Eye Medication for Pregnant ladies
MEDICATION DOS AND DONTS
We must be cautious when prescribing any medication to our pregnant and breastfeeding patients.
It is best to prescribe a minimal concentration and dose of the medication to limit systemic absorption and toxicity
To further limit systemic absorption, punctal occlusion should be performed for 2 minutes.
Most often, ocular complications during this time are mild, transient, and require little to no treatment. Be that as it may, serious and life-threatening conditions can occur, and we must recognize these changes as health care providers.
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Eye Medication for Pregnant ladies
Eye Medication for Pregnant ladies during Allergies
• topical use, stick to alcaftadine (Lastacaft. Cetirizine Johnson & Johnson & Johnsen Consumer), and loratidine are all safe Use only breastfeeding.Use loratidine while breastfeeding.
Antibiotics for Pregnant ladies
• penicilins and cephalosporins are first-choice antibiotics during pregnancy (except for ceftriaxone.
• Erythromycin and polyrnpin B are the safest topical in Pregnancy
• Tetracyclins and fluoroquinolones are not recommended at any stage of pregnancy.
Antivirals for Pregnant ladies
• Oral acyclovir (SitaviL EPI Health; Zovirax. GlaxoSmithKline) and valacydovir (Valtrex. GlaxoSmithKline) are safe category B medications. Topical antivirals should be avoided.
Dilation for Pregnant ladies
• Acceptable during pregnancy and breastfeeding on occasion.
• Tropicamide and cyclopentolate are considered safer to use compared to longer duration drops.
• Phenylephrine Should be avoided unless dilation with tropicamide is for treatment evaluation Of a retinal condition
Dry Eyes management for Pregnant ladies
• It is best to topol cyclosporine and lifitegrast ophthalmic solution (Xiidra, Novartis) in pregnant and breastfeeding patients. Rather, OTC artificial tears, gels, ointments.
Glaucoma management
• Alpha such as brominidine, are Category B and are preferred medication for glaucoma. They be to delivery and Should be breastfeeding.
•beta blockers are Category C in the first trimester and may Cause late pregnancy complication so should be avoided in the late pregnancy and breastfeeding.
• Carbonic anhydrase inhibitors and prostaglandin analogs should also be avoided.
Pain Management Eye Medication for Pregnant ladies
• Acetaminophen is safe during pregnancy but is not. Both are safe while breastfeeding.
Steroids Eye Medication for Pregnant ladies
• Systemic corticosteroids are a relative contraindication in pregnancy.
• Because there are no known teratogenic effects of topical steroids, they are approved by obstetricians for inflammation.
Reference:
Chawla S, Chaudhary T, Aggarwal S, Maiti GD, Jaiswal K, Yadav J. Ophthalmic considerations in pregnancy. Med J Armed Forces India. 2013;69(3):278-284.
Chung CY, Kwok AK, Chung KL. Use of ophthalmic medications during pregnancy. Hong Kong Med J. 2004;10(3):191-195.
Recommended book for further study: Clinical Procedures in Primary Eye Care: Expert Consult
