Skip to main content
Top
Published in: Rheumatology International 4/2011

01-04-2011 | Review

The treatment of rheumatoid arthritis during pregnancy

Authors: Rosamund Partlett, Euthalia Roussou

Published in: Rheumatology International | Issue 4/2011

Login to get access

Abstract

There are a wide variety of medications available to treat patients with rheumatoid arthritis, many of which are considered unsafe during pregnancy. It is important to tailor a treatment regimen that stabilises the woman’s disease prior to conception, using medications that are safe to continue throughout pregnancy and the post-partum period. Drugs that may be safely used during pregnancy include NSAIDs, corticosteroids, plus several DMARDs, including sulfasalazine and hydroxychloroquine. Drugs recommended to be stopped before pregnancy include methotrexate and leflunomide, plus the biologics: anti-TNF agents, rituximab and abatacept.
Literature
10.
go back to reference Costedoat-Chalumeau N, Amoura Z, Duhaut P, Huong DLT, Sebbough D, Wechsler B, Vauthier D, Denjoy I, Lupoglazoff J-M, Piette J-C (2003) Safety of hydroxychloroquine in pregnant patients with connective tissue diseases. Arthritis Rheum 48:3207–3211PubMedCrossRef Costedoat-Chalumeau N, Amoura Z, Duhaut P, Huong DLT, Sebbough D, Wechsler B, Vauthier D, Denjoy I, Lupoglazoff J-M, Piette J-C (2003) Safety of hydroxychloroquine in pregnant patients with connective tissue diseases. Arthritis Rheum 48:3207–3211PubMedCrossRef
11.
go back to reference Roux CH, Brocq O, Breuil V, Albert C, Euller-Ziegler L (2007) Pregnancy in rheumatology patients exposed to anti-tumour necrosis factor (anti-TNF)-α therapy. Rheumatology 46:695–698PubMedCrossRef Roux CH, Brocq O, Breuil V, Albert C, Euller-Ziegler L (2007) Pregnancy in rheumatology patients exposed to anti-tumour necrosis factor (anti-TNF)-α therapy. Rheumatology 46:695–698PubMedCrossRef
12.
go back to reference Chambers C, Koren G, Tutuncu ZN, Johnson D, Jones KL (2007) Are new agents used to treat rheumatoid arthritis safe to take during pregnancy? Can Fam Physician 53:409–412PubMed Chambers C, Koren G, Tutuncu ZN, Johnson D, Jones KL (2007) Are new agents used to treat rheumatoid arthritis safe to take during pregnancy? Can Fam Physician 53:409–412PubMed
Metadata
Title
The treatment of rheumatoid arthritis during pregnancy
Authors
Rosamund Partlett
Euthalia Roussou
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Rheumatology International / Issue 4/2011
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-010-1643-7

Other articles of this Issue 4/2011

Rheumatology International 4/2011 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine