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Qstensen M - The most effective immunosuppressive drugs alone or in combination are contraindicated during pregnancy and, to a lesser degree, also during lactation. Judicious timing of therapy is therefore necessary, aiming at fast remission of symptoms with the most effective therapy and maintaining quiescent disease with drugs compatible with pregnancy or lactation.

Exclusive Author Commentary
Monika Qstensen, 06/23/09

Treatment of pregnant and lactating patients with rheumatoid arthritis is a challenge for the physician. This review presents treatment options for the patient with early aggressive rheumatoid arthritis during pregnancy and lactation taking into consideration the well being of both mother and child. The paper discusses different scenarios in regard to disease stage and severity and suggests solutions for the often difficult therapeutic decisions.

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