Nefazodone - 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.



Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
F 4075899 4282642 01/30/2004 Serzone MD Drug Exposure During Pregnancy
F 4075959 4282703 01/30/2004 Serzone OT Drug Exposure During Pregnancy
F 4075963 4282707 01/01/2003 01/30/2004 Serzone PH Depression Crying, Drug Exposure During Pregnancy, Insomnia, Mood Altered, Palpitations
F 4076143 4282881 01/30/2004 Nefazodone OT Drug Exposure During Pregnancy
F 4103720 4314775 06/23/2001 03/10/2004 06/23/2001 Serzone OT Cardiac Failure, Cardiomegaly, Congenital Atrial Septal Defect, Hepatoblastoma, Hyperadrenalism, Immature Respiratory System
F 5719879 4557960 01/01/2000 01/21/2005 Serzone CN Drug Exposure During Pregnancy
23 Years F 4075972 4282716 01/30/2004 Serzone LW Depression Drug Exposure During Pregnancy
28 Years F 4075841 4282585 01/01/2001 01/30/2004 Serzone OT Panic Disorder Blood Cholesterol Increased, Chest Discomfort, Dizziness, Drug Exposure During Pregnancy, Dyspnoea, Middle Insomnia, Migraine, Sleep Talking, Sleep Walking, Visual Disturbance
29 Years F 4075939 4282683 01/30/2004 Serzone OT Depression Drug Exposure During Pregnancy
29 Years F 5719793 4557868 06/04/2003 01/21/2005 Serzone CN Depression Drug Exposure During Pregnancy
30 Years F 4076185 4282924 01/30/2004 Serzone OT Depression Drug Exposure During Pregnancy
32 Years F 4075965 4282709 01/30/2004 Serzone OT Depression Drug Exposure During Pregnancy
Age M/F Case # ISR Date of Event Recv'd by FDA Date of Death Drug Name Rpt'd By Indications Adverse Reactions
33 Years F 4108017 4317852 01/01/2003 03/16/2004 Serzone OT Depression Nausea, Premature Labour, Vomiting
35 Years F 4125862 4339531 01/17/2001 04/15/2004 Serzone LW Dizziness, Liver Function Test Abnormal, Malaise, Oedema Peripheral, Premature Baby
39 Years F 4075935 4282679 06/10/2003 01/30/2004 Serzone OT Depression Drug Exposure During Pregnancy
44 Years F 6324064 5336861 05/19/2001 05/24/2007 Serzone OT Depression Amnesia, Coma, Exaggerated Startle Response, Hallucination, Auditory, Impaired Work Ability
Males 16 Females 16 Cases 16 Individual Safety Reports

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

Nefazodone (nefazodone), Serzone (nefazodone)

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

Amnesia, Auditory, Blood Cholesterol Increased, Cardiac Failure, Cardiomegaly, Chest Discomfort, Coma, Congenital Atrial Septal Defect, Crying, Dizziness, Drug Exposure During Pregnancy, Dyspnoea, Exaggerated Startle Response, Hallucination, Hepatoblastoma, Hyperadrenalism, Immature Respiratory System, Impaired Work Ability, Insomnia, Liver Function Test Abnormal, Malaise, Middle Insomnia, Migraine, Mood Altered, Nausea, Oedema Peripheral, Palpitations, Premature Baby, Premature Labour, Sleep Talking, Sleep Walking, Visual Disturbance, Vomiting

Definitions
  
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.
  
Cardiomegaly Enlargement of the heart.
  
Congenital A physical abnormality that is present at birth.
  
Dyspnoea Difficulty in breathing, often associated with lung or heart disease and resulting in shortness of breath. Also called air hunger.
  
Malaise A vague feeling of bodily discomfort, as at the beginning of an illness. A general sense of depression or unease.
  
Middle Insomnia Difficulty returning to sleep after awakening in the middle of the night.
  

Top 20 Adverse Reactions
Adverse Reaction Cases
Drug Exposure During Pregnancy 12
Dizziness 2
Vomiting 1
Visual Disturbance 1
Sleep Walking 1
Sleep Talking 1
Premature Labour 1
Premature Baby 1
Palpitations 1
Oedema Peripheral 1
Nausea 1
Mood Altered 1
Migraine 1
Middle Insomnia 1
Malaise 1
Liver Function Test Abnormal 1
Insomnia 1
Impaired Work Ability 1
Immature Respiratory System 1
Hyperadrenalism 1


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 Nefazadone 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".