Swedish Study Examines Risks of ASD/ADHD After Prescribed Opioids During Pregnancy

PainRelief.com Interview with:

Emma N. Cleary (she/her)
Clinical Psychology PhD Candidate
Developmental Psychopathology Lab
Indiana University Bloomington

PainRelief.com: What is the background for this study?

Response: Pain is common during pregnancy and one of the options for managing it is with prescribed opioid pain medications. When pregnant patients and their physicians try to make decisions about using these medications, there are often concerns about impacts on fetal development given that these medications cross the placenta.

Previous studies have identified associations between prenatal exposure to opioids pain medications and increased risk of neurodevelopmental disorders like autism spectrum disorder (ASD) and  attention-deficit/hyperactivity disorder (ADHD), but it is unclear whether this is causal.

Indiana University Study Finds Tylenol has Unexpected Effect on Endocannabinoids for Pain Relief

PainRelief.com Interview with:
Alex Straiker Ph.D.
Associate Research Scientist, Psychological and Brain Sciences
Adjunct Instructor, Psychological and Brain Sciences
Department of Psychological and Brain Sciences
Gill Institute for Neuroscience, Indiana University
Bloomington, IN 47405, USA

Alex Straiker

PainRelief.com: What is the background for this study?

Response: Acetaminophen has been used to relieve pain since the late 19th century and became available around the world during the 1950s and 1960s. In the United States, it’s known as Tylenol (introduced in 1955), while in most other countries it’s referred to as paracetamol.

It is considered generally safe and remains one of the most widely used medications in the world. However, it still contributes to a significant number of deaths due to liver failure. In fact, in many countries, acetaminophen-related toxicity is the leading cause of acute liver failure.

What’s surprising is that, despite its long history and widespread use, we still don’t fully understand how acetaminophen works.

Scientists have proposed several mechanisms of action involving serotonin pathways and cyclooxygenase (COX) enzymes.  Several lines of evidence point to the body’s natural cannabis-like chemicals, called endocannabinoids.

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