Any Drs / obstetricians ?

[bensmum3]

I would like your opinion please, Which drug would you give at 22 wks gestation, between oral trimethoprim or iv vancomycin ? I won't quote anyone, just need opinions please.

[chapsmum]

what??
I am not a dr but the drugs are soooo different.
Trimethprom is a folic acid inhibitor and is not usually used during pregnancy if it can be avoided.
Vancomycin should only be given if the benifits outweigh the side efects.

[chapsmum]

what??
I am not a dr but the drugs are soooo different.
Trimethprom is a folic acid inhibitor and is not usually used during pregnancy if it can be avoided.
Vancomycin should only be given if the benifits outweigh the side efects.

[bensmum3]

Exactly, I don't like the idea of either, but apparently the infection (which could also harm the baby) is only sensitive to one of these two.

[chapsmum]

trimethoprim at 22 weeks would be the lesser of 2 evils as IIRC your babys neural tube will have developed by 22 weeks. ask about taking a higher than average folate suplament with this one???

[hub2dee]

V. clever our chapsmum.

[chapsmum]

hub2dee am VVVVVVV impressed will email you an we can swap stories.. in fact get your arse on msn!!!!

[hub2dee]

Will e-mail, but I'm off to bed in mere seconds...

[harrisey]

Not a doc either, but I took oral trimethoprim in 2/3 trimester in 2 pregnancies due to several serious kidney infections which I was told could harm the baby - I was on rotating ab's to keep the infection under control and trimethoprim was one of the 3 antibiotics I was given in rotation - also took cephalexin and augmentin.
Both the babies were totaly fine. I was told to continue taking the folic acid throughout the pregnancy though, but didn't connect with the trimethoprim, I thought it was because of my kidney trouble (you learn something new every day!)