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Pregnancy and Lupus-some safe medications

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Some Safe Pregnancy Medications
 
 

One should not take unnecessary medications during pregnancy.

Most medications commonly taken by those with SLE do not get through the placenta and are safe for the baby.  Medications such as prednisone, prednisolone, and probably methylprednisolone (Medrol) are usual considered safe to take.

Some medications do reach the baby and are often used when it is necessary to treat the baby. Such medications as dexamethasone (Decadrol, Hexadrol) and betamethasone (Celestone) might be used to help the lungs mature more rapidly if the baby will be premature.

 A small dose of aspirin is safe and often used to protect against toxemia.

Imuran and Plaquenil do not harm babies. But Cytoxan is definitely harmful. Especially if taken during the first three months of pregnancy.

 

http://www.lupusnwoh.org/Pregnancy.html

The use of medications during pregnancy and breastfeeding in patients with lupus is a continuing source of frustration for me. Many doctors are using old information or discount the importance of breastfeeding so much that they don't bother to research what medications used to treat lupus may be taken while breastfeeding. I encourage you all to do your own research and to really push your doctors to look into this for you. The health benefits of breast feeding are well documented. It also is more convenient and saves money. I consulted with pediatricians, perinatologists, my gp, my pharmacist, a major medical center neo-natologist and my rheumatologist to find my answers. I stopped breastfeeding my second child in order to take medications that upon further research are safe. This is because my doctors and pharmacists were looking at old data. This time, it was not necessary for me to stop. I suffered for many months with my second child as I was off my meds to breastfeed her. This was NOT necessary. Plaquenil or hydroxychloroquine is approved by the American Academy of Pediatrics for breastfeeding. You can also buy Dr. Hales book (he conducts many studies on drugs and breastfeeding and many pediatricians use his studies and books)http://neonatal.ttuhsc.edu/lact/
If you are familiar with the Sears baby books he mentions Dr. Hale in them.

Don't assume your doctors are up to date with the research.

I'll get off my soapbox now.

Ruth

http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T6

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