Verapamil

Selected References:

  • Andersen HJ. 1983. Excretion of verapamil in human milk. Eur J Clin Pharmacol, 25:279-80.
  • Anderson P, et al. 1987. Verapamil and norverapamil in plasma and breast milk during breast feeding. Eur J Clin Pharmacol, 31:625-627.
  • Belfort MA, et al. 1990. Hemodynamic changes associated with intravenous infusion of the calcium antagonist verapamil in the treatment of severe gestational proteinuric hypertension. Obstet Gynecol, 75:970-974.
  • Benoff S, et al. 1994. The effect of calcium ion channel blockers on sperm fertilization potential. Fertil Steril, 62:606-617.
  • Byerly WG, et al. 1991. Verapamil in the treatment of maternal paroxysmal supraventricular tachycardia. Ann Emerg Med, 20(5):552-554.
  • Czeizel AE, Rockenbauer M. 1997. Population-based case-control study of teratogenic potential of corticosteroids. Teratology, 56:335-340.
  • Czeizel AE, Toth M. 1998. Birth weight, gestational age and medications during pregnancy. Int J Gynaecol Obstet, 60:245-249.
  • Fearrington EL, et al. 1983. Hyperprolactinemia-galactorrhea induced by verapamil. Am J Cardiol, 51:1466-1467.
  • Gluskin LE, et al. 1981. Verapamil-induced hyperprolactinemia and galactorrhea. Ann Intern Med, 95:66-67.
  • Inoue H. 1984. Excretion of verapamil in human milk. Br Med J, 288:645-646.
  • Joglar JA, et al. 2023. HRS expert consensus statement on the management of arrhythmias during pregnancy. Heart Rhythm. 20: e175–264.
  • Katsoff D, Check JH. 1997. A challenge to the concept that the use of calcium channel blockers causes reversible male infertility. Hum Reprod, 12(7):1480-482.
  • King BD, et al. 1983. Impotence during therapy with verapamil. Arch Intern Med, 143:1248-1249.
  • Magee LA, et al. 1996. The safety of calcium channel blockers in human pregnancy: a prospective, multicenter cohort study. Am J Obstet Gynecol, 174(3):823-828.
  • Miller MR, et al. 1986. Verapamil and breast-feeding. Eur J Clin Pharmacol, 30:125-126.
  • Murad SHN, et al. 1985. Effects of verapamil on uterine blood flow and maternal cardiovascular function in the awake pregnant ewe. Anesth Analg, 64:7-10.
  • Spelger G, et al. 1980. Kardiale Parameter beim Neugeborenen nach Tokolyse [Cardiac parameters of the newborn after tocolysis (author’s transl)]. Klin Padiatr, 192(4):319-324. German.
  • Tamirisa KP, 2022. Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration. J Cardiovasc Dev Dis, 9:199.
  • Tektemur A, et al. 2020. Verapamil-induced ion channel and miRNA expression changes in rat testis and/or spermatozoa may be associated with male infertility. Andrologia, 52(10):e13778.
  • Weber-Schoendorfer C, et al. 2008. The safety of calcium channel blockers during pregnancy: a prospective, multicenter, observational study. Reprod Toxicol, 2008;26:24-30.
  • 2025. Product labeling. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3283bba6-05dd-3766-e063-6394a90ada69

 


Verapamil

Selected References:  

  • An Y, et al. 2014. The use of berberine for women with polycystic ovary syndrome undergoing IVF treatment. Clin Endocrinol (Oxf), 80(3):425-431.  
  • Chan E. 1993. Displacement of bilirubin from albumin by berberine. Biol Neonate, 63:201-208. 
  • Di Pierro F, et al. 2023. Effect of Berberine Phytosome on reproductive, dermatologic, and metabolic characteristics in women with polycystic ovary syndrome: a controlled, randomized, multi-centric, open-label clinical trial. Frontiers in pharmacology, 14:1269605. 
  • Ha S & Song X. 2024. Berberine as adjuvant therapy for treating reduced fertility potential in women with polycystic ovary syndrome: A meta-analysis of randomized controlled trials. Explore (New York, N.Y.), 20(6):103040 
  • Imanshahidi M, et al. 2008. Pharmacological and therapeutic effects of Berberis vulgaris and its active constituent, berberine. Phytother Res, 22:999–1012. 
  • Lampe KF. 1999. Berberine. In DeSmet PAGM, Keller K, Hnsel R, Chandler RF. Adverse effects of herbal drugs, vol 1: 97-103. Springer-Verlag, Berlin. 
  • Zhao S, et al. 2021. Effect and mechanism of berberine against polycystic ovary syndrome. Biomedicine & Pharmacotherapy, 138:111468. 


Verapamil

Selected References:


Verapamil

Selected References:

  • Ghafuri, DL, et al. 2017. Fertility challenges for women with sickle cell disease. Expert review of hematology, 10(10), 891–901.
  • Food and Drug Administration. 2019 HIGHLIGHTS OF PRESCRIBING INFORMATION: OXBRYTA. https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/213137s000lbl.pdf.
  • Food and Drug Administration. 2019. FDA approves voxelotor for sickle cell disease. https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-voxelotor-sickle-cell-disease.
  • Osegbe, DN, et al. 1981. Fertility in males with sickle cell disease. Lancet (London, England)2(8241), 275–276.
  • Patel ZV, et al. 2024. Newer Modalities and Updates in the Management of Sickle Cell Disease: A Systematic Review. J Blood Med. 12;15:435-447. doi: 10.2147/JBM.S477507. PMID: 39286637; PMCID: PMC11404495.
  • Pecker, LH; Kuo, KH.2022. Go the Distance: Reproductive Health Care for People with Sickle Cell Disease. Hematology/oncology clinics of North America36(6), 1255–1270.
  • Rogers, DT; Molokie, R. 2010. Sickle cell disease in pregnancy. Obstetrics and gynecology clinics of North America, 37(2), 223–237.
  • Serjeant, GR et al. 2004. Outcome of Pregnancy in Homozygous Sickle Cell Disease. Obstetrics & Gynecology 103(6):p 1278-1285.


Verapamil

Selected References:

  • Baldacci S, et al. 2024. Medication use during pregnancy and the risk of gastroschisis: a systematic review and meta-analysis of observational studies. Orphanet J Rare Dis 19(1):31.
  • Center for Drug Evaluation and Research. (n.d.). NSAIDs may cause rare kidney problems in unborn babies. Retrieved June 6, 2025, from https://www.fda.gov/drugs/drug-safety-and-availability/fda-recommends-avoiding-use-nsaids-pregnancy-20-weeks-or-later-because-they-can-result-low-amniotic
  • Choi E-Y, et al. 2023. Neonatal and maternal adverse outcomes and exposure to nonsteroidal anti-inflammatory drugs during early pregnancy in South Korea: a nationwide cohort study. PLoS Med, 20(2):e1004183.
  • Committee on Drugs, American Academy of Pediatrics. 2001. The transfer of drugs and other chemicals into human breast milk. Pediatrics, 108:776-789.
  • Czeizel AE, et al. 2000. A population-based case-control teratologic study of acetylsalicylic acid treatments during pregnancy. Pharmacoepidemiol Drug Saf, 9:193-205.
  • Dawood MY. 1993. Nonsteroidal antiinflammatory drugs and reproduction. Am J Obstet Gynecol, 169(5):1255-1265.
  • Daniel S, et al. 2014. Fetal exposure to nonsteroidal anti-inflammatory drugs and spontaneous abortion. Can Med Assoc J 186(5):E177-E182.
  • Daniel S, et al. 2015. NSAIDs and spontaneous abortions – true effect or an indication bias? Br J Clin Pharmacol, 80(4):750-754.
  • Dathe K, et al. 2018. No evidence of adverse pregnancy outcome after exposure to ibuprofen in the first trimester—Evaluation of the national Embryotox cohort. Reproductive Toxicology, 79: 32-38.
  • Ericson A and Kallen BA. 2001. Nonsteroidal anti-inflammatory drugs in early pregnancy. Reprod Toxicol, 15:371-375.
  • Findlay JWA, et al. 1981. Analgesic drugs breast milk and plasma. Clin Pharmacol Ther, 29:625-33.
  • Hastie R, et al. 2021. Aspirin use during pregnancy and the risk of bleeding complications: a Swedish population-based cohort study. Am J Obstet Gynecol, 224(1):95.e1-95.e12.
  • Hernandez RK, et al. 2012. Nonsteroidal anti-inflammatory drug use among women and the risk of birth defects. Am J Obstet Gynecol, 206(3):228.e1-8.
  • Jamali F, Keshavarz E. 1981. Salicylate in breast milk. Int J Pharm, 8:285-290.
  • Janssen NM and Genta MS. 2000. The effects of immunosuppressive and anti-inflammatory medication on fertility, pregnancy, and lactation. Arch Intern Med, 160:610-619.
  • Killick S, Elstein M. 1987. Pharmacological production of luteinized unruptured follicles by prostaglandin synthetase inhibitors. Fertil Steril, 47:773-777.
  • Kozer E, et al. 2002. Aspirin consumption during the first trimester of pregnancy and congenital anomalies: a meta-analysis. Am J Obstet Gynecol, 187:1623-1630.
  • Levin DL, et al. 1978. Morphologic analysis of the pulmonary vascular bed in infants exposed in utero to prostaglandin synthetase inhibitors. J Pediatr, 92:478-483.
  • Lewis RB, Schulman JD. 1973. Influence of acetylsalicylic acid, an inhibitor of prostaglandin synthesis, on the duration of human gestation and labor. Lancet, 2:1159-1163.
  • Li DK, et al. 2003. Exposure to non-steroidal anti-inflammatory drugs during pregnancy and risk of miscarriage: population based cohort study. BMJ, 327:368-370.
  • Martinez-Frias ML, et al. 1997. Prenatal exposure to salicylates and gastroschisis: a case-control study. Teratology, 56:241-243.
  • Nezvalova-Henriksen K et al. 2013. Effects of ibuprofen, diclofenac, naproxen, and piroxicam on the course of pregnancy and pregnancy outcome: a prospective study. BJOG, 120(8):948-959.
  • Nielsen GL, et al. 2001. Risk of adverse birth outcome and miscarriage in pregnant users of non-steroidal anti-inflammatory drugs: population based observational study and case-control study. BMJ, 322(7281):266-270.
  • Nielsen GL, et al. 2004. Danish group reanalyses miscarriage in NSAID users. BMJ, 328(7431):109.
  • Norgard B, et al. 2005. Aspirin use during early pregnancy and the risk of congenital abnormalities: a population-based case-control study. Am J Obstet Gynecol, 192:922-923.
  • Petersen TG, et al. 2018. Use of paracetamol, ibuprofen or aspirin in pregnancy and risk of cerebral palsy in the child. Int J Epidemiol, 47(1):121-130.
  • Rumack CM, et al. 1981. Neonatal intracranial hemorrhage and maternal use of aspirin. Obstet Gynecol, 58(Suppl):52S-56S.
  • Slone D, et al. 1976. Aspirin and congenital malformations. Lancet, 1(7974):1373-1375.
  • The WHO Working Group, Bennet PN (ed). 1988. Drugs and Human Lactation. Elsevier, Amsterdam, New York, Oxford. pp. 325-326.
  • Torfs CP, et al. 1996. Maternal medications and environmental exposures as risk factors for gastroschisis. Teratology, 54:84-92.
  • Turner G, Collins E. 1975. Fetal effects of regular salicylate ingestion during pregnancy. Lancet, 2:338-339.
  • Tyler CP, et al. 2012. Brain damage in preterm newborns and maternal medication: the ELGAN study. Am J Obstet Gynecol, 207:192e1-9.
  • Werler MM, et al. 1989. The relation of aspirin use during the first trimester of pregnancy to congenital cardiac defects. N Engl J Med, 321:1639-42.