Pregnancy

Question 1

Allergy

Answer 1

antihistamines (chlorpheniramine, diphenhydramine, loratadine, desloratidine)
alt: intranasal beclomethasone, budesonide, fluticasone

Question 2

Anticoagulation

Answer 2

Heparin, LMWH

Question 3

Anxiety

Answer 3

Short term benzos, long term citalopram, escitalopram, sertraline

Question 4

Asthma

Answer 4

inhaled bronchodilators (ipratropium, salbutamol, terbutaline), inhaled corticosteroids (beclomethasone, budesonide, fluticasone)

Question 5

Bacterial Infection

Answer 5

Cephalosporins, clindamycin, erythromycin,​ penicillins, vancomycin

Question 6

Bipolar Disorder

Answer 6

Lamotrigine, quetiapine

Alt: carbamazepine, lithium, aripiprazole, olanzapine

Question 7

Constipation

Answer 7

Bulk forming agents

Alt: glycerin suppository, lactulose, PEG

Question 8

Cough

Answer 8

Antihistamines (rhinitis, allergy related)

Alt: dextromethorphan

Question 9

Depression

Answer 9

citalopram, escitalopram, sertraline, TCAs,

Alt: other SSRI, bupropion, duloxetine

Question 10

Diabetes in Pregnancy Tx

Answer 10

Insulin

Alt: Glyburide or metformin if gestational diabetes in 3rd T

Question 11

Diarrhea

Answer 11

Bulk forming agents

Alt: loperamide

Question 12

Dyspepsia

Answer 12

Alginates, antacids, omeprazole, rantitidine

Alt: famotidine

Question 13

Epilepsy

Answer 13

Oxcarbazepine, lamotrigine, levetiracetam

Alt: benzos, phenobarbital, phenytoin…

Question 14

Fever and Pain

Answer 14

Acetaminophen

Alt: ASA, NSAIDs (avoid esp in T3 and later than week 20)

Question 15

Hemorrhoids T3

Answer 15

topical hydrocortisone/pramoxine,​ lidocaine, zinc oxide

Question 16

Herpetic infections

Answer 16

Acyclovir, valacyclovir​

Question 17

Hypertension

Answer 17

Labetalol, methyldopa,​ long-acting oral nifedipine,​other beta-blockers (e.g., acebutolol, metoprolol, pindolol and propranolol)
Alt: Clonidine, hydralazine, thiazide diuretics

Question 18

Hyperthyroidism

Answer 18

Propylthiouracil

Question 19

Inflammatory bowel disease

Answer 19

5-aminosalicylic acid, azathioprine, 6-mercaptopurine

Alt: TNFa inhibitors

Question 20

Migraine

Answer 20

Acetaminophen

Alt: ASA, NSAIDs, sumatriptan (avoid esp in T3 and later than week 20)

Question 21

Nausea/Vomiting

Answer 21

Doxylamine/pyridoxine (Diclectin)

Alt: Dimenhydrinate, metoclopramide,​ ondansetron

Question 22

Opioid Related Disorders

Answer 22

Naloxone (in emergencies such as overdose), Methadone, Buprenorphin

Question 23

Rheumatic/MSK diseases

Answer 23

Hydroxychloroquine, 5-aminosalicylic acid, azathioprine, 6-mercaptopurine, certolizumab, colchicine
Alt:Low-dose corticosteroids (<20 mg/day), TNFa

Question 24

Schizophrenia

Answer 24

Aripiprazole, olanzapine, phenothiazines, quetiapine

Alt: Haloperidol, risperidone

Question 25

Vaginal candidiasis

Answer 25

Vaginal: clotrimazole, miconazole, nystatin

Topical azoles are preferred

Question 26

Smoking cessation

Answer 26

Try stopping cold turkey, use immediate release NRT, or patch (taken off at night). Bupropion also ok, varenicline CI.