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. 2023 Jul 22;4(2):47–59. doi: 10.2478/rir-2023-0009

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