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? by kannan https://padlet.com/marikannan/wmixwhf3mf4z en-us 2015-09-14 05:30:53 UTC 2016-09-14 02:16:30 UTC hello@padlet.com  1. Will it be safer if she stopped taking medication? https://padlet.com/marikannan/wmixwhf3mf4z/wish/123645911  Yes. Because HCTZ is categorized as
 pregnancy safety group D.

]]> 2016-09-14 01:39:07 UTC https://padlet.com/marikannan/wmixwhf3mf4z/wish/123645911 2. Is hydrochlorothiazide safe in pregnancy? https://padlet.com/marikannan/wmixwhf3mf4z/wish/123645934 Diuretics- Pregnancy safety group D
Diuretics reduces placenta perfusion and can reduce plasma volume. They are generally contraindicated in pregnancy and should only be used in rare circumstances such as heart failure or lung edema.

]]> 2016-09-14 01:39:27 UTC https://padlet.com/marikannan/wmixwhf3mf4z/wish/123645934 3. What can be used instead?  https://padlet.com/marikannan/wmixwhf3mf4z/wish/123646251 3. Alpha-methyldopa  or Labetalol. (According to The Pharmaceutical Journal vol.270(3) Drug use in pregnancy: part 1)]]> 2016-09-14 01:42:16 UTC https://padlet.com/marikannan/wmixwhf3mf4z/wish/123646251 4. Can she choose not to take any antihypertensive agent during pregnancy? https://padlet.com/marikannan/wmixwhf3mf4z/wish/123646525 4.
Stage 1/2 chronic hypertension (blood pressure 140-179mmHg systolic or 90-109mmHg diastolic): To continue or stop treatment is controversial.

Bp exceeds 150-160mmHg systolic or 100-110mmHg diastolic OR if target organ damage is present: Treatment should be restarted.

Severe hypertension (diastolic bp more than or equal to 100mmHg): The benefit of drug therapy putweight  the risks]]> 2016-09-14 01:44:40 UTC https://padlet.com/marikannan/wmixwhf3mf4z/wish/123646525 5. Can she breastfeed whilst on antihypertensive drugs? https://padlet.com/marikannan/wmixwhf3mf4z/wish/123646727 5. Yes. Because she is under pregnancy safety group B]]> 2016-09-14 01:46:42 UTC https://padlet.com/marikannan/wmixwhf3mf4z/wish/123646727 6.Which might be suitable? https://padlet.com/marikannan/wmixwhf3mf4z/wish/123646780 6. Methyldopa  ]]> 2016-09-14 01:46:59 UTC https://padlet.com/marikannan/wmixwhf3mf4z/wish/123646780