WOMENS-HEALTH Messages for April, 2008: Re: PREGNANCY: Blood Pressure Meds safe for Pregnancy?

Re: PREGNANCY: Blood Pressure Meds safe for Pregnancy?

From: Garry Siegel, MD (anonymous@obgyn.net)
Sat, 26 Apr 2008 08:29:33 -0500 (CDT)

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Message posted on Garry Siegel, MD behalf by: Hope Waltman, Women’s Health Forum Moderator

If you have pre-existing chronic hypertension, in general, if you can keep the BP under 160/110 without medicine, then you don't take medicine. That is relatively new thinking. While attempting pregnancy, I don't know that there is a clear answer as to what medicines you should and shouldn't use per se UNTIL you're pregnant, but once pregnant if you need meds, then Aldomet and Labetolol are the most widely used ones.

Good luck. Garry Siegel, MD Roswell, GA Website: http://www.npobgyn.com/

http://www.obgyn.net/women/women.asp?page=/women/advisors/advisors-2#Siegel

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Sat, 26 Apr 2008, Lori wrote: >I have had high blood pressure for 16 years since the age of 23, under
>control with medication.
>Is there a definitive list of medications that are safe to take before
>and during pregnancy?
>A search of the obgyn.net rchives indicates that Aldomet (Methyldopa) is
>safe, which is what my doctors recommended. My medication was first
>changed when I started IVF treatment in 2006 and I was put on Corbeton
>(Oxprenolol). In 2007 my doctor (GP and Renal doctor) added Aldomet and
>Hydralazine (Alphapress)- increasing to the maximum dosages for each -
>all 3 at the same time. None could control my BP nd I had to cancel my
>IVF cycle.
>My BP is now under control, but with meds not safe for pregnancy. Weight
>loss over the years has not made any difference to my BP, although I am
>currently losing weight and getting healthier since being diagnosed with
>Type 2 diabetes last year (now on Metformin).
>I would like to give IVF one last try, but need to be on different meds
>in anticipation of IVF being successful. I keep reading that there are
>alternatives to Aldomet, but what *are* they? Is there anything left
>that I can take or should I give up now?
>Lori

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