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 ob/gyn  



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Author22 Posts
  #1

Which is NOT appropriate advice for a pregnant woman?
A. For a urinary tract infection, nitrofurantoin is a good choice
B. For allergic rhinitis, chlorpheniramine is appropriate to try
C. For gastroesophageal reflux, omeprazole is recommended
D. For a severe headache, acetaminophen is an acceptable
option
E. For acne, topical clindamycin is a reasonable strategy




  #2

A??????


  #3

b ??


  #4

B


  #5

B REST ARE SAFER


  #6

B? The others seem OK.

It looks like there's a lot of Pharma stuff even in 2CK. I consulted Lippincott's for this q but didn't find any mention of the effect of chlorpheniramine on pregnancy.



  #7

Omeprazole (Prilosec ®)
Proton Pump Inhibitor. Used for control of stomach acid
CATEGORY:C
Although there are a number of case reports of fetal anomalies (anencephaly, hydranencephaly, and talipes) following the use of omeprazole [G1] large human studies have not supported an association between omeprazole and congenital defects.ans is C.


  #8

Chlorpheniramine is category B.omeprazole is category C, should be avoided if possible. H2 blockers (e.g., famotidine and ranitidine) are pregnancy class B and are preferred for the treatment of gastroesophageal reflux.


  #9

THE Q IS WHICH IS NOT APPROPRIATE OMPRAZOLE CAN B PRESCRIBED ALTHOUGH NOT VERY OFTEN AS REFLUX ESOPHAGITIS IS VERY COMMON IN PREGNANCY ANTIHISTAMINES R AVOIDED


  #10

Chlorpheniramine is category C. It shouldnt be used in 3rd trimester. But you are right in that H2 blockers are preferred to pro pump inhibitors in pregnancy........ so wrong question???


  #11

Over-the-counter antihistamines. Chlorpheniramine (Chlortrimetron), and diphenhydramine (Benadryl) are both category B. Common side effects are sleepiness and a dry mouth. Loratadine (Claritin) is also category B, and may be less sedating than the older antihistamines.


  #12

Chlorpheniramine and pseudoephedrine is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.



  #13

Ya you are right babli, just checked! So ans is C....


  #14

NICE Q


  #15

thanks babli


  #16

good question babli


  #17

PPI=proton pump inhibitor=contraindicate in pregnancy


  #18

I found the following- chlorphenyramine can cause increased uterine activity and start labor(or provoke abortion), that's why it's not recommended in pregnant. It has no teratogenic effect


  #19

If needed, omeprazole can be given to pregnant


  #20

so the ans is Bshocked





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