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Kerala State Drug Formulary.pdf

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methaemoglobinaemia; fear of increased<br />

risk of kernicterus in neonates<br />

Suxamethonium<br />

Mildly prolonged maternal paralysis may<br />

occur<br />

Tamoxifen Avoid—possible effects on fetal<br />

development;<br />

Testosterone<br />

All trimesters: Masculinization of female<br />

fetus<br />

Tetracycline<br />

Thiopental<br />

Trimethoprim<br />

Vaccine, Influenza<br />

Vaccine, Measles<br />

Vaccine, MMR<br />

Vaccine, Rubella<br />

Vaccine, Varicella<br />

Verapamil<br />

Warfarin<br />

Zidovudine<br />

All anti malignant drugs<br />

First trimester: Effects on skeletal<br />

development Second, third trimesters:<br />

Dental discoloration<br />

Third trimester: Depresses neonatal<br />

respiration; dose should not exceed 250<br />

mg<br />

First trimester: Teratogenic risk (folate<br />

antagonist)<br />

Not known to be harmful<br />

First trimester: Theoretical risk of<br />

congenital malformations<br />

Avoid; pregnancy should be avoided for l<br />

month after immunization<br />

Avoid; pregnancy should be avoided lor l<br />

month after immunization<br />

Avoid; pregnancy should be avoided for<br />

3 months after immunization<br />

May reduce uterine blood flow with fetal<br />

hypoxia; may inhibit labour<br />

All trimesters: Congenital malformations;<br />

fetal and neonatal haemorrhage<br />

Avoid if possible in first trimester; benefit<br />

of treatment considered to outweigh risk<br />

in second and third trimesters<br />

Avoid - teratogenic<br />

523

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