A Practical Guide to Dermatological Drug Use in Pregnancy

C. Zip, MD, FRCPC

Skin Therapy Letter. 2006;11(4):1-4.

Conclusion

Medications that are considered safe in pregnancy are available for the treatment of common dermatological disorders. Knowledge of these medications is important when considering treatment options for both pregnant patients and women of childbearing potential.

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Cite this: A Practical Guide to Dermatological Drug Use in Pregnancy - Medscape - May 01, 2006.

Table 1. FDA Pregnancy Categories for Drugs
A	No fetal risk in controlled studies
B	No risk to human fetus despite possible animal risk or no risks in animal studies but human studies lacking
C	Human risk cannot be ruled out. Animal studies may or may not show risk
D	Evidence of risk to human fetus
X	Contraindicated in pregnancy

Table 2. Safe treatments for Dermatological Disorders During Pregnancy
Disease	Medication Name
Acne	Topical clindamycin, erythromycin, benzoyl peroxide
Rosacea	Metronidazole, azelaic acid
Psoriasis	Topical corticosteroids, calcipotriol, broad band UVB
Dermatitis	Topical corticosteroids, chlorpheniramine or diphenhydramine
Genital human papillomavirus infection	Liquid nitrogen, trichloroacetic acid
Herpes simplex virus infection	Acyclovir
Fungal infections	Topical antifungals
Bacterial infections	Penicillins, cephalosporins after first trimester, azithromycin

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A Practical Guide to Dermatological Drug Use in Pregnancy

Conclusion

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Tables

References

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