Thumbs down. Diovan (valsartan) hct is a combination of Diovan (valsartan) and hydrochlorothiazide. Both Diovan (valsartan) and hydrochlorothiazide are not recommended during pregnancy or breastfeeding. Talk with your doctor about finding another choice for your high blood pressure. We want both you and your baby to be healthy.
No. Angiotensin receptor blocking agents are associated with fetal teratogenic abnormalities (as are acei agents) (example deafness). They should be avoided during pregnancy.
Depends. This is another combination drug. It is probably safe in breastfeeding although we have no clear studies to say so. One of the medications though has been shown to cause renal and heart problems when taken in the second and third trimesters. We don't recommend taking while pregnant. If you are on this med and get pregnant, call your doctor right away but don't come off of it until they say so.
See below. Exforge (amlodipine and valsartan) has been shown to have some detrimental effects on the fetus. And it is unknown, whether breast feeding is safe or not. However, uncontrolled high blood pressure is not good, either. You need to discuss with your doctors.
Stop! Diovan (valsartan) has a black box warning (unsafe!) that requires it to be stopped immediately as soon as pregnancy is detected. You can start the new medicine in 24-48 hours. Please be aware that labetolol is class c (possibly unsafe) for pregnancy but probably safe for lactation. A similar drug, sectral (aceutolol) is class b (safer) for pregnancy but probably unsafe for lactation.
Transition BP Meds. Actually with these meds and the possibility of pregnancy, you could stop the divan and the next day start the labetolol. Be sure to check your blood pressure over the next few weeks as the dosage of labetolol may need to be adjusted.