Fetal risks related to the treatment of multiple sclerosis during pregnancy and breastfeeding.

Expert Rev Neurother

Department of Obstetrics and Gynaecology, San Martino Hospital and University of Genoa, Largo R. Benzi 1, 16132 Genoa, Italy.

Published: December 2006

AI Article Synopsis

  • Pregnancy in women with multiple sclerosis does not lead to long-term increases in disability, but there is a higher chance of relapses after childbirth.
  • The safety of therapies used during pregnancy, especially immunomodulating drugs, is still unclear due to limited research.
  • It is recommended that certain medications like glatiramer acetate, mitoxantrone, and interferon-beta be stopped before pregnancy, while glucocorticoids can be used for acute relapses.

Article Abstract

In women with multiple sclerosis, pregnancy does not have a long-term adverse effect on lifetime disability; however, there is an increased risk of relapses during the postpartum. Therapies taken during pregnancy may have adverse effects on pregnancy outcome. The small number of pregnancies included in most studies, particularly those evaluating the risks related to the administration of immunomodulating drugs, do not allow firm conclusions to be drawn with regards to their safety. Therefore, until more information regarding safety is available, glatiramer acetate, mitoxantrone and interferon-beta should be discontinued before an anticipated pregnancy. By contrast, glucocorticoids can be used to treat acute relapses during pregnancy.

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Source
http://dx.doi.org/10.1586/14737175.6.12.1823DOI Listing

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