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Would taking Infliximab endanger pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 26-year-old. I am currently working in a hospital. I have been diagnosed with psoriatic spondyloarthropathy six years back. I had severe pain in the right SI joint. Currently, I am not taking medicines except NSAIDs. My MRI was done and it showed MRI joint inflammation. I was advised of Infliximab by my rheumatologist. I do not have any gynecological problems. I got married two years and I want to plan my pregnancy. Would taking Infliximab endangers my pregnancy? Initially, I planned for Infliximab after my delivery, but I could not tolerate the pain. I cannot walk properly. Please help and advise me properly. Would SI joint radiofrequency ablation help with this?

Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

We are here to help you. Infliximab is a pregnancy category B drug that is it has not shown till now any birth defects in babies in trials. So, it can be used if required. I would not recommend SI joint (sacroiliac joint) radiofrequency at this stage. I would recommend you to discuss with your doctor to start you on Infliximab and you can start planning for a baby once your course is over. So as far as your query is concerned, I feel you can be started on Infliximab as it has promising results and is usually considered safe in pregnancy. You should go ahead with Sulfasalazine and Hydroxychloroquine till you conceive. Painkillers have to be avoided in pregnancy, but Paracetamol can be taken for pain.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 14, 2016
Reviewed At January 24, 2024

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

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Decision Helper
Infliximab and Pregnancy Decision Helper

Considering Infliximab during pregnancy?

This tool helps you understand key factors when considering Infliximab for psoriatic spondyloarthropathy while planning or during pregnancy. It guides you on when to discuss your situation with a rheumatologist.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

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