FDA Strengthens Warning on Drug Paxil

FDA strengthens warning on drug Paxil

WASHINGTON The Food and Drug Administration is strengthening its warning that the antidepressant Paxil may be associated with birth defects, citing a new study that found increased risk of fetuses developing heart defects.

The FDA asked manufacturer GlaxoSmithKline to reclassify the drug, which goes by the generic name paroxetine, as a Category D drug for pregnant women. The classification means that studies in pregnant women have shown a risk to the fetus. However, the FDA said, the benefits of the drug may outweigh the risk to the fetus.

Two studies of pregnant women taking Paxil during their first trimester have shown their babies have heart defects 1 to two times a greater rate than the norm, the FDA said Thursday. It issued a previous warning in September.

The FDA is advising doctors not to prescribe Paxil to women in their first three months of pregnancy or planning to become pregnant, unless there are no other options.