Step II Pregnant + UTI

Started by northandponce
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Just note that nitrofurantion is contraindicated at term (38-42 weeks gestation), during labor and delivery, or when the onset of labor is imminent.
 
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thanks guys-

so, since I seem to be having brain-freeze (supersaturated at this point)- I was hoping someone could help me compile a list of all the CI meds in pregnancy.

Nothing technical (no need for drugs safe in 1st and not 3rd, vice versa- etc etc.)

Just the obvious ones:
- Valproate and Phenytoin
-Lithium
-Methimazole
- TMP-SMX and I guess most the sulfa drugs, or no?
This is all I can come up with.

Help!! 😉
 
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Retinoids, Methimazole or any drug for hyperthyroid is category D, but I think they say better to use PTU if u have to. Someone correct me if I am wrong. There is also a mnemonic for bad drugs in pregnancy: SAFE Moms Take Really Good Care:
Sulfa, Aminoglycosides, Fluoroquinolones, Erythromycin, Metronidazole, Tetracyclines, Retinoids, Griseofulvin, Chloramphenicol.
Tommorow is the day!! I just started to freak out....
 
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I thought bactrim (TMP-SMX) was 1st line in pregnant women. I've seen it used quiet often at our hospital

smg42 said:
thanks guys-

so, since I seem to be having brain-freeze (supersaturated at this point)- I was hoping someone could help me compile a list of all the CI meds in pregnancy.

Nothing technical (no need for drugs safe in 1st and not 3rd, vice versa- etc etc.)

Just the obvious ones:
- Valproate and Phenytoin
-Lithium
-Methimazole
- TMP-SMX and I guess most the sulfa drugs, or no?
This is all I can come up with.

Help!! 😉
Click to expand...
 
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Generally Cephalosporins or Nitrofurantoin are used. Bactrim is a class C drug so its generally avoided if possible but pyelo in pregnancy doesn't respond well to Nitro (mostly for lower UTI coverage) so I suppose it would be up to the physician to decide if the benefits outweigh the risks
 
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