Post # 1
Are you currently TTC and on pregnancy safe medication for high blood pressure? What one are you on? My blood pressure has been high at my infertility appointments, and RE wanted me to follow up w/ PCP and get put on medication if needed. Well, my PCP put me on Nifedical XL, which is class C, and he said it is widely used in pregnant women. He said Methyldopa is class B, and has to be taken 2-3 times throughout the day. He gave me the choice, and I said we’ll start on Nifedical and switch if RE says so. The nurse at RE office just told me they really prefer it to be Class B. Is Methyldopa the only Class B? I have a follow up w/ PCP tomorrow, so he’ll switch it then. I’m just curious what others have used.
Post # 2
I took methyl dopa but not until I was about 28 weeks pregnant. Had a very healthy baby who is now almost 2! Not sure how it works when you’re ttc but my doctor told me it was safe during pregnancy. My blood pressure was only high due to pregnancy
Post # 3
I have high blood pressure for a while now due to my PCOs mostly likely. About a year ago I swicthed to Nifedipine. Which is a pregancy safe drug. I’m not pregnant yet but made the swicth since we where discussing it for the future. I have been TTCing four about 10 months now.
Post # 4
I’m on Atenolol (sorry, don’t know what class it is) and we’re going through fertilty treatments, which is why my family doc prescribed it. We’ll be starting IVF over the next couple of months but also trying the old-fashioned way in the meantime:)
Post # 5
soontobemrs1011: I was just prescribed hyrochlorothiazide, a diuretic. Are the ones you mentioned diuretics too?
Post # 6
Not actively TTC yet but preparing to. I also have high blood pressure (secondary hypertension) and my GP put me on Labetalol, which she said is safe in the event I do get pregnant. It’s class C.
Post # 7
coffeeandtv: RE said it’s ok for me to take Nifedical, so I stayed on it. It’s not a diuretic
Post # 8
I take labetalol. It’s considered safe for pregnancy/nursing and is very commonly prescribed.
I just googled Nifedical and it weirds me out a bit personally. I know no drug is 100% safe, but I think there are better options…
Pregnancy: Pregnancy Category C: Nifedipine has been shown to produce teratogenic findings in rats and rabbits, including digital anomalies similar to those reported to phenytoin. Digital anomalies have been reported to occur with other members of the dihydropyridine class and are possibly a result of compromised uterine blood flow. Nifedipine administration was associated with a variety of embryotoxic, placentotoxic, and fetotoxic effects, including stunted fetuses (rats, mice, rabbits), rib deformities (mice), cleft palate (mice), small placentas and underdeveloped chorionic villi (monkeys), embryonic and fetal deaths (rats, mice, rabbits), and prolonged pregnancy/decreased neonatal survival (rats: not evaluated in other species). On a mg/kg basis, all of the doses associated with the teratogenic embryotoxic or fetotoxic effects in animals were higher (3.5 to 42 times) than the maximum recommended human dose of 120 mg/day. On a mg/m2 basis, some doses were higher and some were lower than the maximum recommended human dose but all are within an order of magnitude of it. The doses associated with placentotoxic effects in monkeys were equivalent to or lower than the maximum recommended human dose on a mg/m2 basis.
There are no adequate and well-controlled studies in pregnant women. Nifedical XL® Extended-release tablets should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Post # 9
I was on Metoprolol for high blood pressure for years prior to TTC (a very low dose… my Bridal Party has always been just barely above okay, regardless of what I do for diet/exercise), and when I saw my OB prior to starting TTC our first child, she put me on Methyldopa (I had a really low dose, and I took it 2x daily). I took it throughout TTC and my pregnancy. It gave me some weird side effects (dizziness and headaches mostly), but I stuck with it since it was keeping my Bridal Party under control and was class B. Methyldopa seems to be the widely-accepted safest choice for pregnant women. I switched to nicardipine/nifedical/procardia as soon as our baby was born (the Dr and I were comfortable with me breastfeeding while on a Class C). Zero side effects, it kept my Bridal Party under control, and I only had to take it once a day!
Oddly enough, my Bridal Party dipped a bit a few months postpartum and ended up on the high end of the “normal” range after I had my first child, so I’m not taking anything now. I expect when/if we do get pregnant with #2 though, it’ll shoot back up during the 2nd/3rd trimester. I’ll probably go for methyldopa again, even though I know it has weird side effects for me. I just feel better knowing I’m taking the safest one (not saying that the others aren’t safe, but I like to be on the one that has scientific studies and years of experience backing it up).
One thing to be aware of – pregnancy often will lower your Bridal Party in the first trimester, so just be aware of how your Bridal Party is doing. You may have to stop taking your medication for a while during early pregnancy. I passed out a few times early on in my first pregnancy before I realized that it was because of low blood pressure! I had never had issues with it being too LOW before, so I had no idea! Haha. The Dr had me stop taking it for a couple months.
Post # 10
Yep we are TTC now and Im on Labetalol. My doctor said it was the safest while TTC. Stupid parents and their darn HBP