Document Detail


Immunosuppressive medications during pregnancy and lactation in women with autoimmune diseases.
MedLine Citation:
PMID:  20426608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most autoimmune diseases predominantly affect females. Many of these diseases occur in women who have the potential to become pregnant or wish to plan a pregnancy. The potential for fetotoxic effects of immunosuppressive medications that are commonly used to treat systemic autoimmune diseases must be weighed against the need for control of disease activity during pregnancy and the postpartum period, since active disease can be an independent risk factor for adverse pregnancy outcomes. Although far from conclusive, most data concerning the safety of medications for use during pregnancy come from case series and observational studies. It is often necessary to continue treating patients throughout pregnancy and lactation in order to control the activity of the underlying disease. The aim of this paper is to review the evidence regarding the safety of the most commonly used medications in rheumatic disease during pregnancy or lactation and to enable practitioners and patients to make informed decisions regarding treatment during this period in a woman's life.
Authors:
Amy B Elliott; Eliza F Chakravarty
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Women's health (London, England)     Volume:  6     ISSN:  1745-5065     ISO Abbreviation:  Womens Health (Lond Engl)     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-29     Completed Date:  2010-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101271249     Medline TA:  Womens Health (Lond Engl)     Country:  England    
Other Details:
Languages:  eng     Pagination:  431-40; quiz 441-2     Citation Subset:  IM    
Affiliation:
Division of Immunology & Rheumatology, Stanford University School of Medicine, Palo Alto, CA 94304, USA. amy_b_elliott@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Antirheumatic Agents / adverse effects,  therapeutic use*
Autoimmune Diseases / drug therapy
Breast Feeding
Female
Humans
Immunosuppressive Agents / adverse effects*,  therapeutic use
Lactation / drug effects*
Pregnancy
Pregnancy Complications / drug therapy*
Pregnancy Outcome
Rheumatic Diseases / complications,  drug therapy*
Chemical
Reg. No./Substance:
0/Antirheumatic Agents; 0/Immunosuppressive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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