Unexpected Pregnancy & on Potent Arthritis Meds

Patient

Q: Hello, I am a 26 y.o. female with rheumatoid arthritis (for 14 yrs now) and bipolar disorder, and take several potent drugs. Methotrexate, Actemra, Plaqunel, Trazodone, Lamictal, and Adderall. I have just found out that my husband and I are unexpectedly pregnant. Should I stop these medications immediately to give my child a chance? Or is it too late?

Doctor

A:   Hello,
Thanks for the query.

As you have already been on Methotrexate and Adderall, Actemra, Plaqunel, Trazodone, Lamictal for months together now and have accidentally conceived, then it is to be understood that these are unsafe for pregnancy and can cause congenital anomalies in your child. It is suggested that you wait for the heartbeat to be seen, if not seen by 7-8 weeks, then it is likely to be a missed abortion as nature has its own way of selecting the fittest for survival and young not contemplate early abortion if you are emotional about pregnancy here.

But with methotrexate in prescription, it is better to terminate the pregnancy and plan in the future only after stopping these medications for atlas 3 months prior under guidance of your Physician.

Hope this helps.
Regards

Related Q&A

Q: What to take if you dont want to be pregnant and your period hasn't come for a month

Q: I rubbed my penis over my girlfriend's vagina. I did not ejaculate. It was covered in pre-ejaculate though and I had ...

Q: Hi I'm a 17 year old female and two weeks ago I started taking the contraceptive pill. Unfortunately I wasn't infor...

Q: If I my girlfriend and I were grinding naked during ovulation or the day before and I had Precum on my finger and fin...

Q: Had sex on day 14/15 of my cycle which is usually 27/28 days. We used a condom but it broke . He wasn't near ejacula...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews