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Contraindicated in pregnancy: Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use of the drug in pregnant women clearly outweigh potential benefits.
Some adults also experience teeth discoloration (mild grey hue) after use. They are, however, safe to use in the first 18 weeks of pregnancy. [13] [14] Some patients taking tetracyclines require medical supervision because they can cause steatosis and liver toxicity. [15] [16] [17]
Affect bone growth of the fetus, so should be avoided during pregnancy; Fanconi syndrome may result from ingesting expired tetracyclines. Caution should be exercised in long-term use when breastfeeding. Short-term use is safe; bioavailability in milk is low to nil. [23]
Use during pregnancy may result in permanent deafness in the developing baby. [3] Use appears to be safe while breastfeeding. [4] It is not recommended in people with myasthenia gravis or other neuromuscular disorders. [4] Streptomycin is an aminoglycoside. [3]
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Signs and symptoms of ACEi and ARB use during pregnancy include kidney damage or failure, oligohydramnios, anuria, joint contractures, and hypoplasia of the skull. [58] Common, alternative agents for high blood pressure in pregnant women include anti-adrenergic and beta-blocking medications, such as methyldopa or metoprolol, respectively.
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Clindamycin has been proven to decrease the risk of premature births in women diagnosed with bacterial vaginosis during early pregnancy to about a third of the risk of untreated women. [39] The combination of clindamycin and quinine is the standard treatment for severe babesiosis. [40]