Friday, April 8, 2011

Drugs in Pregnancy

Safe Drugs in Pregnancy and Safe drugs in Lactation

Antipyretic, fever medications safe in pregnancy
  • Paracetamol (acetaminophen) 1000mg QDS

Runny nose, itch, flu medication safe in pregnancy
  • Chlorpheniramine (piriton) 4mg QDS

Cough Medication safe in pregnancy
  • Dextromorphan (DMP) 15mg tds
  • Diphenhydramine 10mls tds
  • Bromhexine (Bisolvon) 8mg tds

Sore Throat medication safe in pregnancy
  • Lozenges

Anti vomiting medication safe in pregnancy
  • Pyridoxine 50mg OM (for hyperemesis gravidarum)
  • Metoclopramide (Maxolon) 10mg tds

Anti- Diarrhoea medication safe in pregnancy
  • Charcoal 1 tablet tds

Antibiotics safe in pregnancy
  • Amoxycillin 500mg tds
  • Erythromycin 500mg tds
  • Cephalexin 500mg tds
  • Augmentin (Amoxycillin-clavulanate acid) 625mg bd to tds

Sunday, April 3, 2011

Epilepsy in Pregnancy

About 1 in 200 women have epilepsy. During pregnancy, seizure control can become worse and there is a risk of congenital defect of the fetus, especially neural tube defects. This is cause mostly by drugs and monotherapy is generally preferred to multi-drug therapy.
The fetus also have a higher chance of developing epilepsy (4%)

All epileptic women who are planning for pregnancy should be started on folic acid and this should be continued throughout pregnancy.
Vitamin K orally should be given in the last 4 weeks of pregnancy. reduce chance of coagulopathy in neonates.