. 2023 Apr 3;62(4):e48-e88.

doi: 10.1093/rheumatology/keac551.

British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: immunomodulatory anti-rheumatic drugs and corticosteroids

Mark D Russell¹, Mrinalini Dey², Julia Flint³, Philippa Davie¹, Alexander Allen⁴, Amy Crossley⁵, Margreta Frishman⁶, Mary Gayed⁷, Kenneth Hodson⁸, Munther Khamashta⁹, Louise Moore¹⁰, Sonia Panchal¹¹, Madeleine Piper¹², Clare Reid⁵, Katherine Saxby¹³, Karen Schreiber^{14

15

16}, Naz Senvar¹⁷, Sofia Tosounidou¹⁸, Maud van de Venne¹⁹, Louise Warburton²⁰, David Williams²¹, Chee-Seng Yee²², Caroline Gordon²³, Ian Giles²⁴; BSR Standards, Audit and Guidelines Working Group

Collaborators, Affiliations

Collaborators

BSR Standards, Audit and Guidelines Working Group:
Ian Giles, Ed Roddy, Kate Armon, Lauren Astell, Caroline Cotton, Alan Davidson, Sarah Fordham, Claire Jones, Christopher Joyce, Anoop Kuttikat, Zoe McLaren, Karen Merrison, Devesh Mewar, Amanda Mootoo, Emma Williams

Affiliations

¹ Centre for Rheumatic Diseases, King's College London, London, UK.
² Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
³ Department of Rheumatology, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Shropshire, UK.
⁴ Clinical Affairs, British Society for Rheumatology, London, UK.
⁵ Patient Representative, UK.
⁶ Rheumatology, North Middlesex University Hospital NHS Trust, London, UK.
⁷ Rheumatology, Sandwell and West Birmingham Hospitals, Birmingham, UK.
⁸ UK Teratology Information Service, UK.
⁹ Lupus Research Unit, Division of Women's Health, King's College London, London, UK.
¹⁰ Rheumatic and Musculoskeletal Disease Unit, Our Lady's Hospice and Care Service, Dublin, Ireland.
¹¹ Department of Rheumatology, South Warwickshire NHS Foundation Trust, Warwickshire, UK.
¹² Royal National Hospital for Rheumatic Diseases, Royal United Hospital, Bath, UK.
¹³ Pharmacy, University College London Hospitals NHS Foundation Trust, London, UK.
¹⁴ Thrombosis and Haemostasis, Guy's and St Thomas' NHS Foundation Trust, London, UK.
¹⁵ Department of Rheumatology, Danish Hospital for Rheumatic Diseases, Sonderborg, Denmark.
¹⁶ Department of Regional Health Research (IRS), University of Southern Denmark, Odense, Denmark.
¹⁷ Obstetrics and Gynaecology, St George's University Hospitals NHS Foundation Trust, London, UK.
¹⁸ Lupus UK Centre of Excellence, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
¹⁹ Obstetrics & Gynaecology, Frimley Park Hospital, Surrey, UK.
²⁰ Primary Care and Health Sciences, Keele University, Keele, UK.
²¹ Obstetrics, University College London Hospitals NHS Foundation Trust, London, UK.
²² Department of Rheumatology, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
²³ Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
²⁴ Centre for Rheumatology, Division of Medicine, University College London, London, UK.

PMID: 36318966
PMCID: PMC10070073
DOI: 10.1093/rheumatology/keac551

British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: immunomodulatory anti-rheumatic drugs and corticosteroids

Mark D Russell et al. Rheumatology (Oxford). 2023.

. 2023 Apr 3;62(4):e48-e88.

doi: 10.1093/rheumatology/keac551.

Authors

Collaborators

BSR Standards, Audit and Guidelines Working Group:
Ian Giles, Ed Roddy, Kate Armon, Lauren Astell, Caroline Cotton, Alan Davidson, Sarah Fordham, Claire Jones, Christopher Joyce, Anoop Kuttikat, Zoe McLaren, Karen Merrison, Devesh Mewar, Amanda Mootoo, Emma Williams

Affiliations

¹ Centre for Rheumatic Diseases, King's College London, London, UK.
² Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
³ Department of Rheumatology, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Shropshire, UK.
⁴ Clinical Affairs, British Society for Rheumatology, London, UK.
⁵ Patient Representative, UK.
⁶ Rheumatology, North Middlesex University Hospital NHS Trust, London, UK.
⁷ Rheumatology, Sandwell and West Birmingham Hospitals, Birmingham, UK.
⁸ UK Teratology Information Service, UK.
⁹ Lupus Research Unit, Division of Women's Health, King's College London, London, UK.
¹⁰ Rheumatic and Musculoskeletal Disease Unit, Our Lady's Hospice and Care Service, Dublin, Ireland.
¹¹ Department of Rheumatology, South Warwickshire NHS Foundation Trust, Warwickshire, UK.
¹² Royal National Hospital for Rheumatic Diseases, Royal United Hospital, Bath, UK.
¹³ Pharmacy, University College London Hospitals NHS Foundation Trust, London, UK.
¹⁴ Thrombosis and Haemostasis, Guy's and St Thomas' NHS Foundation Trust, London, UK.
¹⁵ Department of Rheumatology, Danish Hospital for Rheumatic Diseases, Sonderborg, Denmark.
¹⁶ Department of Regional Health Research (IRS), University of Southern Denmark, Odense, Denmark.
¹⁷ Obstetrics and Gynaecology, St George's University Hospitals NHS Foundation Trust, London, UK.
¹⁸ Lupus UK Centre of Excellence, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
¹⁹ Obstetrics & Gynaecology, Frimley Park Hospital, Surrey, UK.
²⁰ Primary Care and Health Sciences, Keele University, Keele, UK.
²¹ Obstetrics, University College London Hospitals NHS Foundation Trust, London, UK.
²² Department of Rheumatology, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
²³ Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
²⁴ Centre for Rheumatology, Division of Medicine, University College London, London, UK.

PMID: 36318966
PMCID: PMC10070073
DOI: 10.1093/rheumatology/keac551

Erratum in

Correction to: British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: immunomodulatory anti-rheumatic drugs and corticosteroids.
[No authors listed] [No authors listed] Rheumatology (Oxford). 2023 May 2;62(5):2021. doi: 10.1093/rheumatology/keac686. Rheumatology (Oxford). 2023. PMID: 36511437 Free PMC article. No abstract available.

No abstract available

Keywords: DMARDs; biologics; breastfeeding; breastmilk; corticosteroids; hydroxychloroquine; pregnancy; prescribing; rheumatic disease.

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Figures

**Figure 1.**
Flow diagram of studies selected for inclusion

See this image and copyright information in PMC

Comment in

Comment on: British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding.
Schreiber K, Frishman M, Hunt BJ. Schreiber K, et al. Rheumatology (Oxford). 2023 May 2;62(5):e164-e165. doi: 10.1093/rheumatology/keac700. Rheumatology (Oxford). 2023. PMID: 36545701 No abstract available.

References

1. Flint J, Panchal S, Hurrell A. et al. BSR and BHPR guideline on prescribing drugs in pregnancy and breastfeeding-Part I: standard and biologic disease modifying anti-rheumatic drugs and corticosteroids. Rheumatology 2016;55:1693–7. - PubMed
1. Flint J, Panchal S, Hurrell A. et al. BSR and BHPR guideline on prescribing drugs in pregnancy and breastfeeding-Part II: analgesics and other drugs used in rheumatology practice. Rheumatology 2016;55:1698–702. - PubMed
1. Giles I, Allen A, Crossley A. et al. Prescribing anti-rheumatic drugs in pregnancy and breastfeeding - the BSR guideline scope. Rheumatology 2021;60:3565–9. - PubMed
1. Gotestam Skorpen C, Hoeltzenbein M, Tincani A. et al. The EULAR points to consider for use of antirheumatic drugs before pregnancy, and during pregnancy and lactation. Ann Rheum Dis 2016;75:795–810. - PubMed
1. Andreoli L, Bertsias GK, Agmon-Levin N. et al. EULAR recommendations for women's health and the management of family planning, assisted reproduction, pregnancy and menopause in patients with systemic lupus erythematosus and/or antiphospholipid syndrome. Ann Rheum Dis 2017;76:476–85. - PMC - PubMed

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British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: immunomodulatory anti-rheumatic drugs and corticosteroids

Collaborators

Affiliations

British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: immunomodulatory anti-rheumatic drugs and corticosteroids

Authors

Collaborators

Affiliations

Erratum in

Figures

Comment in

References

MeSH terms

Substances

LinkOut - more resources

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