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

The booklet presents exact directions on prescribing medicines in all sessions, and for a large choice of ailments and issues, while pregnant. beginning with a priceless research of strength dangers and merits of prescribing in being pregnant, the publication strikes directly to reflect on the consequences of either drugs for pre-existing stipulations and those who strengthen while pregnant, together with antimicrobials, medications for heart problems, bronchial asthma and endocrine issues, antineoplastic brokers, pores and skin arrangements, epilepsy remedies and psychiatric medications. important information on anesthetic management and using ache relieving drugs while pregnant and hard work, and necessary recommendation at the attainable side-effects linked to over the counter arrangements akin to chilly and 'flu treatments, antihistamines and dietary supplementations can be provided.

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Extra resources for Drugs and Pregnancy: A Handbook (A Hodder Arnold Publication)

Example text

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.

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