As arule all drugs ar contraindicated during pregnancy espicially the first trimister
Food and drug Administration (FDA) :
assigned risk factors (A,B.C,d.x ) to different drugs based on the level of risk the drugs to the fetus
Category ....A
controlled studies fail to demonistrate a risk to the fetus in the first trimister
Drugs of Category A ........... probably safe
ferrous sulphate , levothyroxine , magnesium sulfate injection , vitamin B1 ,vit B6
Category ......B
fetal no controlled studies in pregnant women , or animal reproduction studies have shown an adverse effect that was not confirmed in controlled studies in women during the first trimester
Drugs of Category B
amoxycillin , cefaclor , cefloperazone , cephalexin , caftriaxone , cimetidine , clindamycine , erythromycin , famotidine , indomethacin , isosorbide , lactulose , methyldopa , metronidazole , prednisone , sucralfate , spironolactone
Category .... C
Either animal studies have revealed adverse effect on the fetus ( teratogenic ) , and there are no controlled human studies , or studies in animals & women are not available
Druga of Category C
acetaminophen , acyclovir , adinosine , allopurinol , aminophyline , amphitamine , ca inj , chloroquine , ciprofloxacine , clonidine , chloropromazine , furismide , heparin , levodopa , neostigmone , rifambicin , vit K
category ...D
there is positive evidence of human fetal risk , but the benefits from use in pregnant women may be acceptable despite the risk
( if the drug is needed in life threatening situation or for a serious disease for which safe drugs can not be used or are ineffective )
Drugs of Category D
doxycycline , alptazolam , amikacin , amiodarone , aspirin , colchicine , captopril , tamoxifen , valporic aci
Category ....X
there is evidence of fetal risk on human experience
Drugs of category X
ergotamine , clomiphen , danzol , ethynyl estradiol , levonorgestrel , oxytoin , quinine , stanazolol , vit A , warfarin
التعليقات
دوك حازم معك حق الست الحامل ممنوع تاخد misopristol ف بدايه الحمل لانو بيعم miscarriage & abortion يعنى خدو بالكو مش يتصرف بسهوله كده
هو بيتصؤف بس ف حاله الولاده كمحفز لانقباضات الرحم ويساعد ع الولاده الطبيعيه
دوك احمد بالنسبه للتتراسيكلين هو صحيح teratogenic وبيسحب الكالسيوم من الجنيسن وبيعمل تشوهات خلقيه الا انو بيندرج تحت الcatagory D
لان التتراسيكلين هو hg drug of choiceف حاله الكوليرا .... هذه القائمه تشمل اسماء الداويه التى نضطر نستخدمها رغم معرفتنا لمشاكلها