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Autism is not a scare story: What parents need to know about medications in pregnancy, genetic risk and misleading headlines

13 0
15.09.2025

Over the past couple of months, headlines have warned expectant parents that something as ordinary as a pain reliever or an antidepressant taken during pregnancy could “cause autism.”

The stories have focused on acetaminophen (also known as paracetamol or the brand name Tylenol) and selective serotonin reuptake inhibitors (SSRIs), such as Prozac (fluoxetine) and Zoloft (sertraline).

But here is what the headlines leave out: acetaminophen is commonly used during pregnancy to manage fever, pain or stress, all of which can themselves affect fetal development. Similarly, SSRIs are prescribed for depression or anxiety, conditions that also influence pregnancy outcomes. In many cases, it may well be the illness, not the treatment, that shapes child development.

Both classes of medications have been studied extensively for decades. Yet despite what the headlines suggest, the evidence that acetaminophen or SSRIs cause autism is weak, inconsistent and easily misinterpreted.

With a background in genetics and clinical teratology — the scientific study of birth defects — my research examines how maternal exposures in pregnancy interact with genetic and environmental factors to influence child development. From this perspective, I want to explain why the research on acetaminophen and SSRIs is often misunderstood, and why reducing complex science to alarming headlines does more harm than good.

With the recent U.S. Food and Drug Administration (FDA) panel on SSRIs in pregnancy, and the public claims made by United States Secretary of Health and Human Services Robert F. Kennedy Jr. regarding acetaminophen and autism, there is a need for evidence-based information. While my focus........

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