Eslam Fahmy

https://t.me/splenotes
00201011922837
Drugs used in pregnancy
Hypertension Methyldopa
Labetalol
Hydralazine
HTN + Hypoproteinemia + Seizures MgSO4
Asthma Cromolyn (Category B)
Gestational diabetes Insulin
Metformin
Headache Paracetamol
DVT Heparin not Warfarin (Category X)
Tonic clonic seizures Valproic acid + Folic acid
Epilepsy Lamotrigine or levetiracetam
Depression (Mild) Fluoxetine
Hypothyroidism Levothyroxine
Hyperthyroidism Propylthiouracil (PTU)
Methimazole
Nausea and vomiting Cyclizine
UTI Nitrofurantoin
UTI + G6PD deficiency Cefuroxime
Otitis media Azithromycin
Chlamydia
Syphilis Benzathine penicillin - Penicillin (Ampicillin)
Vaginal discharge + Candida albicans Clotrimazole
Herpes (Genital infection) Acyclovir 400 bid for 7 days
Hepatitis B Tenofovir
HIV Abacavir and Lamivudine
Malaria Chloroquine, Hydroxychloroquine
Trichomoniasis Metronidazole

 Contraindications
• Misoprostol category X cause abortion
• Vitamin A is contraindicated in high doses
• Castor oil is contraindicated as laxative
• ACEi cause renal dysfunction in fetus
• Naproxen cause uncontrolled bleeding to baby
• Finasteride cause genital malformation to infant
• Warfarin (category X) cause cranial facial abnormalities → nasal bone hypoplasia
❖ Notes
• Inactivated influenza vaccine can be given in pregnancy
• Glargine (long acting) is category B
• Paracetamol oral and rectal is category B – when taken IV is category C
• Sensitive to ampicillin give Erythromycin
❖ Doses
Dose of Thyroid Hormone in Pregnancy? 1.0 - 2.0 microgram/kg/day

Eslam Fahmy
https://t.me/splenotes
00201011922837