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BMJ Umbrella Review Finds No Proven Link Between Prenatal Paracetamol and Autism or ADHD

Authors say apparent links in past studies likely reflect shared genetic and family factors, not the medication itself.

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Overview

  • An international review published November 10 in the BMJ synthesizes prior research and concludes current evidence is insufficient to establish a causal relationship between prenatal paracetamol exposure and autism or ADHD.
  • The authors rate several earlier reviews as low or very low quality, citing poor control of confounding factors such as genetics, maternal health and socioeconomic conditions.
  • Health agencies including the WHO, FDA, EMA and Brazil’s Anvisa continue to recommend paracetamol for short-term pain or fever during pregnancy when used at recommended doses.
  • Researchers advise using the lowest effective dose for the shortest necessary duration and caution against frequent or prolonged use without medical guidance.
  • The publication rebuts recent claims by President Donald Trump linking Tylenol use in pregnancy to autism, as independent experts praised the BMJ review’s methodology.