Thursday, January 10, 2013

Medications in Pregnancy

    When dealing with the pregnant patients, a special protocols should be followed, regarding the seat position, the visit duration, the dental treatment accepted, the anesthesia, the visit time, the period, ... etc.
    Here we are pointing to the "Drugs" are to be prescribed to the pregnant female which can be categorized as the following pattern, but N.B those recommendations.
    - General Recommendations:
    A- Avoid medications if possible in first trimester
    B- Limit use to safe, short-acting, non-combination drugs
    C- Topical medications are preferred over systemic agents
    D- Use the lowest effective dose of a medication
    ---------------------------
    - Categories of Drugs Prescribed to Pregnant Females:
    1- Class A
    - No risk in controlled human studies
    - Examples: Acetaminophen (Tylenol) - Pyridoxine (Vitamin B6)
    2- Class B
    - No risk in controlled animal studies
    - Examples: Amoxicillin - Cephalosporin antibiotics
    3- Class C
    - Small risk in controlled animal studies
    - Examples: Codeine - Dicloxacillin
    4- Class D
    - Strong evidence of risk to the human fetus
    - Examples: Coumadin - Valium
    5- Class X (Never to be used in Pregnancy)
    - Very high risk to the human fetus
    - Examples: Xanax - Accutane
    ---------------------------
    Analgesics Related to Pregnant Female:
    Antibiotics Related to Pregnant Female:
    ---------------------------
    - References:
    - Briggs (1998) Drugs in Pregnancy and Lactation, 5th ed
    - Larimore (2000) Prim Care 27(1):35-53
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This Article has been Authored By :: World Of Dentistry :: TEAM
For any questions and sugesstions please don't be hesitate to feedback us.

Yours,
:: World Of Dentistry :: TEAM

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