Propylthiouracil-
Used for - Rx of hyperthyroidism
Pregnancy category - D
Crosses placenta - Yes
S/E - Can cause fetal goitre & cretinism in developing fetus
- Can cause liver damage in mother & fetus
Alternative drug - Methimazole
Since methimazole may be associated with the rare development of fetal
abnormalities such as aplasia cutis and choanal atresia,
propylthiouracil may be the preferred agent during organogenesis, in the
first trimester of pregnancy.
Given the potential maternal adverse
effects of propylthiouracil (e.g., hepatotoxicity), it may be preferable
to switch from propylthiouracil to methimazole for the second and third
trimesters.
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