Q3: A 35-year old female with hypertension is currently well controlled on hydrochlorothiazide. She has discovered that she is one month pregnant. She wants to know whether the drug is safe for her and her baby. 1. Will it be safer if she stopped taking medication? 2. Is hydrochlorothiazide safe in pregnancy? 3. What can be used instead? 4. Can she choose not to take any antihypertensive agent during pregnancy? 5. Can she breastfeed whilst on antihypertensive drugs? 6.Which might be suitable?
Q4: A 22-year old woman who is 12 weeks pregnant describes symptoms of epigastric pain & discomfort, especially after food. She had a similar problem a year ago and found ranitidine, recommended by a community pharmacist, to be effective. She wants to know whether she can use ranitidine again. Is ranitidine safe during pregnancy? What could you recommend?