medication in pregnancyU
UTI - ✅✅ -Amoxicillin
Ampicillin
Nitrofuratoin
Trimethoprim-sulfamethoxazole
Cephalexin
NOT fluoroquinolones
Vulvovaginal candidiasis - ✅✅-topical azoles only
BV - ✅✅ -Metronidazole (oral)
Clindamycin (oral)
Trichamoniasis -✅✅-Metronidazole (oral)
Hyperthyroid - ✅✅-propylthiouracil (PTU) is preferred in the first trimester,
because methimazole is associated with birth defects, but should be switched
to methimazole at 16 weeks when the risk of liver failure associated with PTU
outweighs the risk of congenital anomalies.
HTN, preeclampsia - ✅✅-hydralazine 5mg IVP
✅✅-teratogenic
warfarin -
ACEi - ✅✅-teratogenic
ARBs - ✅✅-teratogenic
methotrexate (immunomodulators) - ✅✅-teratogenic
Hep B &C - ✅✅-vaccinate all high-risk women BEFORE contraception
IDA - ✅✅-iron supplement
cyclophosphamide & mycophenolate mofetil - ✅✅-teratogenic lupus drugs
N/V - ✅✅ -try a non-pharmacologic approach;
if meds are needed use antihistamines
UTI - ✅✅ -Amoxicillin
Ampicillin
Nitrofuratoin
Trimethoprim-sulfamethoxazole
Cephalexin
NOT fluoroquinolones
Vulvovaginal candidiasis - ✅✅-topical azoles only
BV - ✅✅ -Metronidazole (oral)
Clindamycin (oral)
Trichamoniasis -✅✅-Metronidazole (oral)
Hyperthyroid - ✅✅-propylthiouracil (PTU) is preferred in the first trimester,
because methimazole is associated with birth defects, but should be switched
to methimazole at 16 weeks when the risk of liver failure associated with PTU
outweighs the risk of congenital anomalies.
HTN, preeclampsia - ✅✅-hydralazine 5mg IVP
✅✅-teratogenic
warfarin -
ACEi - ✅✅-teratogenic
ARBs - ✅✅-teratogenic
methotrexate (immunomodulators) - ✅✅-teratogenic
Hep B &C - ✅✅-vaccinate all high-risk women BEFORE contraception
IDA - ✅✅-iron supplement
cyclophosphamide & mycophenolate mofetil - ✅✅-teratogenic lupus drugs
N/V - ✅✅ -try a non-pharmacologic approach;
if meds are needed use antihistamines
