ASTHMA MEDICATIONS DURING PREGNANCY

. Posted in ASTHMA

Women with asthma used to be discouraged from becoming pregnant, but advances in medication have made pregnancy extremely possible. Yet like all other aspects of pregnancy, it can change the natural course of asthma. Asthma symptoms can worsen, improve, or remain unchanged. The general principles of asthma therapy can be followed during pregnancy, with these guidelines:

■ Inhaled selective beta-adrenergic drugs - generally safe during pregnancy

■ Theophylline - safe during pregnancy but requires close monitoring

■ ICS - considered safe during pregnancy

■ Ipratropium - considered safe during pregnancy

■ Corticosteroids - given orally or intravenously, low risk of complications; given only when clinically necessary (Possible fetal complications: congenital malformations, low birth weight, and
adrenal gland malfunction; maternal risks: diabetes or hypertension)

■ Leukotriene modifiers - have not been tested on humans and generally discouraged

■ Antihistamines for asthma that is allergy induced or decongestants used for corresponding congestion - can be used but only when absolutely necessary and under a doctor’s care

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