Re: Question for the infectious disease gurus

From: art fougner, md (evsono@pipeline.com)
Tue Aug 22 10:36:58 2006


"Cumulative evidence, however, is reassuring and has led the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) to sanction the use of mefloquine in pregnant women during the second and third trimesters."

J Travel Med. 1999 Jun;6(2):122-33. Mefloquine for malaria chemoprophylaxis 1992-1998: a review. Schlagenhauf P.

Hope this helps.

Art

At Tue, 22 Aug 2006, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote: >
>I have a patient that has been trying to get pregnant. She is currently
>on bromocriptine for her pituitary microadenoma. She calls today
>wishing to travel to Vietmam and is told that she needs antimalarial
>drugs in order to go.
>
>The options they have given her are doxycycline or mefloquine.
>
>I know doxycycline is a Cat D and mefloquine is Cat C, but what is the
>risk (if any) of her taking this as prophylaxis in what could
>potentially be the first weeks of a pregnancy, if she happens to get
>pregnant on the trip?
>
>I can't find any interactions between bromocriptine and either drug so I
>think that at least should be fine.
>
>Thanks for any help,
>
>Glen
>
>//SIGNED//
>
>D. Glen Elrod, Maj., USAF, MC
>
>Obstetrician/Gynecologist
>
>Chief of Obstetrics
>
>48 MDOS/SGOBO
>
>RAF Lakenheath, England
>
>Telephone DSN: 314-226-8130
>
> Comm: +44 (0) 1638 52 8130
>
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--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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