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The pregnancy category of a medication is an assessment of the risk of fetal injury due to the pharmaceutical, if it is used as directed by the mother during pregnancy. It does not include any risks conferred by pharmaceutical agents or their metabolites in breast milk. Every drug has specific information listed in its product literature.
The progestogens are named for their function in maintaining pregnancy (i.e., progestational), although they are also present at other phases of the estrous and menstrual cycles. [ 2 ] [ 3 ] The progestogens are one of three types of sex hormones , the others being estrogens like estradiol and androgens / anabolic steroids like testosterone .
Women should speak to their doctor or healthcare professional before starting or stopping any medications while pregnant. [1] Drugs taken in pregnancy including over-the counter-medications, prescription medications, nutritional supplements, recreational drugs, and illicit drugs may cause harm to the mother or the unborn child.
Megestrol acetate is the lead drug of this class for the management of cachexia, and medroxyprogesterone acetate is also used. [ 43 ] [ 44 ] The mechanism of action of the appetite-related effects of these two medications is unknown and may not be related to their progestogenic activity.
While poorly studied in pregnancy it appears to be safe for the baby. [2] It is of the protease inhibitor (PI) class and works by blocking HIV protease. [1] Darunavir was approved by the US Food and Drug Administration (FDA) in June 2006. [6] [7] It is on the World Health Organization's List of Essential Medicines. [8] It is available as a ...
Opioids can cross both the placental and blood-brain barriers, which poses risks to fetuses and newborns exposed to these drugs before birth. This exposure to opioids during pregnancy can lead to potential obstetric complications, including spontaneous abortion, abruption of the placenta, pre-eclampsia, prelabor rupture of membranes, and fetal death.
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Use during pregnancy and breastfeeding is not generally recommended. [7] It is in the serotonin modulator class of medications and is believed to work both as an SSRI and activator of the 5-HT 1A receptor. [1] Vilazodone was approved for medical use in the United States in 2011 [1] and in Canada in 2018. [8]