Drugs In Pregnancy Flashcards
1
Q
Mat hyperthyroidism
A
90% secondary to Graves
Propylthiouracil> carbimazole
Lowest dose required to keep free thyroxine at upper limit of normal
(Reduce fetal hypothyroidism as a side effect)
Euthyroid for 4 weeks -> stop medication under close monitoring
2
Q
Hyperemesis gravidarium
A
Oral antiemetics: promethazine Dehydration/significant ketonuria = admit IV fluids, NBM Metoclopromide, ondansetron Thiamine supplements
3
Q
Obstetric cholestasis
A
Chlorphenamine- for pruritus
Oral vit K supplements
Ursodeoxycholic acid - reduce bile salt accumulation
4
Q
PID
A
Doxycycline CI
Tetracyclines deposit in teeth and bones, delaying growth
If breastfeeding stains baby’s teeth
Alt = macrolide erythromycin, treatment of choice for PROM
5
Q
Analgesia
A
1st line paracetamol
2nd line diclofenac
CI in pregnancy and when breast feeding: opiates e.g. Codeine
6
Q
CI
A
Acitretin Methotrexate Me bendable Fluconazole Quinolones: ciprofloxacin Tetracyclines: doxycycline
7
Q
Relative CI
A
Sodium valproate
