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J Korean Med Assoc > Volume 50(5); 2007 > Article
Kim: Drugs for Common Illnesses During Pregnancy

Abstract

Recently pregnant women take more drugs than before due to the trend of increasing maternal age. Though most drugs are safe, a small percentage of them may have unintended adverse consequences for either mother or child. So any unnecessary drug should not be given to pregnant women; however, when necessary, some medications cannot be withheld. Counseling for drugs during pregnancy is one of most important and difficult tasks of obstetricians. Most drugs are classified FDA category C, and there are many new drugs that have not been categorized yet. In addition, many drugs in category X are not absolutely contraindicated during pregnancy, and several drugs in category C or D are clear human teratogens. In this article, the author introduces drugs that we can use for common illnesses during pregnancy available in Korea.

References

1. Bae DW. Drugs for pregnant and lactating women. Korea medical 2005.

2. Cunningham FG, Hauth JC, Leveno KJ, Gilstrap L III, Bloom SL, Wenstrom KD. In: Cunningham FG, Hauth JC, Leveno KJ, Gilstrap L, Brom SL, Wenstrom KD, editor. Hypertensive disorders in pregnancy. Williams Obstetrics 2005;22nd ed. New-York: McGraw-Hill. 761-808.

3. Griggs GG, Freeman FK, Yaffe SJ. Drugs in pregnancy and lactation 1996;4th ed. Williams & Wilkins.

4. Lacroix I, Damase-Michel C, Lapeyre-Mestre M, Montastruc JL. Prescription of drugs during pregnancy in France. Lancet 2000;356:1735-1736.

5. In: Weiner CP, Buhimschi C, editor. Drugs for pregnant and lactating women 2004;Philadelphia: Churchill Livingstone. 1101.

Table 1
Categorisation of risk of drug use in pregnancy by FDA
jkma-50-440-i001-l.jpg
Table 2
Categorisation of risk of drug use in pregnancy by Australian Drug Evaluation Committee
jkma-50-440-i002-l.jpg
Table 3
Drugs or substances suspected or proven to be human teratogens
jkma-50-440-i003-l.jpg


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