In a study carried retired successful collaboration pinch nan World Health Organization, 2 Aston University academics person recovered that while entree to antiseizure medicine successful low- and middle-income countries is growing, it is not needfully ever prescribed safely.
Dr. Adrienne Chan and Professor Ian Wong led nan study to analyse antiseizure medicine usage crossed 73 countries betwixt 2012 and 2022 and opportunity that nan emergence successful prescribing is an encouraging motion that entree to basal neurological medicines is improving. However, nan astir wide prescribed is valproate, which tin origin commencement defects and neurodevelopmental problems successful babies if taken by mothers during pregnancy. These tin see spina bifida, cleft palate, and intellectual, communication, behaviour and representation disorders.
The World Health Organization (WHO) lists valproate arsenic an "essential medicine" but has issued guidance against prescribing it to women and girls of childbearing property because of nan risks of commencement defects. It has identified valproate-related foetal disorders arsenic a awesome world concern.
The researchers opportunity that acquisition is urgently required globally to guarantee that nan risks are known and replacement medicines are prescribed wherever necessary. In galore high-income countries, tighter regulations and gestation prevention programmes person reduced valproate use. In contrast, successful countries wherever newer antiseizure narcotics are little affordable aliases available, valproate continues to beryllium prescribed much frequently.
The WHO commissioned nan study led by Dr Chan and Professor Wong arsenic portion of ongoing efforts to understand and beforehand nan safe and equitable usage of basal neurological medicines worldwide.
The study utilized income information from nan affected countries, but nan researchers opportunity nan adjacent measurement is to understand patterns wrong circumstantial populations and to measure really information measures are being implemented successful different regions. This will springiness a amended knowing of whether specified narcotics are being prescribed to women of childbearing property and nan risks to unborn children.
Our findings show that entree to antiseizure medicines is expanding globally, which is bully news for patients who antecedently had small aliases nary curen options. But nan continued wide usage of valproate successful immoderate parts of nan world is concerning, fixed its known risks during pregnancy. Greater world alignment connected safe prescribing and acquisition is urgently needed to protect early generations."
Dr. Adrienne Chan, Aston University
Source:
Journal reference:
Chan, A.Y. L., et al. (2025). Antiseizure medications depletion successful 73 countries and regions from 2012 to 2022: a longitudinal inclination study. eClinicalMedicine. doi: 10.1016/j.eclinm.2025.103558. https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(25)00491-2/fulltext
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