Drugs prescription during pregnancy

Fatimah saeed Al-Mahroos

Asthma

Drug to treat Asthma

CorticosteroidsBeta-antagonistLukotrine antagonstCromolyntheophylline

Corticostroide

Corticostroide(1) oral steroid use has been associated with reduced birth weight(2) inhaled steroids have been reported to reduce the growth rate in children, at least during the first year of exposure . Most recently, pregnant asthmatic women treated with inhaled steroids described the incidence of small for gestational age infants,

Beta- Agonist

Short-acting [beta]-agonists are recommended as rescue therapy for all asthma patients, as well as in the management of acute asthma episodes. Albuterol is the only short-acting [beta]-agonist currently available as a metered dose inhaler for which there are published human data during pregnancy.

Cromolyn

Had little effect to produce congenital malformation

Theophylline

Theophylline

No significant increase risk was reported in any studies

Lukotrine antagonstIs effect in management mild and moderate persistent asthma in non-pregnant women. Zafirlukast or Montelukast only as the alternation therapy in patients with asthma who have shown uniquely favorable response prior to be coming pregnant.

Drugs for peptic ulcer

Antacide

Acid suppressing drugs ranitidine cimetedine

Ranitidine

Ranitidine

Cimetedine

Antidiarrheal drug

– Lepromide– pregnancy exposed to Lepromide in

first trimester were no significant difference in the of majore mal formation

Anti constipation

First line laxative optionsOsmotic laxative Bulk forming laxativeStimulant laxatives

Best laxative using first

In pregnant women,safty factors are important consideration when treating consaderation. PEG and PEG+electrolyte would technically meet the criteria for an ideal laxative during pregnancy