Drug use in pregnancy and lactation Flashcards Preview

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Flashcards in Drug use in pregnancy and lactation Deck (21):
1

Dosage requirements for Calcium, Vit D and Folate for Pregos

Calcium 1000
Vit D 600
Folate 600

2

A
B
C
D
X

A- no risk
B- animal risk 0 but havent tested woman
C- Animal risk and does risk outweigh benefits?
D- Positive fetal risk
X- CI

3

Teratogens

Retinoids
Quinolones/Tetracyclines
Warfarin
Statins, RAAS (ACE/ARB/Aliskiren/Entresto)
Hormones (Megace, Raloxifene, Duavee, Testosterone)
Ergotamines (Migraines)
Hydroxyurea, Lithium, Methotrexate, Paxil, Seizure meds(Depakote, Topamax), Ribavirin

4

Morning sickness

Lifestyle
Pyridoxine VitB6 +/- Doxylamine (Diclegis)

Natural- Ginger

5

Gerd/Heartburn

Lifestyle
Tums (Calcium Carbonate)

6

Flatulence

Simethicone

7

Constipation

Fiber (Psyllium, Calcium Polycarbophill)

8

Cough cold allergies

Chlorpheniramine or Diphenhydramine
Loratidine/Cetirizine

Nasal- Rhinocort (Budesonide) Beconase AQ (Beclomethasone)

9

Pain

Acetaminophen

10

Asthma

Budesonide .... Preferred for infants "Respules"
Albuterol (Short acting)

11

Hypertension

Labetolol
Methyldopa
Nifedipine

12

Diabetes

Insulin, Metformin, Glyburide

13

Infections

Penicillins, Cephalosporins, erythromycin, azithomycin

14

Vaginal infections

Topical antifungals (CREAMS/SUPPOSITORIES) x7days

15

UTI

KEFLEX 500 Q6H X 7days

AMPICILLIN 500 Q6H X 7days

16

Toxoplasmosis

IgG Test,

17

VTE

LMWH
Pneumatic compression devices

18

Hypo and Hyperthyroidism

Hypo: Levothyroxine (lower 30-50% of dose)

Hyper: PTU 1st trimester, after than Methimazole

19

Breastfed babies require how much Iron p/day?

1mg/kg for 4-6 months

20

Which antibiotics should not be used?

Tetracyclines, Quinolone's, Metronidazole

21

What doe bactrim cause when taken during pregnancy?

Kernticus and Hyperbillirubinemia