What are FDA recommendations for use of medications for hypertensive disorders during pregnancy?

Updated: Jun 12, 2018
  • Author: Michael P Carson, MD; Chief Editor: Edward H Springel, MD, FACOG  more...
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Answer

Answer

A healthy fetus depends on a healthy mother, so medications should be used when clear benefit to the mother exists. The US Food and Drug Administration (FDA) categorization for drug use during pregnancy is simplistic and sometimes misleading. To quote the FDA descriptions, any medication in class A through D may be used "when the potential benefit justifies the potential risk."

Available data suggest that all studied agents are excreted into human breast milk, but most are excreted to a negligible degree. All antihypertensive medications are believed to be compatible with breastfeeding, but using medications with a well-established record is reasonable.


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