Can a pregnant woman take proguanil?
Proguanil should be used during pregnancy only if the possible benefit outweighs the possible risk to the unborn baby. No studies have been done in animals, and no well-controlled studies have been done in pregnant women. Proguanil should be given to a pregnant woman only if clearly needed.
What is the use of proguanil in pregnancy?
Proguanil works by blocking folic acid production in the malaria parasite. There is therefore a theoretical concern that proguanil could reduce a woman’s folic acid levels. In pregnancy, folic acid is needed for the normal formation of a baby’s spine and skull.
Which malarial drug is safe in pregnancy?
The antimalarials that can be used in pregnancy include (1) chloroquine, (2) amodiaquine, (3) quinine, (4) azithromycin, (5) sulfadoxine-pyrimethamine, (6) mefloquine, (7) dapsone-chlorproguanil, (8) artemisinin derivatives, (9) atovaquone-proguanil and (10) lumefantrine.
Can you use Retin A when pregnant?
Retin-A: Since not many studies have been done on Retin-A, it is best to avoid during pregnancy and follow the same guidelines as Accutane while consulting with your health care provider. Tetracycline: Tetracycline should not be used during pregnancy unless recommended by your health care provider.
At what month can a pregnant woman take malaria drugs?
The National malaria control program,6,7 recommends two doses of IPT-SP during normal pregnancy; the first dose to be administered at quickening, which ensures that the woman is in the second trimester, and the second dose given at least one month from the first.
What are the signs of malaria in pregnancy?
Table 4
| Sign | No. | % |
|---|---|---|
| Severe dehydration signs | 5 | 3.0 |
| Hypothermia (axillar temperature < 35.5°C) | 4 | 2.4 |
| Persistent vomiting (> 4 times in 24 hours) | 4 | 2.4 |
| Intense pallor and heart murmur | 3 | 1.8 |
Which antimalarial is safe in first trimester?
During the first trimester of pregnancy, mefloquine or quinine plus clindamycin should be used as treatment; however, when neither of these options is available, artemether-lumefantrine should be considered.
Is mefloquine safe in pregnancy?
The Centers for Disease Control and Prevention (CDC) now recommends the antimalarial drug mefloquine for pregnant women both as a malaria treatment option and as an option to prevent malaria infection for all trimesters. Previously mefloquine was not recommended for the treatment of malaria in pregnant women.
When should I stop taking Retin A when pregnant?
Based on this suggestion for isotretinoin, it may be suggested to stop using tretinoin one month before trying to get pregnant. However, if you get pregnant by mistake during that month, the chances your use of tretinoin has harmed your baby are likely to be small.
What can I use instead of Retin A while pregnant?
Dr. Michelle Park of Washington Square Dermatology says azelaic acid makes a fantastic substitute for retinols. “It’s my favorite topical acne treatment to use during pregnancy and breastfeeding,” she says.
Can a pregnant woman take malaria treatment?
Medications that can be used for the treatment of malaria in pregnancy include chloroquine, quinine, atovaquone-proguanil, clindamycin, mefloquine (avoid in first trimester), sulfadoxine-pyrimethamine (avoid in first trimester) and the artemisinins (see below).
What happens when a pregnant woman has malaria?
Malaria infection during pregnancy can have adverse effects on both mother and fetus, including maternal anemia, fetal loss, premature delivery, intrauterine growth retardation, and delivery of low birth-weight infants (<2500 g or <5.5 pounds), a risk factor for death.