Is it safe to use inhaled corticosteroids in pregnancy?

被引:0
作者
Smy, Laura [1 ]
Chan, Alvin C. H. [2 ]
Bozzo, Pina [3 ]
Koren, Gideon [3 ]
机构
[1] Univ Toronto, Leslie Dan Fac Pharm, Toronto, ON M5S 1A1, Canada
[2] St Georges Univ Grenada, True Blue, Grenada
[3] Motherisk Program, Toronto, ON, Canada
关键词
CONGENITAL-MALFORMATIONS; ASTHMA MEDICATION; MATERNAL ASTHMA; OUTCOMES; WOMEN; EXACERBATIONS; METAANALYSIS; RISK; DRUGS;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Question A healthy woman with mild to moderate asthma came to my clinic today after learning that she was pregnant. She inquired about continuing her inhaled corticosteroid (ICS) medication and whether there would be any risks to her unborn child if she were to do so. What would you advise? Answer Given the published evidence, ICSs should be continued throughout pregnancy at low to moderate doses sufficient to control asthma symptoms and prevent exacerbations. However, caution must be taken with doses greater than 1000 mu g/d (chlorofluorocarbon beclomethasone equivalent), although whether such doses cause adverse effects is currently still questionable. Patient education on proper ICS administration and adherence, including during the first trimester, must be ongoing. Well controlled asthma will reduce the need for higher ICS doses and possible exposure to systemic corticosteroids, and might decrease the risk of adverse pregnancy or perinatal outcomes.
引用
收藏
页码:809 / 812
页数:3
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