
Suggest Treatment For Autoimmune Disorder During Pregnancy

We are planning to have a baby and delivery in Sep 2016. What are the medicines that should be discontinued. and if discontinued, what should be its replacement now and during pregnancy? She is a non smoker, occasional drinker. She is slim with wt. 49kgs and ht. of 5'-3".
Folitrax has to be stopped
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
LEt me explain about the medications one by one -
1. HCQ - It is considered relatively safe for use during pregnancy and can be continued.
Please go through this link -
http://www.ncbi.nlm.nih.gov/pubmed/0000
2. Folitrax - This drug has to be stopped during pregnancy, as it causes gross fetal defects and pregnancy risks.
3. Folvite 5 mg should be continued, and in fact, it is recommended to be taken during pregnancy as it is a necessary vitamin for fetal growth.
4. Calcirol also can be continued during pregnancy as it is a vitamin.
5. Nucoxia 90 mg - It cannot be continued during pregnancy.
SO basically during pregnancy, HCQ can be taken, and if the disease is very severe, steroids can be added .
Auto immune diseases behave unpredictably during pregnancy, and there might be remission or flare up of the disease.
Accordingly, the treatment will be tailored by the Rheumatologist .
The medications should be modified 6 weeks before planning a baby.
Discuss that with your doctor.
All the best
Please feel free to discuss further.

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