High blood pressure in first tri

posted 2 months ago in Pregnancy
Post # 2
1718 posts
Bumble bee
  • Wedding: June 2019

Can’t say this from a personal experience, but I have worked in pharma for years and I know some things. I would have a more educated answer if I knew the actual drug you’re taking, but here:

My friend had high blood pressure pre-pregnancy and she continued her medication throughout her pregnancy. I believe her medication was Category C, which is an iffy category for pregnancy drugs, but the rule of thumb is this: if not taking a drug is more dangerous for YOUR HEALTH than taking the drug, then just take the drug. That’s what’s better for the baby. 

Some drugs are exceptions to this rule, like Lipitor (atorvastatin), which I belieeeeeve is a Category X drug. Anything that ends in -statin is a Category X drug. Don’t take any Category X drugs while pregnant unless you need them to literally survive. They are extremely dangerous for unborn children. 

But most over-the-counter drugs fall into Catebory B and C. If they improve your quality of life, taking them during pregnancy is usually fine. But definitely consult a doctor first. 

Post # 3
391 posts
Helper bee
  • Wedding: August 2014

No experience either, but wondering how often you have had your blood pressure tested, if it is usually normal at the doctors offfice (aka when you were last checked pre-pregnancy), and how nervous you may have been for this appointment. 

I have sort of low blood pressure, and every time I’m in a doctors office it goes up. I know the supermarket ones might not be suuuper accurate, but I’m consistently pretty low with them and always much more ‘normal’ at the doctor. Like mid pregnancy, at supermarkets my Bridal Party was really low. Like 85/55. And at the doctor it would be 115/70 haha. 

Anyway what I’m getting at is that you may want to ask about doing more testing before you start a new medication, if you have never had high blood pressure before. I don’t know how high it was or how urgently they want you to start, but I know they can do 24h monitoring with a unit you take home, etc, to confirm. I had a friend who was always high at her doctor and they were debating starting meds to get her regulated before TTC, but she did the 24h thing and her levels were super normal the whole time. 

Post # 4
1220 posts
Bumble bee
  • Wedding: July 2019

I have diagnosed hypertension (went through numerous tests and home monitoring) and my doctor has me on Labetalol, which is pregnancy-safe. My HBP was actually discovered during my pre-conception appointment when my ex-husband and I were getting ready to start TTC, so the Labetalol was prescribed intentionally for this reason. Obviously we stopped TTC and got divorced, but I decided to stick with the medication in case an “oops” ever happened. Now my current husband and I are TTC. My hypertension is well-managed with the medication, but that will obviously need to be closely monitored if/when I become pregnant.

Post # 5
9435 posts
Buzzing Beekeeper
  • Wedding: August 2012

I have hypertension and took meds all throughout my pregnancy.

The most common one is Labetalol. It’s really very safe but you’ll probably receive extra monitoring just to be careful. It’s a whole lot safer than uncontrolled BP!

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