Talk to Gynecologist on Rheumatoid Arthritis And Pregnancy
Asking For Self, Female 28, karachi
i have been taking lefora tab for rheumatoid arthritis since 1month and now i came to know that i have also concieved, gastrointestinal age 7 weeks. so far the ultrasound shows no abnormality. may i know what should i do now.
Dr. Komal Aftab - Gynecologist
| MBBS | FCPS( Obstetrics & Gynaecology) | | Karachi
53 Positive Reviews
discontinue the lefora tablet and take appointment from a physician .. a medicine called cholestramine can help you to eliminate the drug from advice from physician
Dr. Rubina Shafi - Gynecologist
| MBBS | MCPS( Obstetrics & Gynaecology) | | Lahore
7 Positive Reviews
its better to consult your rhematologist for any change in Rx acc to severity of your disease
take folic acid regularly once daily
detailed anomaly scan at 18-21 wks
Patient
Post Owner
one orthopeadic also suggested termination of pregnancy on medical grounds. how many weeks can i wait and decide this on the basis on deformaties and still have safe termination.
4 years ago
| MBBS | MCPS( Obstetrics & Gynaecology) | | Lahore | Book Appointment
2 Positive Reviews
termination best as early as possible as preg advances it is associated with more complications but in collaboration with your rheumatologist and severity of ur disease and side affects of disease and treatment on you and your baby better consult Gynaecologist in clinic for proper treatment plan
4 years ago
Patient
Post Owner
can we check mental deformities in anomaly scan? in which week it should be done?
4 years ago
| MBBS | MCPS( Obstetrics & Gynaecology) | | Lahore | Book Appointment
2 Positive Reviews
ultrasound not 100%accurate
anomalies can b missed on scan
continuation of preg or termination of preg always always with multidisciplinary team invol /your wish after detail discussion of disease and treatment effects on you and your baby
4 years ago
| MBBS | MCPS( Obstetrics & Gynaecology) | | Lahore | Book Appointment
2 Positive Reviews
timing of scan to detech anomalies depends upon type
we are suspecting some need scan in first 3 month/some might late
but before 24ks (before age of viability)
4 years ago
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Patient
Post Owner
yes i did took advice from rheumatologist and he suggested colestiramine 8g, 3 times a day.
but this is available in 4g sachets. so i should take 2 sachets every time. that is 6 in a day. is it safe
4 years ago
| MBBS | FCPS( Obstetrics & Gynaecology) | | Karachi | Book Appointment
yes u have to take this dose as adviced .its important
4 years ago
Patient
Post Owner
dr if i take this med, can i be sure that the fetus would be safe. and will not have any affect of lefora?
4 years ago
| MBBS | FCPS( Obstetrics & Gynaecology) | | Karachi | Book Appointment
that is not a surety ... most of the anamolies can b seen on ultrasound but some are not if you decide to terminate ... go for it as early as before any decision consult a gynaecologist in a clinic
4 years ago
Patient
Post Owner
ok, thank you soo much for your advice
4 years ago
Patient
Post Owner
can lefora cause mental deformity or just physical
4 years ago
| MBBS | FCPS( Obstetrics & Gynaecology) | | Karachi | Book Appointment
mostly it causes structural deformity... but these effects are decreased after cholestramine use....
4 years ago