8/9/2019 Drugs to Avoid in Pregnancy
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Drugs to avoid in pregnancyThe OTC drugs to avoid:
Drugs Used in CR recommendation
Aspirin Pain 1st, 2nd, 3rd trimester:Not recommended
Chlorpheniramine
Allergic conditions, itching andurticaria
1st, 2nd trimester:Use with caution3rd trimester:Not
recommended
Brompheniramine
Common cold, allergic rhinitis 1st, 2nd trimester:Use with
caution3rd trimester:Not recommended
Ibuprofen Pain, fever, swelling 1st, 2nd trimester:Use with
caution3rd trimester:Not recommended
apro!en Pain, fever 1st, 2nd trimester:Use with caution3rd
trimester:Not recommended
Pseudoephedrine Bloc"ed nose or sinuses, acts as
adecongestant
1st trimester:Not recommended2nd, 3rd trimester:Use with
caution
Castor oil ####### 1st, 2nd$ 3rd trimester:Do not
takeunacceptable risk
Antibiotics to avoid:
Drugs Commonl used in
%treptom&cin 'uberculosis
'etrac&cline such as (o!&c&cline and )inoc&cline
*espirator& infections and acne
%ulfonamides such as Clotrima+ole rinar& infection, ear
infections,pneumonia
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-luoro.uinolones such as Ciproflo!acin,/evoflo!acin,
0flo!acin$
rinar& infections
'rimethoprim rinar& infections
Antibiotics generall considered sa!e:
Amo!icillin
Ampicillin
Clo!acillin
-luclo!acillin
Clindam&cin
entamicin
r&throm&cin
Cephalosporins such as Cefi!ime, Cefta+idime$
)etronida+ole
'hese all fall within Categor& B which means animal studies
have shown an adverseeffect, but ade.uate and well#controlled
studies in pregnant women have failed todemonstrate a ris" to the
fetus in an& trimester$ Antibiotics should onl& be ta"en if
it hasbeen prescribed b& &our doctor$ hen giving &ou a
certain medication, &our doctor willweigh the ris"s and
benefits of the drug$"! ou are diabetic or hpertensiveIf &ou
are a diabeticand is on oral antidiabetic drug40A(5, ma"e sure
&our doctor"nows about it$ ven if &ou are tr&ing to
become pregnant, certain drugs will be stoppedand other
alternatives which are not harmful for the bab& will be given$
0A(s that aresafe during pregnanc& are )etformin and
libenclamide$ If &our blood sugar level isn6tcontrolled b&
diet and e!ercise, the ne!t best option is insulin but the above
mentioneddrugs are also safe options$-or women with high blood
pressure, the antih&pertensives that are not recommendedfor use
in pregnanc& are ACI 4Angiotensin#converting n+&me
Inhibitor5 and A*B4Angiotensin *eceptor Bloc"er5$ 'hese includes
drugs such as *amipril, nalapril,/isinopril, /osartan, 7alsartan
etc$ (rugs that are used in pregnanc& are
8&drala+ine,)eth&ldopa and /abetalol$#e care!ul$hen
&our pharmacist suggests &ou bu& a medicine with
different name, that isproduced b& different compan&, ma"e
sure the generic name is the same$ 0nl& becausethe& sound
similar doesn9t mean the& are the same drug$ And remember 0/
'A;(*% '8A' 8A7 B P*%C*IB( B 0* (0C'0*
