Is psoriasis medication safe during pregnancy?

Question

Hello doctor,

I am concerned about my daughter, who is 21 years old, and her psoriasis exploded during her first pregnancy. She is 28 weeks pregnant, and her whole body looks like a bad sunburn. Her doctor stopped her psoriasis medicines (Adalimumab) when she got pregnant, and everything went downhill. Her belly is covered in these thick patches. The ankles are swollen and painful. She can barely walk, and her blood pressure is 142/88 mmHg. Please provide safe options for pregnant women.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Adalimumab is safe during pregnancy, and it is associated with minimal placental permeability. Ask her doctor about an alternative safe medication to control the severity of her case, such as Certolizumab or Cyclosporine. Also, ask about medication to control blood pressure.

Topical corticosteroids, Clobetasol, emollients, and Calcipotriol should be applied to reduce the patches.
Keep the skin moist.
Bath with care and use non-fragrance salts or oil.
Avoid triggers such as infection, weather extremes, scratching, or skin injury.
Low birth weight and high blood pressure are common psoriasis associations during pregnancy. Fortunately, there is no increased risk of fetal deaths.

I hope this information will help you.

Thanks.