Pregnancy asthma

The need to protect individuals who may be at increased risk (e.g. pregnancy, asthma, dermatitis). Display of warning signs. 

The sulfonamides are used with caution in patients with renal or hepatic impairment and bronchial asthma. These drugs are given with caution to patients with allergies. Safety for use during pregnancy has not been established (Pregnancy Category C, except at term). 

Penicillins should be used cautiously in patients witii renal disease, pregnancy (Pregnancy Category C), lactation (may cause diarrhea or candidiasis in die infant), and in tiiose witii a history of allergies. Any indication of sensitivity is reason for caution. The drug is also used witii caution in patients witii asthma, renal disease, bleeding disorders, and gastrointestinal disease. 

Zanamivir is used cautiously with pregnancy (Category C), lactation, asthma, COPD, or other underlying respiratory diseases. No significant drug interactions have been reported with the use of zanamivir. 

Both carvedilol and labetalol are contraindicated in patients with hypersensitivity to the drag, bronchial asthma, decompensated heart failure, and severe bradycardia The drugs are used cautiously in patients with drag-controlled congestive heart failure, chronic bronchitis, impaired hepatic or cardiac function, in those with diabetes, and during pregnancy (Category C) and lactation. 

Chap. 31), and during lactation. Levodopa is used cautiously in patients with cardiovascular disease, bronchial asthma, emphysema, peptic ulcer disease, renal or hepatic disease and psychosis. Levodopa and combination antiparkinsonism drugs (eg, carbidopa/levodopa) are classified as Pregnancy Category C and are used with caution during pregnancy and lactation. 

Genetic factors cannot explain the recent rapid rise in asthma prevalence. Asthma appears to require both genetic predisposition and environmental exposure. Many patients with occupational asthma develop the disease late in life upon exposure to specific allergens in the workplace. Environmental influences in utero or in infancy may contribute to the development of asthma. Maternal smoking during pregnancy or exposure to secondhand smoke after birth increases the risk of childhood asthma.3 Adult-onset asthma is not uncommon and may be related to atopy, nasal polyps, aspirin sensitivity, occupational exposure, or a recurrence of childhood asthma. 

Blaiss MS. Management of rhinitis and asthma in pregnancy. Ann Allergy Asthma Immunol 2003 90(6 suppl 3) 16-22. 

Some dietary supplements have no known precautions, while others have many precautions and contraindications. It is recommended that the use of ginseng be avoided in patients with hypertension, psychological imbalances, headaches, heart palpitations, insomnia, asthma, inflammation, infections with high fever, or pregnancy and in children [37]. 

Low-dose inhaled corticosteroids are the treatment of choice for women with mild persistent asthma. Budesonide is preferred, but other inhaled corticosteroids that were used effectively prior to pregnancy can be continued. 

Hypersensitivity reactions Asthma, muscle weakness, and infection with fever prior to quinidine administration may mask hypersensitivity reactions to the drug. Pregnancy Category C. 

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