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Is it advisable to take Deflazacort and Hydroxyzine HCl for hives during pregnancy?

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Patient's Query

Hi doctor,

The dermatologist has said that I have urticaria (hives) and prescribed Deflazacort 6 mg and Hydroxyzine HCl, but I am 28 weeks pregnant. Can I take those medicines? Suspecting it is chickenpox. The itching started 10 days ago, rashes started five days ago. Appears to be small red bumps on thighs and hands. Then appearing as water blisters and healing now.

Answered by Dr. Uzma Arqam

Hi,

Welcome to icliniq.com.

Deflazacort is corticosteroids and can be used as per need but can interact with diabetic medications and will act as an anti-inflammatory and can give side effects like weight gain, mood variations, vomitings, etc. Hydroxyzine is antihistamine and can be used but better only in need, do not make it as a habit. Suspecting chicken pox at 28 weeks, you need to report urgently to treating obstetrician. If you tell within 24 hours of the appearance of the lesion, you can have medications like Acyclovir. If severe symptoms, it can be given orally as well.

Chicken pox first needs to be checked as urgent before treatment for IgG and IgM as well ( IgM recent infection and IgG already immunized patient). In pregnancy, the vaccine could not be given as it is a live attenuated vaccine but after 20 weeks if patient reports within 24 hours of having confirmed lesions of chickenpox could have medical treatment. Take it seriously and just report to your treating obstetrician to have proper examination and treatment accordingly. But it seems you have spent most of the infectious and symptomatic period already but better to have a check up immediately and do have electronic fetal monitoring to check fetal well-being. Continue Iron and Calcium supplements. A healthy balanced diet with less salt, sugar, oil and spice. Have isolation, try to avoid children, adults at home and exchange of your things like utensils with others.

Answered byDr. Uzma Arqam

Medically reviewed byDr. K. Shobana

Published At January 30, 2019
Reviewed AtAugust 29, 2025

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Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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