Eye Medication for Pregnant ladies

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

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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

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