By Bertis Little
This functional guide will help the surgeon and nurse prescriber in knowing the consequences of drug publicity while pregnant. a number of tables and bins supply details on drug classifications and regimens, in addition to highlighting opposed results and TERIS and FDA danger scores. assets of additional info are supplied the place applicable, and full references can be found at the book's web site www.drugs-and-pregnancy.com.
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Extra resources for Drugs and Pregnancy: A Handbook (A Hodder Arnold Publication)
Unfortunately, this nitroimidazole provides the only effective treatment for trichomoniasis. Most pregnant women with this infection can be treated with betadine solution or other similar agents until they are past the first trimester, and then started on metronidazole as necessary. , 1995). Metronidazole does concentrate in the breast milk and results in concentrations close to those found in maternal serum (Simms-Cendan, 1996). 11, and include central nervous system manifestation, peripheral neuropathy, gastrointestinal intolerance (nausea, vomiting), and a disulfiram-like reaction (Hammill, 1989) associated with alcohol use (nausea, abdominal cramps, and headaches).
Polifka. Baltimore: Johns Hopkins University Press, 2000. 2). If it can be documented that the agent has no teratogenic risks or adverse fetal effects associated with its use during pregnancy, then no further action is required except to document this in the medical record and counsel the patient accordingly. Some patients may benefit from reassurance offered by high-resolution ultrasound to confirm fetal well-being, and this procedure should be offered if the patient’s anxiety is not relieved through counseling.
Tolnaftate, undecylenic, and terbinafine Both tolnaftate (Tinactin) and undecylenic acid (Desenex) are utilized for dermatophyte infections such as tinea pedis and tinea corporis, but are not effective against yeast (Davis, 1995). Terbinafine (Lamisil) is a topical antifungal that is effective against most dermatophytes as well as most Candida species (Davis, 1995; PDR, 2004). There are no reports of these agents being teratogenic, and it would seem reasonable to classify them as category B agents at the present time.