Rheumatoid Arthritis: Pregnancy

Question 1

If a lady has early or poorly controlled RA, what should you advise with regards to conceiving?

Answer 1

Think about defering conception until her RA is stable.

Question 2

Do RA symptoms improve or worsen in pregnancy?

Answer 2

Improve

But have a flare after delivery

Question 3

Is methotrexate safe in pregnancy

Answer 3

Of course not you silly billy

Question 4

How many months before conception should methotrexate be stopped?

Answer 4

3 months

Question 5

Is lefunomide safe in pregnancy?

Answer 5

Nope.

Question 6

What rhematoid drugs ARE considered safe then?

Answer 6

• Hydroxychloroquine
• Sulfasalazine
• Low dose corticosteroids until 32 weeks. ( Do not use after closer of PDA)