Tb medicine and pregnancy
August 21, 2014
For standard drugs fight against Tb medicine and pregnancy tuberculosis, rifampicin, ethambutol, isoniazid and pyrazinamide not associated with fetal effects. While dietary supplements can be helpful for your baby while breastfeeding.
Tb medicine and pregnancy
Other drugs, such as streptomycin, capreomycin, kanamycin, tobramycin, and ethionamide Prothionamide not recommended for pregnant or lactating women.
Women who have drug-resistant TB should inform their doctor if they are pregnant or breastfeeding, so that they can check whether the drug is used, is safe.
In very rare cases of tuberculosis, the placenta, the woman to the fetus to cross. This is known as congenital tuberculosis and that will only happen if the mother had tuberculosis bacteria in the blood during the acute phase of primary infection or spread had (miliary TB), the non-processed. If the mother was in tablets against tuberculosis, the risk of congenital disease is very low.
If tuberculosis is diagnosed after birth, the baby should stay out of the nut until it is not contagious or until the baby vaccinated against TB.
Untreated tuberculosis during pregnancy is a major threat to the mother, fetus and family. Compliance treatment during pregnancy is a particular challenge because of the general fear of all medications and nausea associated with pregnancy. Monitoring of the treatment is particularly useful in promoting adhesion. All four first-line drugs [isoniazid, rifampin (rifampicin), ethambutol and pyrazinamide] have an excellent safety record during pregnancy and not with human fetal malformations. Drug-induced hepatitis, particularly isoniazid, is an important problem in the treatment of tuberculosis, not specific to the pregnancy; Close monitoring of liver function is recommended. Liver enzyme induction by rifampicin alters the metabolism of other drugs, for example, will be increased methadone dose. This product should not be used during pregnancy, have maybe 1 in 6 children and / or heard balance. Ciprofloxacin has the best safety profile of second-line drugs in the treatment of drug-resistant tuberculosis. Preventive therapy with isoniazid can be performed safely during pregnancy. Pyridoxine (vitamin B6) should be added to pharmacological treatment of tuberculosis in all pregnant women who isoniazid. Ni or tuberculin vaccine Bacillus Calmette-Guerin (BCG) tuberculosis treatments exist, but play an important role in disease management. Tuberculin test is safe, but the BCG vaccination should be avoided during pregnancy and instead gave early in life. Tb medicine and pregnancy