5 doctors weighed in:

Are antifungal pills safe for pregnant women?

5 doctors weighed in
Dr. Paul Cohen
Family Medicine
2 doctors agree

In brief: Depends on the med.

That is a complex question as there are many different antifungal medications.
Most are 'category b' which are safe in pregnancy. However; some are not suggested for nursing mothers' and some are 'category c'; which are considered unsafe in pregnancy. Discussing the choice of medications with an obstetrician; or a primary care physician is advised.

In brief: Depends on the med.

That is a complex question as there are many different antifungal medications.
Most are 'category b' which are safe in pregnancy. However; some are not suggested for nursing mothers' and some are 'category c'; which are considered unsafe in pregnancy. Discussing the choice of medications with an obstetrician; or a primary care physician is advised.
Dr. Paul Cohen
Dr. Paul Cohen
Thank
1 comment
Dr. Liza Kunz
Most women who are given oral anti fungal medications in pregnancy get a single 150 mg dose of Diflucan for vaginal yeast. While this is Category C, there are several excellent epidemiologic studies suggesting no harm. Therefore many doctors use this regimen in the second and third trimester for vaginal yeast. Topical medications are safe in any trimester.
Dr. Karen Han
Dermatology

In brief: Pregnancy class C

Oral antifungal drugs are pregnancy class c.
Unless absolutely necessary, your doctor will generally avoid prescribing it. Category c drugs show adverse affect on fetus in animal studies, but no adequate human studies showing adverse affects on human fetus. However, potential benefits may out way risks if need to be used during pregnancy.

In brief: Pregnancy class C

Oral antifungal drugs are pregnancy class c.
Unless absolutely necessary, your doctor will generally avoid prescribing it. Category c drugs show adverse affect on fetus in animal studies, but no adequate human studies showing adverse affects on human fetus. However, potential benefits may out way risks if need to be used during pregnancy.
Dr. Karen Han
Dr. Karen Han
Thank
5 comments
Dr. Paul Cohen
Lamisil tablets are category B. Vfend tablets are category D which should never be prescribed to any woman who is even considering becoming pregnant, is pregnant, or even mentions the word.
Dr. Karen Han
Indeed, Lamisil is cat B. However, Sporanox, Nizoral, fluconazole, nystatin, griseofulvin are all category C. And as you mentioned, Vfend is out of the question.
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