drug Exposure During Pregnancy, Meningomyelocele, Premature Baby
4212048 4487887 12/01/2003 10/25/2004 Ativan MD Caesarean Section, Congenital Ectopic Bladder, Drug Exposure During Pregnancy, Meningomyelocele, Premature Baby
F 5698397 4523174 12/08/2004 Temesta OT Congenital Ventricular Septal Defect, Drug Exposure During Pregnancy
F 5721802 4554806 04/15/2003 01/14/2005 Lorazepam Agitation Neonatal, Caesarean Section, Drug Exposure During Pregnancy, Drug Withdrawal Syndrome, Feeding Problem In Newborn, Hypertonia, Intercostal Retraction, Nasal Flaring, Pyrexia
5924007 4823415 08/24/2003 11/07/2005 Temesta MD Apgar Score Low, Drug Exposure During Pregnancy, Fallot's Tetralogy, Premature Baby, Small for Dates Baby
F 6000614 4928167 11/16/2005 02/23/2006 Tavor Drug Exposure During Pregnancy, Neonatal Infection, Neonatal Respiratory Failure
Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
F 6066233 5020402 02/15/2006 06/02/2006 Lorazepam MD Caesarean Section, Drug Exposure During Pregnancy, Feeding Disorder Neonatal, Hypokinesia Neonatal, Neonatal Disorder, Somnolence Neonatal
F 6066233 5055306 02/15/2006 07/14/2006 Lorazepam MD Caesarean Section, Drug Exposure During Pregnancy, Feeding Disorder Neonatal, Hypersomnia, Hypokinesia Neonatal, Neonatal Disorder, Poor Sucking Reflex
F 6110962 5079254 02/01/2003 08/08/2006 04/14/2003 Temesta Abortion Induced, Amniotic Fluid Volume Decreased, Congenital Cystic Kidney Disease, Drug Exposure During Pregnancy, Potter's Syndrome, Pulmonary Hypoplasia
M 6178958 5156683 01/01/2006 11/15/2006 Tavor MD Bradycardia Neonatal, Drug Exposure During Pregnancy, Poor Sucking Reflex, Premature Baby, Premature Rupture of Membranes
F 6277051 5271884 01/25/2005 03/16/2007 07/07/2005 Temesta OT Drug Exposure During Pregnancy, Foetal Distress Syndrome, Foetal Growth Retardation, Intra-Uterine Death, Oligohydramnios
F 6291771 5332853 09/14/2006 05/21/2007 09/14/2006 Tavor OT Abortion Spontaneous, Agitation, Anxiety, Completed Suicide, Drug Exposure During Pregnancy, Emotional Disorder
F 6322255 5330635 05/17/2007 Ativan MD Apgar Score Low, Brow Presentation, Drug Exposure During Pregnancy, Drug Exposure Via Breast Milk, Meconium In Amniotic Fluid, Somnolence Neonatal
F 6474972 5519097 10/20/2007 11/14/2007 Lorax CN Drug Exposure During Pregnancy, Intentional Overdose, Somnolence, Suicide Attempt, Vomiting
M 6545296 5607509 01/01/1994 01/25/2008 Lorazepam OT Drug Use for Unknown Indication Drug Exposure During Pregnancy, Hernia Congenital, Intestinal Perforation, Neonatal Disorder
M 6567470 5632273 01/01/2007 02/13/2008 Lorazepam Caesarean Section, Congenital Arterial Malformation, Drug Exposure During Pregnancy, Foetal Growth Retardation, Haematoma, Oligohydramnios, Placental Insufficiency, Premature Labour, Single Umbilical Artery, Small for Dates Baby, Vaginal Haemorrhage
F 6569120 5632900 01/01/2007 02/12/2008 Lorazepam CN Drug Use for Unknown Indication Caesarean Section, Drug Exposure During Pregnancy, Haematoma, Oligohydramnios, Placental Insufficiency, Premature Labour
M 6580707 5648317 06/01/2006 02/29/2008 Temesta OT Drug Exposure During Pregnancy, Hypospadias
Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
0 Days F 5654186 4479970 08/10/2004 10/18/2004 Lorazepam Drug Exposure During Pregnancy, Laboratory Test Abnormal, Neonatal Apnoeic Attack
M 6617715 5699375 01/01/2003 04/07/2008 Lorazepam OT Drug Exposure During Pregnancy, Hypertonia Neonatal, Hypopnoea, Neonatal Disorder, Neonatal Respiratory Acidosis, Premature Baby
F 6620049 5701450 01/01/2006 04/07/2008 Temesta OT Drug Use for Unknown Indication Drug Exposure During Pregnancy, Infection, Premature Labour
F 6651347 5761744 03/01/2008 06/02/2008 Lorazepam MD Anxiety Abortion Spontaneous, Drug Exposure During Pregnancy
F 6674854 5768471 05/25/2008 06/10/2008 Tavor OT Drug Exposure During Pregnancy, Fatigue, Overdose
1 Day M 4089898 4288540 12/05/2003 02/05/2004 Ativan CN Caesarean Section, Convulsion Neonatal, Foetal Distress Syndrome, Hypersensitivity, Maternal Drugs Affecting Foetus, Muscle Rigidity, Neonatal Disorder, Premature Baby, Tracheomalacia
1 Day M 4090196 4289373 12/05/2003 02/06/2004 Ativan CN Accidental Exposure Accidental Exposure, Caesarean Section, Convulsion, Drug Exposure During Pregnancy, Drug Hypersensitivity, Foetal Distress Syndrome, Hypersensitivity, Muscle Rigidity, Premature Baby, Tracheomalacia
1 Day M 5922274 4821948 12/12/2004 11/03/2005 Temesta OT Drug Exposure During Pregnancy, Talipes
1 Day M 5928861 4831155 08/21/2005 11/14/2005 Lorazepam Schizophrenia Drug Exposure During Pregnancy, Maternal Use of Illicit Drugs, Talipes
1 Day M 5928861 5135850 08/21/2005 10/20/2006 Lorazepam Schizophrenia Drug Exposure During Pregnancy, Talipes
1 Day 6443874 5483063 10/05/2007 Lorazepam Drug Use for Unknown Indication Cleft Lip and Palate, Drug Exposure During Pregnancy
1 Day M 6522987 5580144 12/28/2007 Lorazepam OT Depression Cyanosis Neonatal, Drug Exposure During Pregnancy, Hypotonia Neonatal, Infantile Apnoeic Attack, Metabolic Disorder, Neonatal Disorder, Poor Sucking Reflex
Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
2 Days M 6041990 4977016 03/26/2006 04/12/2006 Ativan OT Drug Withdrawal Syndrome Agitation Neonatal, Caesarean Section, Diarrhoea Neonatal, Drug Exposure During Pregnancy, Drug Ineffective, Drug Withdrawal Syndrome Neonatal, Feeding Disorder Neonatal, Foetal Distress Syndrome, Hyperphagia, Irritability, Joint Hyperextension, Muscle Rigidity, Muscle Spasms, Nasal Flaring, Neonatal Disorder, Neonatal Tachypnoea, Rebound Effect, Restlessness, Tremor Neonatal, Vomiting Projectile
2 Days M 6041990 5036864 03/26/2006 06/22/2006 Ativan OT Drug Withdrawal Syndrome Agitation Neonatal, Aspiration, Caesarean Section, Diarrhoea Neonatal, Drug Effect Decreased, Drug Exposure During Pregnancy, Drug Withdrawal Syndrome Neonatal, Feeding Disorder Neonatal, Foetal Distress Syndrome, Hyperaesthesia, Hyporeflexia, Irritability, Joint Hyperextension, Laryngeal Disorder, Muscle Rigidity, Muscle Spasms, Nasal Flaring, Nervous System Disorder, No Therapeutic Response, Photophobia, Poor Sucking Reflex, Rebound Effect, Restlessness, Tachypnoea, Tremor Neonatal, Vomiting Projectile
9 Days M 6442195 5479184 03/10/2007 10/08/2007 Lorazepam OT Agitation, Agitation Neonatal, Drug Exposure During Pregnancy, Insomnia, Premature Baby
8 Months F 6104559 5070228 02/01/2003 07/31/2006 Orfidal OT Atrial Septal Defect, Drug Exposure During Pregnancy, Heart Disease Congenital
4 Years 6047304 4994346 01/01/2002 05/03/2006 Temesta OT Drug Exposure During Pregnancy, Encopresis, Enuresis, Gastrointestinal Malformation
21 Years F 5940688 4846723 12/02/2005 Ativan Drug Exposure During Pregnancy, Induced Labour, Insomnia, Prolonged Pregnancy
21 Years F 5940688 4859955 12/15/2005 Ativan Caesarean Section, Drug Exposure During Pregnancy, Insomnia, Prolonged Pregnancy, Tremor
28 Years F 6651347 5741287 05/14/2008 Lorazepam MD Drug Use for Unknown Indication Abortion Spontaneous, Drug Exposure During Pregnancy
29 Years F 5954153 4867080 06/04/2005 12/22/2005 Temesta OT Depression Abortion Induced, Drug Exposure During Pregnancy
30 Years F 6131867 5102515 05/15/2005 09/07/2006 Lorazepam OT Anxiety, Depression Abortion Spontaneous, Drug Exposure During Pregnancy
33 Years F 4107127 4314000 08/24/2003 03/05/2004 Lorazepam MD Anxiety Congenital Anomaly, Fallot's Tetralogy, Maternal Drugs Affecting Foetus
33 Years F 4107127 4823412 08/24/2003 11/07/2005 Temesta MD Anxiety Apgar Score Low, Drug Exposure During Pregnancy, Fallot's Tetralogy, Premature Baby, Small for Dates Baby
Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
36 Years F 4212041 4448836 07/16/2004 09/09/2004 Ativan MD Caesarean Section, Drug Exposure During Pregnancy, Electroconvulsive Therapy, Premature Labour
36 Years F 4212041 4487893 12/01/2003 10/25/2004 Ativan MD Generalised Anxiety Disorder, Panic Disorder Caesarean Section, Drug Exposure During Pregnancy, Electroconvulsive Therapy, Premature Labour
36 Years F 4212041 4599604 12/01/2003 03/03/2005 Ativan MD Generalised Anxiety Disorder, Panic Disorder Caesarean Section, Drug Exposure During Pregnancy
37 Years F 5955308 4867923 06/29/2005 12/27/2005 Temesta OT Bipolar I Disorder, Mania Abortion Spontaneous, Drug Exposure During Pregnancy
38 Years F 6178590 5156721 01/01/2006 11/15/2006 Tavor MD Anxiety Cervical Incompetence, Drug Exposure During Pregnancy, Premature Rupture of Membranes
38 Years F 6276772 5273077 01/25/2005 03/16/2007 Temesta OT Conduct Disorder, Depression Drug Exposure During Pregnancy, Foetal Distress Syndrome, Foetal Growth Retardation, Oligohydramnios, Premature Baby
39 Years F 6110965 5079260 02/01/2003 08/08/2006 Temesta Anxiety Abortion Induced, Drug Exposure During Pregnancy, Foetal Disorder, Oligohydramnios, Pregnancy On Oral Contraceptive, Renal Hypertrophy
39 Years F 6291771 5291423 09/14/2006 04/02/2007 09/14/2006 Lorazepam OT Abortion Spontaneous, Agitation, Anxiety, Completed Suicide, Emotional Disorder
40 Years F 6214856 5196498 04/19/2006 12/27/2006 Temesta Abortion Induced, Drug Exposure During Pregnancy, Intra-Uterine Death
12 Males 28 Females 47 Cases (Gender was not reported for 7 Cases) 57 Individual Safety Reports

This is a list of all Primary Suspect Drugs reported in the Detail Table

Ativan (lorazepam), Lorax (lorazepam), Lorazepam (lorazepam), Orfidal (lorazepam), Tavor (lorazepam), Temesta (lorazepam)

These are the Adverse Reactions culled from the Individual Safety Reports in the Detail Table

Abortion Induced, Abortion Spontaneous, Accidental Exposure, Agitation, Agitation Neonatal, Amniotic Fluid Volume Decreased, Anorectal Disorder, Anxiety, Apgar Score Low, Aspiration, Atrial Septal Defect, Bradycardia Neonatal, Brow Presentation, Caesarean Section, Cervical Incompetence, Cleft Lip and Palate, Completed Suicide, Complications of Maternal Exposure To Therapeutic Drugs, Congenital Anomaly, Congenital Arterial Malformation, Congenital Cystic Kidney Disease, Congenital Ectopic Bladder, Congenital Ventricular Septal Defect, Convulsion, Convulsion Neonatal, Craniosynostosis, Cyanosis Neonatal, Diarrhoea Neonatal, Drug Effect Decreased, Drug Exposure During Pregnancy, Drug Exposure Via Breast Milk, Drug Hypersensitivity, Drug Ineffective, Drug Withdrawal Syndrome, Drug Withdrawal Syndrome Neonatal, Electroconvulsive Therapy, Electroencephalogram Abnormal, Emotional Disorder, Encopresis, Enuresis, Fallot's Tetralogy, Fatigue, Feeding Disorder Neonatal, Feeding Problem In Newborn, Foetal Disorder, Foetal Distress Syndrome, Foetal Growth Retardation, Gastrointestinal Malformation, Gastrooesophageal Reflux Disease, Haematoma, Heart Disease Congenital, Hernia Congenital, Hyperaesthesia, Hyperphagia, Hypersensitivity, Hypersomnia, Hypertonia, Hypertonia Neonatal, Hypokinesia Neonatal, Hypopnoea, Hyporeflexia, Hypospadias, Hypotonia Neonatal, Induced Labour, Infantile Apnoeic Attack, Infection, Insomnia, Intentional Overdose, Intercostal Retraction, Intestinal Perforation, Intra-Uterine Death, Irritability, Joint Hyperextension, Laboratory Test Abnormal, Laryngeal Disorder, Laryngomalacia, Maternal Drugs Affecting Foetus, Maternal Use of Illicit Drugs, Meconium In Amniotic Fluid, Meningomyelocele, Metabolic Disorder, Microcephaly, Monocytosis, Muscle Rigidity, Muscle Spasms, Nasal Flaring, Neonatal Apnoeic Attack, Neonatal Disorder, Neonatal Infection, Neonatal Respiratory Acidosis, Neonatal Respiratory Distress Syndrome, Neonatal Respiratory Failure, Neonatal Tachypnoea, Nervous System Disorder, No Therapeutic Response, Oesophagitis, Oligohydramnios, Overdose, Photophobia, Placental Insufficiency, Polyhydramnios, Poor Sucking Reflex, Potter's Syndrome, Pregnancy On Oral Contraceptive, Premature Baby, Premature Labour, Premature Rupture of Membranes, Prolonged Pregnancy, Pulmonary Hypoplasia, Pyrexia, Rebound Effect, Renal Hypertrophy, Restlessness, Single Umbilical Artery, Small for Dates Baby, Somnolence, Somnolence Neonatal, Suicide Attempt, Tachypnoea, Talipes, Tracheomalacia, Tremor, Tremor Neonatal, Vaginal Haemorrhage, Vomiting, Vomiting Projectile


Lorazepam Adverse Reaction Definitions
  
Abortion Spontaneous Miscarriage means loss of an embryo or fetus before the 20th week of pregnancy. Most miscarriages occur during the first 14 weeks of pregnancy. The medical term for miscarriage is spontaneous abortion.
  
Apgar Score Low A system of assessing the general physical condition of a newborn infant based on a rating of 0, 1, or 2 for five criteria: heart rate, respiration, muscle tone, skin color, and response to stimuli. The five scores are added together, with a perfect score being 10. The persistence of low Apgar scores at 20 minutes of age is predictive of high rates of morbidity (disease) and mortality (death). (Virginia Apgar (1909–1974), American physician)
  
Atrial Septal Defect An atrial septal defect (ASD), a congenital defect, occurs when there is an opening in the atrial septum, or dividing wall between the two upper chambers of the heart, known as the right and left atria.

Normally, oxygen-poor (blue) blood returns to the right atrium from the body, travels to the right ventricle, then is pumped into the lungs where it receives oxygen. Oxygen-rich (red) blood returns to the left atrium from the lungs, passes into the left ventricle, then is pumped out to the body through the aorta.

An atrial septal defect allows oxygen-rich (red) blood to pass from the left atrium through the opening in the septum, and then mix with oxygen-poor (blue) blood in the right atrium.

This heart defect can cause lung problems if not repaired. When blood passes through the ASD from the left atrium to the right atrium, a larger volume of blood than normal must be handled by the right side of the heart, causing the right side to become overworked and enlarged. Extra blood then passes through the pulmonary artery into the lungs, causing higher pressure than normal in the blood vessels in the lungs, a condition known as pulmonary hypertension.
  
Cervical Incompetence A condition in which a pregnant woman's cervix begins to dilate (widen) and efface (thin) before her pregnancy has reached term. Cervical incompetence is a cause of miscarriage and preterm birth in the second and third trimesters.
  
Congenital A physical abnormality that is present at birth.
  
Congenital Anomaly Medical term for a birth defect which is a physical abnormality that is present at birth; they are also called congenital abnormalities. When multiple birth defects occur together and have a similar cause, they are called syndromes.
  
Craniosynostosis Craniosynostosis is a defect in which one or more of the flexible and fibrous joints (cranial sutures) between the skull bones closes too soon; it occurs before birth or within a few months after birth. The skull cannot expand normally with growth of the brain, and so assumes an abnormal shape. [Images]
  
Drug Withdrawal Syndrome Neonatal Refers to the characteristic signs and symptoms that appear when a drug that causes physical dependence is regularly used for a long time and then suddenly discontinued or decreased in dosage. Also known as abstinence syndrome. A group of unpleasant symptoms produced by the abrupt termination of drug taking. These symptoms, commonly called withdrawal symptoms, include anxiety, muscle weakness, nausea, vomiting, tremor, and a rapid heart beat. [Image]
  
Fallot's Tetralogy A congenital malformation of the heart characterized by a defect in the ventricular septum, misplacement of the origin of the aorta, narrowing of the pulmonary artery, and enlargement of the right ventricle.
  
Foetal Distress Syndrome An abnormal condition of a fetus during gestation or at the time of delivery, marked by altered heart rate or rhythm and leading to compromised blood flow or changes in blood chemistry.
  
Hyperphagia An abnormally increased appetite for and consumption of food, thought to be associated with a lesion or injury in the hypothalamus.
  
Hypersomnia Excessive sleepiness.
  
Laryngomalacia A birth defect that causes the tissues around the larynx to partially collapse and narrow the air passageway, causing noisy breathing.
  
Meningomyelocele Protrusion of the spinal membranes and spinal cord through a defect in the vertebral column. [Images]
  
Microcephaly Abnormal smallness of the head. [Images]
  
Neonatal Respiratory Distress Syndrome Respiratory distress syndrome (RDS) of the newborn, also known as infant RDS, is an acute lung disease present at birth, which usually affects premature babies. Layers of tissue called hyaline membranes keep the oxygen that is breathed in from passing into the blood. The lungs are said to be "airless." Without treatment, the infant will die within a few days after birth.
  
Neonatal Tachypnoea Abnormally fast or deep respiration, which results in the loss of carbon dioxide from the blood, thereby causing a fall in blood pressure, tingling of the extremities, and sometimes fainting.
  
Oligohydramnios A deficiency in the amount of amniotic fluid.
  
Potter's Syndrome A combination of birth defects characterized by the absence of one or both kidneys, underdeveloped lungs, and Potter's facies, and resulting in neonatal respiratory distress, circulatory abnormalities, acidosis, cyanosis, edema, and death.
  
Pyrexia Fever.
  
Rebound Effect Rebound effect is the tendency of a medication, when discontinued, to cause a return of the symptoms being treated more severe than before. The symptom will be more pronounced after the medication is withdrawn than before it was used.
  
Talipes Clubfoot is a condition in which one or both feet are twisted into an abnormal position at birth. The condition is also known as talipes. [Images]
  
Tracheomalacia Degeneration of the elastic and connective tissue of the trachea.
  

MedWatch Reporting by Consumers

MedWatch is the Food and Drug Administration's program for reporting any undesirable experience associated with the use of a medical product. If you think you or someone in your family has experienced an adverse reaction from taking Lorazepam and it has not been reported to the FDA, see this page for instructions on reporting the adverse event through your doctor or directly to the FDA using an online form.

A May 2006 USA Today article states that "drug companies are required to file any reports they have to the FDA, but consumers and doctors report such events on a voluntary basis. Studies suggest the FDA's Adverse Events Reporting System database captures only 1% to 10% of drug-induced side effects and deaths, "maybe even less than 1%," says clinical pharmacologist Alastair J.J. Wood, an associate dean at Vanderbilt Medical School in Nashville. So the real number of cases is almost certainly much higher".