Pregnancy Flashcards
Allergy
antihistamines (chlorpheniramine, diphenhydramine, loratadine, desloratidine)
alt: intranasal beclomethasone, budesonide, fluticasone
Anticoagulation
Heparin, LMWH
Anxiety
Short term benzos, long term citalopram, escitalopram, sertraline
Asthma
inhaled bronchodilators (ipratropium, salbutamol, terbutaline), inhaled corticosteroids (beclomethasone, budesonide, fluticasone)
Bacterial Infection
Cephalosporins, clindamycin, erythromycin, penicillins, vancomycin
Bipolar Disorder
Lamotrigine, quetiapine
Alt: carbamazepine, lithium, aripiprazole, olanzapine
Constipation
Bulk forming agents
Alt: glycerin suppository, lactulose, PEG
Cough
Antihistamines (rhinitis, allergy related)
Alt: dextromethorphan
Depression
citalopram, escitalopram, sertraline, TCAs,
Alt: other SSRI, bupropion, duloxetine
Diabetes in Pregnancy Tx
Insulin
Alt: Glyburide or metformin if gestational diabetes in 3rd T
Diarrhea
Bulk forming agents
Alt: loperamide
Dyspepsia
Alginates, antacids, omeprazole, rantitidine
Alt: famotidine
Epilepsy
Oxcarbazepine, lamotrigine, levetiracetam
Alt: benzos, phenobarbital, phenytoin…
Fever and Pain
Acetaminophen
Alt: ASA, NSAIDs (avoid esp in T3 and later than week 20)
Hemorrhoids T3
topical hydrocortisone/pramoxine, lidocaine, zinc oxide
Herpetic infections
Acyclovir, valacyclovir
Hypertension
Labetalol, methyldopa, long-acting oral nifedipine,other beta-blockers (e.g., acebutolol, metoprolol, pindolol and propranolol)
Alt: Clonidine, hydralazine, thiazide diuretics
Hyperthyroidism
Propylthiouracil
Inflammatory bowel disease
5-aminosalicylic acid, azathioprine, 6-mercaptopurine
Alt: TNFa inhibitors
Migraine
Acetaminophen
Alt: ASA, NSAIDs, sumatriptan (avoid esp in T3 and later than week 20)
Nausea/Vomiting
Doxylamine/pyridoxine (Diclectin)
Alt: Dimenhydrinate, metoclopramide, ondansetron
Opioid Related Disorders
Naloxone (in emergencies such as overdose), Methadone, Buprenorphin
Rheumatic/MSK diseases
Hydroxychloroquine, 5-aminosalicylic acid, azathioprine, 6-mercaptopurine, certolizumab, colchicine
Alt:Low-dose corticosteroids (<20 mg/day), TNFa
Schizophrenia
Aripiprazole, olanzapine, phenothiazines, quetiapine
Alt: Haloperidol, risperidone
Vaginal candidiasis
Vaginal: clotrimazole, miconazole, nystatin
Topical azoles are preferred
Smoking cessation
Try stopping cold turkey, use immediate release NRT, or patch (taken off at night). Bupropion also ok, varenicline CI.
