USMLE forum
 
USMLE Forum
Step 1
Step 2 CK
Step 2 CS
Matching & Residency
Step 3
Miscellaneous
 
Archives
 
 Msgs  Replies
  
 
 
  <<   < *  Step 2 CK   *  >   >>  

* metronidazole in pregnant women
 #211934  
  cathy9991 - 08/21/07 22:25
 
  can metronidazle be used in pregnant women? Some books say that it is teratogenic, especially in the first trimester. Some books say that it can be used throughout the pregnant, including 1st trimester.

Any suggestions? Thanks
 
Report Abuse

 
 

* Re:metronidazole in pregnant women
#888003
  doyoudig - 08/21/07 22:29
 
  according to cdcd guidelines oral is preffered in all phases of pregnancy b/c creams are not as effective and since the risk of infection and complications to fetus outweigh the benefits hence oral metro is preffered.  
Report Abuse

* Re:metronidazole in pregnant women
#888014
  doyoudig - 08/21/07 22:43
 
  http://www.cdc.gov/std/treatment/2006/vaginal-discharge.htm  
Report Abuse

* Re:metronidazole in pregnant women
#888021
  amiodarone - 08/21/07 22:51
 
  and metro is class b drug, no consistent association w/ teratogenicity or mutagenicity, no evidence for harm in animal models, but not well tested.  
Report Abuse

* Re:metronidazole in pregnant women
#888034
  radiologymd - 08/21/07 23:11
 
  The manufacturer states flagyl should not be used in 1st trimester and used only in 2/3 when other means are inadequate. It can be used but most will not use in first, if the manufacturer says no and something happens who are they gonna sue, the doctor.

http://www.pfizer.com/pfizer/download/uspi_flagyl.pdf
 
Report Abuse

* Re:metronidazole in pregnant women
#888451
  doyoudig - 08/22/07 10:32
 
  anyone who took Kaplan Live Course recently know what they said about it??  
Report Abuse

* Re:metronidazole in pregnant women
#888959
  cathy9991 - 08/22/07 13:35
 
  doyoudig, amiodarone, radiologymd, thank you very much for your input  
Report Abuse

* Re:metronidazole in pregnant women
#889760
  amiodarone - 08/22/07 19:14
 
  Just got a UW question re: this. Several sources site trials that show creams are not helpful and actually cause a worse outcome (including uptodate), so oral metro is the preferred tx. If this q comes up on the test, I wonder what answer I should choose?  
Report Abuse

* Re:metronidazole in pregnant women
#889778
  floridaguy - 08/22/07 19:26
 
  As far as I know from my Kaplan notes, it wa no to Metro and yes to neomycin or doush.  
Report Abuse

* Re:metronidazole in pregnant women
#889901
  doyoudig - 08/22/07 21:01
 
  florida, what edition of kaplna notes u got, cux mine is 05-06 and it does say metro safe in 1st trimester as well  
Report Abuse

          Page 1 of 1          

[<<First]   [<Prev]  ... Message ...  [Next >]   [Last >>]

 
Logon to post a new Message/Reply
 
 
Kaplan Test Prep and Admissions (Kaptest.com)
SaleAndSale.com
Acer P243WAid Black-Silver 24-inch HDMI Widescreen LCD Monitor $319.99

 

 

Google
  Web USMLEforum.com
 

Step 1 Step 2 CK Step 2 CS Matching & Residency Step 3 Miscellaneous
LoginUSMLE LinksHome