There are many medications that have not been rigorously evaluated to be administered during pregnancy, this often happens with dermatological treatments, which in the absence of specific studies, you must take into account the stage of pregnancy in which the woman is before being prescribed.
Topical medications for Treatment of dermatological problems are the second most prescribed during pregnancyIn the first place are the gastrointestinal.
Many studies that have been carried out on these medications have been with animals, so they cannot be transferred to the use of people with reliability, therefore, specialists must offer a therapeutic solution that does not harm the fetus or the future mother , also during breastfeeding, and always with the collaboration of the pediatrician and the gynecologist. Many doctors are also reluctant to prescribe medications, at least the risk, during pregnancy or lactation, it is very important that both the doctor and the patient have perfect knowledge of the drugs that may or may not be used during such periods.
The spokesman of the Spanish Academy of Dermatology, Miguel Aizpún, gives us a review in the newspaper La Rioja about the most common dermatological problems and their treatments, which we transcribe below:
Acne. Topical treatment is the preferred method for pregnant women with acne. In a recent review, topical treatments with erythromycin (B), clindamycin (B) and benzoyl peroxide (C) have been recommended as treatments of choice.
Psoriasis. The use of topical substances for psoriasis during pregnancy is also very controversial. The use of anthralins and tars (breasts) in pregnancy should be avoided. The safety of topical glucocorticoids (C) varies with the potency of the drug, with the excipient used and with the body surface area to be applied, its extension, etc.
Itching and diseases that cause pruritus. Moderate dose systemic corticosteroids are considered safe for pregnant patients with pruritus. First-generation antihistamines are considered relatively safe in pregnancy. Second generation histamine antagonists have the disadvantage of having been on the market for a shorter period of time, so the number of teratogenic studies is limited. Therefore, caution is recommended when these drugs are prescribed during pregnancy.
Bacterial infections. Bacitracin and mupirocin appear to be safe in pregnancy and lactation. Some systemic antibiotics are also considered safe. Penicillins (B) have a very long history of use in pregnant and lactating women and there is no evidence that they are teratogenic. Cephalosporins are also considered safe in pregnancy and lactation.
Fungal infections. Topical antifungals are relatively safe in pregnancy and lactation. As expected, it has been consistently demonstrated that systemic antifungals have greater risks than topical ones.
Viral infections. It seems that acyclovir is the most recommended but should only be used in disseminated infections during pregnancy.
Aizpún points out that this information is indicative, since each person should receive the specific treatment from their doctor. Still, we appreciate your information.
