Executive Summary: British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: comorbidity medications used in rheumatology practice

Karen Schreiber^{1

2

3}, Margreta Frishman⁴, Mark D Russell⁵, Mrinalini Dey⁶, Julia Flint⁷, Alexander Allen⁸, Amy Crossley⁹, Mary Gayed¹⁰, Kenneth Hodson¹¹, Munther Khamashta¹², Louise Moore¹³, Sonia Panchal¹⁴, Madeleine Piper¹⁵, Clare Reid⁹, Katherine Saxby¹⁶, Naz Senvar¹⁷, Sofia Tosounidou¹⁸, Maud van de Venne¹⁹, Louise Warburton^{20

21}, David Williams²², Chee-Seng Yee²³, Caroline Gordon²⁴, Ian Giles²⁵; 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 Thrombosis & Haemophilia Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
² Department of Rheumatology, Danish Hospital for Rheumatic Diseases, Sonderborg, Denmark.
³ Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
⁴ Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, UK.
⁵ Centre for Rheumatic Diseases, King's College London, London, UK.
⁶ Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
⁷ Department of Rheumatology, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Shropshire, UK.
⁸ Clinical Affairs, British Society for Rheumatology, London, UK.
⁹ Patient representative, London, UK.
¹⁰ Rheumatology, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
¹¹ UK Teratology Information Service, Newcastle upon Tyne, UK.
¹² Division of Women's Health, Lupus Research Unit, King's College London, London, UK.
¹³ Rheumatic and Musculoskeletal Disease Unit, Our Lady's Hospice and Care Service, Dublin, Ireland.
¹⁴ Rheumatology, South Warwickshire NHS Foundation Trust, Warwickshire, UK.
¹⁵ Royal National Hospital for Rheumatic Diseases, Royal United Hospital, Bath, UK.
¹⁶ Pharmacology, University College London Hospitals NHS Foundation Trust, London, UK.
¹⁷ Obstetrics and Gynaecology, St George's University Hospitals NHS Foundation Trust, London, UK.
¹⁸ Lupus UK Centre of Excellence, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
¹⁹ Women's Health, Frimley Park Hospital, Surrey, UK.
²⁰ Shropshire Community NHS Trust, Shropshire, UK.
²¹ Primary Care and Health Sciences, Keele University, Keele, UK.
²² Obstetrics, University College London Hospitals NHS Foundation Trust, London, UK.
²³ Department of Rheumatology, Doncaster and Bassetlaw, Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
²⁴ Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
²⁵ Centre for Rheumatology, Department of Inflammation, Division of Medicine, University College London, London, UK.

PMID: 36318970
PMCID: PMC10070061
DOI: 10.1093/rheumatology/keac559

Executive Summary: British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: comorbidity medications used in rheumatology practice

Karen Schreiber et al. Rheumatology (Oxford). 2023.

. 2023 Apr 3;62(4):1388-1397.

doi: 10.1093/rheumatology/keac559.

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 Thrombosis & Haemophilia Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
² Department of Rheumatology, Danish Hospital for Rheumatic Diseases, Sonderborg, Denmark.
³ Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
⁴ Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, UK.
⁵ Centre for Rheumatic Diseases, King's College London, London, UK.
⁶ Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
⁷ Department of Rheumatology, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Shropshire, UK.
⁸ Clinical Affairs, British Society for Rheumatology, London, UK.
⁹ Patient representative, London, UK.
¹⁰ Rheumatology, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
¹¹ UK Teratology Information Service, Newcastle upon Tyne, UK.
¹² Division of Women's Health, Lupus Research Unit, King's College London, London, UK.
¹³ Rheumatic and Musculoskeletal Disease Unit, Our Lady's Hospice and Care Service, Dublin, Ireland.
¹⁴ Rheumatology, South Warwickshire NHS Foundation Trust, Warwickshire, UK.
¹⁵ Royal National Hospital for Rheumatic Diseases, Royal United Hospital, Bath, UK.
¹⁶ Pharmacology, University College London Hospitals NHS Foundation Trust, London, UK.
¹⁷ Obstetrics and Gynaecology, St George's University Hospitals NHS Foundation Trust, London, UK.
¹⁸ Lupus UK Centre of Excellence, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
¹⁹ Women's Health, Frimley Park Hospital, Surrey, UK.
²⁰ Shropshire Community NHS Trust, Shropshire, UK.
²¹ Primary Care and Health Sciences, Keele University, Keele, UK.
²² Obstetrics, University College London Hospitals NHS Foundation Trust, London, UK.
²³ Department of Rheumatology, Doncaster and Bassetlaw, Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
²⁴ Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
²⁵ Centre for Rheumatology, Department of Inflammation, Division of Medicine, University College London, London, UK.

PMID: 36318970
PMCID: PMC10070061
DOI: 10.1093/rheumatology/keac559

No abstract available

Keywords: NSAIDs; analgesics; anticoagulants; antihypertensive drugs; breastfeeding; pregnancy; prescribing; rheumatic disease.

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Figures

**Figure 1.**
Flow diagram of study selection

See this image and copyright information in PMC

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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. Götestam 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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Executive Summary: British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: comorbidity medications used in rheumatology practice

Collaborators

Affiliations

Executive Summary: British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: comorbidity medications used in rheumatology practice

Authors

Collaborators

Affiliations

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