What antiarrhythmic drugs are safe in pregnancy?
Adenosine is generally safe to use in pregnancy, and is the drug of choice for acute termination of maternal supraventricular tachycardia. Digoxin has a long track record of treating both maternal and fetal arrhythmias, and is one of the safest antiarrhythmics to use during pregnancy.
What cardiac meds are safe during pregnancy?
The 2017 American College of Cardiology/American Heart Association hypertension guidelines recommend transitioning pregnant patients to methyldopa, nifedipine, or labetalol. Heart failure medications, including beta-blockers, furosemide, and digoxin, are relatively safe and can be used effectively.
Is amiodarone safe in pregnancy?
Amiodarone can cause fetal harm when administered to a pregnant woman. Fetal exposure may increase the potential for adverse experiences including cardiac, thyroid, neurodevelopmental, neurological and growth effects in neonate.
Can you use digoxin during pregnancy?
Digoxin is not thought to be harmful during pregnancy, but it’s not possible to be certain. It’s important to treat a heart condition when you’re pregnant and this will help your baby to stay healthy. If your doctor recommends digoxin during your pregnancy, they’ll prescribe the lowest dose that works for you.
Is bisoprolol safe in pregnancy?
Is bisoprolol safe to take during pregnancy? Bisoprolol should not be used during pregnancy unless considered essential by your doctor. Beta-blockers reduce blood flow to the placenta, which could increase the chance of premature delivery or problems for the developing baby.
Can you take metoprolol when pregnant?
Are there any risks of taking metoprolol in pregnancy? A small number of pregnant women specifically taking metoprolol have been studied, with no concerns raised that its use causes birth defects or preterm birth. Metoprolol belongs to a family of medicines called beta blockers.
Is digoxin safe in pregnancy?
Is propranolol safe in pregnancy?
There are no concerns that taking propranolol in pregnancy causes harm. Propranolol belongs to a family of medicines called beta blockers. Studies have not shown that beta blockers cause birth defects, stillbirth or preterm birth.
Can metoprolol be used in pregnancy?
Metoprolol is a cardioselective β-adrenergic receptor antagonist used to treat pregnant women with cardiovascular diseases including hypertension, cardiomyopathy, ischemic heart disease, and arrhythmias.
Are antiarrhythmic drugs safe during pregnancy?
Antiarrhythmic drugs in pregnancy The risk of arrhythmia development or recurrence is increased during pregnancy. For those arrhythmias that are unresponsive to conservative therapy, such as vagal maneuvers or life style interventions, or that present a higher risk to the mother or fetus, medical therapy may be necessary.
Which medications are used to treat tachyarrhythmias during pregnancy?
Atrioventricular nodal blocking agents can increase conduction over the accessory pathway and may degenerate to ventricular arrhythmias. In the absence of structural heart disease, beta-blockers and antiarrhythmic medications such as flecainide and sotalol can be used safely during pregnancy to treat tachyarrhythmias.
What is the therapeutic approach to cardiac arrhythmias in pregnancy?
In general, the therapeutic approach to arrhythmias in pregnancy is similar to that in the nonpregnant patient. Hyperthyroidism should be excluded, and other systemic disorders that can result in arrhythmia such as pulmonary embolism should be considered.
Are drugs in pregnancy harmful to the fetus?
Table 1. US Food and Drug Administration Ratings of Drugs in Pregnancy ( www.fda.gov) Controlled studies in pregnant women have failed to demonstrate a risk to the fetus in the first trimester without evidence of risk in later trimesters. The possibility of fetal harm seems remote.