OB Medications PDF

Medication Use & Notes Labetalol First-line antihypertensive in pregnancy, avoids reflex tachycardia. Diltiazem (Cardizem) Calcium channel blocker (CCB) used for hypertension; second-line in pregnancy. Nifedipine (Procardia)...

Medication Use & Notes Labetalol First-line antihypertensive in pregnancy, avoids reflex tachycardia. Diltiazem (Cardizem) Calcium channel blocker (CCB) used for hypertension; second-line in pregnancy. Nifedipine (Procardia) CCB used for hypertension in pregnancy, also a tocolytic to stop preterm labor. Nicardipine (Cardene) CCB used in hypertensive emergencies in pregnancy. Captopril (Capoten) ACE inhibitor, contraindicated in pregnancy due to fetal renal toxicity. Enalapril (Vasotec) ACE inhibitor, contraindicated in pregnancy due to fetal renal toxicity. Insulin First-line treatment for gestational diabetes, preferred for tight glucose control. Metformin Oral hypoglycemic agent used in gestational diabetes; Category B, but second-line. Glyburide Oral hypoglycemic agent, Category C, less preferred than metformin. Magnesium Sulfate Tocolytic to prevent preterm labor, also used for seizure prophylaxis in eclampsia. Nifedipine (CCB) CCB that relaxes uterine contractions, used as a tocolytic in preterm labor. NSAIDs Can be used as a tocolytic but not preferred due to risk of fetal complications. Beta-adrenergic receptor agonists Rarely used for preterm labor, higher maternal side effects. Betamethasone Steroid used for fetal lung maturity if risk of preterm delivery (35. Progestin-only pills Progestin-only option, safe for breastfeeding, but requires strict daily adherence. Depot Medroxyprogesterone (Depo- Injectable contraceptive lasting 3 months, associated with weight gain & BMD loss. Provera) Etonogestrel Implant (Nexplanon, Long-acting reversible contraception (LARC), effective for 3-5 years. Implanon) Levonorgestrel IUDs Long-acting hormonal contraception, reduces heavy menstrual bleeding. Oxytocin (Pitocin) Used to induce labor or control postpartum hemorrhage. Misoprostol (Cytotec) Prostaglandin analog, used for cervical ripening, labor induction, and PPH. Dinoprostone (Prepidil, Cervidil) Prostaglandin used for cervical ripening and labor induction. Methotrexate Used for ectopic pregnancy, contraindicated if ruptured ectopic pregnancy. Methylergonovine (Methergine) Ergot alkaloid used for postpartum hemorrhage, contraindicated in hypertension. Carboprost (Hemabate) Prostaglandin used for PPH, contraindicated in asthma. Corticosteroids Used for fetal lung maturity in preterm labor (