MHRA statement on new review of paracetamol safety during pregnancy

Paracetamol should be taken as directed in the patient information leaflet

Following publication of a new systematic review and meta-analysis in The Lancet Obstetrics, Gynaecology, & Women’s Health which found no evidence that paracetamol use during pregnancy increases the risk of autism spectrum disorder, ADHD or intellectual disability among children, the MHRA has reaffirmed that paracetamol continues to be the safest option for managing pain and fever during pregnancy.

Dr Alison Cave, Chief Safety Officer at the MHRA, said: “Paracetamol remains safe to use during pregnancy. This large-scale analysis of the evidence found no link between taking paracetamol during pregnancy and autism, ADHD, or disability in children.

“Paracetamol has been used for many years and is the recommended first choice for treating pain or fever during pregnancy. When taken as directed, it is safe and effective.

“As with all medicines, pregnant women should speak to their doctor, pharmacist or midwife if they have any questions, and follow the guidance provided with the medicine.”

Paracetamol is recommended as the first-choice painkiller for pregnant women, used at the lowest dose and for the shortest duration.

If pain does not resolve, then patients are advised to seek advice from their healthcare professional.

See NHS Guidance – Pregnancy, breastfeeding and fertility while taking paracetamol for adults 

MHRA: NO EVIDENCE that taking paracetamol during pregnancy causes autism in children

There is no evidence that taking #paracetamol during pregnancy causes autism in children.

Always follow NHS guidance and report any suspected side effects via the Yellow Card scheme https://bit.ly/2A6B165

Dr Alison Cave, Chief Safety Officer at the MHRA, said:Patient safety is our top priority. There is no evidence that taking paracetamol during pregnancy causes autism in children.   

“Paracetamol remains the recommended pain relief option for pregnant women when used as directed. Pregnant women should continue to follow existing NHS guidance and speak to their healthcare professional if they have questions about any medication during pregnancy.

“Untreated pain and fever can pose risks to the unborn baby, so it is important to manage these symptoms with the recommended treatment. 

https://twitter.com/i/status/1970506529125064995

“Our advice on medicines in pregnancy is based on rigorous assessment of the best available scientific evidence. 

“Any new evidence that could affect our recommendations would be carefully evaluated by our independent scientific experts. 

“We continuously monitor the safety of all medicines, including those used during pregnancy, through robust monitoring and surveillance. We encourage anyone to report any suspected side effects to us via the Yellow Card scheme.”

Paracetamol is recommended as the first-choice painkiller for pregnant women, used at the lowest dose and for the shortest duration.

If pain does not resolve, then patients are advised to seek advice from their healthcare professional.

See NHS Guidance – Pregnancy, breastfeeding and fertility while taking paracetamol for adults 

Scottish Autism is aware that pronouncements regarding autism from the US Government will be a source of anxiety and worry for many in our community.

We are clear that public policy should be focused on recognising and accommodating the needs and rights of autistic people rather than stigmatising neurodivergence as something to be ‘treated’ or prevented. Spreading misinformation about the identified reasons why some people are born autistic does nothing to further this aim.

Scottish Autism’s focus is on finding better ways to support autistic people and their families. Our research, campaigning and service provision reflect this priority and always will.

Our Advice Line is open 10am-4pm Monday, Tuesday, Thursday & Friday and our Community Advisors can help you to identify what support may exist in your area.

You can call the Advice Line on 01259 222022, email advice@scottishautism.org or LiveChat with us via our website.