Table 2.
Selection of targeted drugs during pregnancy and lactation in patients with SpA
Drugs | Can be used peri-conception (Yes /No) | Can be used in the first trimester (Yes/No) | Can be used in the second/ third trimester (Yes/No) | Can be used in breastfeeding (Yes/No) |
---|---|---|---|---|
Infliximab | Yes | Yes | Stop at gestation week 20 | Yes, but lack of evidence |
Etanercept | Yes | Yes | can be used in first and second trimester, but should be discontinued in the third trimester | Yes, but lack of evidence |
Adalimumab | Yes | Yes | Can be used in the first and second trimester, but should be discontinued in the third trimester | Yes, but lack of evidence |
Certolizumab pegol | Yes | Yes | Yes, but lack of evidence | Yes, but lack of evidence |
Golimumab | No data | No data | No data | No data |
Ustekinumab | Yes, but lack of evidence | No data | No data | No data |
Secukinumab | Yes, but lack of evidence | Yes, but lack of evidence | No data | No data |