Talk to Gynecologist on Rheumatoid Arthritis And Pregnancy
Asking For Self, Female 28, karachi
i have been taking lefora tab for rheumatoid arthritis since 1month and now i came to know that i have also concieved, gastrointestinal age 7 weeks. so far the ultrasound shows no abnormality. may i know what should i do now.
discontinue the lefora tablet and take appointment from a physician .. a medicine called cholestramine can help you to eliminate the drug from body....take advice from physician
its better to consult your rhematologist for any change in Rx acc to severity of your disease
take folic acid regularly once daily
detailed anomaly scan at 18-21 wks
Member
one orthopeadic also suggested termination of pregnancy on medical grounds. how many weeks can i wait and decide this on the basis on deformaties and still have safe termination.
2 years ago
termination best as early as possible as preg advances it is associated with more complications but in collaboration with your rheumatologist and severity of ur disease and side affects of disease and treatment on you and your baby ...so better consult Gynaecologist in clinic for proper treatment plan
2 years ago
Member
can we check mental deformities in anomaly scan? in which week it should be done?
2 years ago
ultrasound not 100%accurate
anomalies can b missed on scan
continuation of preg or termination of preg always always with multidisciplinary team invol /your wish after detail discussion of disease and treatment effects on you and your baby
2 years ago
timing of scan to detech anomalies depends upon type
we are suspecting some need scan in first 3 month/some might late
but before 24ks (before age of viability)
2 years ago
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yes i did took advice from rheumatologist and he suggested colestiramine 8g, 3 times a day.
but this is available in 4g sachets. so i should take 2 sachets every time. that is 6 in a day. is it safe
2 years ago
MBBS, FCPS | Attock | Book Appointment
yes u have to take this dose as adviced .its important
2 years ago
Member
dr if i take this med, can i be sure that the fetus would be safe. and will not have any affect of lefora?
2 years ago
MBBS, FCPS | Attock | Book Appointment
that is not a surety ... most of the anamolies can b seen on ultrasound but some are not visible...so if you decide to terminate ... go for it as early as possible...but before any decision consult a gynaecologist in a clinic
2 years ago
Member
ok, thank you soo much for your advice
2 years ago
Member
can lefora cause mental deformity or just physical
2 years ago
MBBS, FCPS | Attock | Book Appointment
mostly it causes structural deformity... but these effects are decreased after cholestramine use....
2 years ago