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Drugs Used in Pregnancy

This document lists various drugs that can be used to treat common medical conditions during pregnancy, including: 1) Hypertension, asthma, gestational diabetes, headaches, DVT, seizures, epilepsy, depression, hypothyroidism, and hyperthyroidism. It provides examples of specific drugs to treat each condition. 2) Other conditions mentioned include nausea/vomiting, UTIs, otitis media, STDs, vaginal infections, hepatitis B, HIV, and malaria along with recommended treatments. 3) It notes contraindications for several drugs and provides dosage guidelines for thyroid hormone replacement during pregnancy.

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Fahad Alkenani
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201 views1 page

Drugs Used in Pregnancy

This document lists various drugs that can be used to treat common medical conditions during pregnancy, including: 1) Hypertension, asthma, gestational diabetes, headaches, DVT, seizures, epilepsy, depression, hypothyroidism, and hyperthyroidism. It provides examples of specific drugs to treat each condition. 2) Other conditions mentioned include nausea/vomiting, UTIs, otitis media, STDs, vaginal infections, hepatitis B, HIV, and malaria along with recommended treatments. 3) It notes contraindications for several drugs and provides dosage guidelines for thyroid hormone replacement during pregnancy.

Uploaded by

Fahad Alkenani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Eslam Fahmy

https://t.me/splenotes
00201011922837
Drugs used in pregnancy
Hypertension Methyldopa
Labetalol
Hydralazine
HTN + Hypoproteinemia + Seizures MgSO4
Asthma Cromolyn (Category B)
Gestational diabetes Insulin
Metformin
Headache Paracetamol
DVT Heparin not Warfarin (Category X)
Tonic clonic seizures Valproic acid + Folic acid
Epilepsy Lamotrigine or levetiracetam
Depression (Mild) Fluoxetine
Hypothyroidism Levothyroxine
Hyperthyroidism Propylthiouracil (PTU)
Methimazole
Nausea and vomiting Cyclizine
UTI Nitrofurantoin
UTI + G6PD deficiency Cefuroxime
Otitis media Azithromycin
Chlamydia
Syphilis Benzathine penicillin - Penicillin (Ampicillin)
Vaginal discharge + Candida albicans Clotrimazole
Herpes (Genital infection) Acyclovir 400 bid for 7 days
Hepatitis B Tenofovir
HIV Abacavir and Lamivudine
Malaria Chloroquine, Hydroxychloroquine
Trichomoniasis Metronidazole

 Contraindications
• Misoprostol category X cause abortion
• Vitamin A is contraindicated in high doses
• Castor oil is contraindicated as laxative
• ACEi cause renal dysfunction in fetus
• Naproxen cause uncontrolled bleeding to baby
• Finasteride cause genital malformation to infant
• Warfarin (category X) cause cranial facial abnormalities → nasal bone hypoplasia
❖ Notes
• Inactivated influenza vaccine can be given in pregnancy
• Glargine (long acting) is category B
• Paracetamol oral and rectal is category B – when taken IV is category C
• Sensitive to ampicillin give Erythromycin
❖ Doses
Dose of Thyroid Hormone in Pregnancy? 1.0 - 2.0 microgram/kg/day

Eslam Fahmy
https://t.me/splenotes
00201011922837

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