Page 3 - Disease Modifying Drugs and Family Planning in MS
P. 3

CONSENSUS RECOMMENDATIONS ON THE USE OF DMDs
              DURING PREGNANCY AND BREASTFEEDING






            Need for active treatment of MS during pregnancy





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              There is a low risk of              This information is              In general, the current
              adverse pregnancy                   helpful to counsel and           contraindications in

              outcomes in patients                reassure patients who            the labelling for current
              who became pregnant                 become pregnant while            DMDs should be
              while taking most DMDs.             taking a DMD who                 respected.
                                                  decide to take their
                                                  pregnancy to term.






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              The group recommends                A patient with a low             The care of women with
              that a patient needs to be          level of disease activity        high disease activity,
              in remission for at least           has the option of delaying       which usually requires
              1 year prior to pregnancy           treatment for a year to          a high-efficacy DMD,
              planning to avoid any               complete a pregnancy.            involves a trade-off
              potential risk of disease                                            between protecting the
              reactivation when DMDs                                               patient from relapses

              are discontinued.                                                    and MS progression
              A patient with active MS                                             and minimising the risk
              disease requires treatment.                                          of exposure of an
                                                                                   unplanned pregnancy to
                                                                                   treatment.















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