{"id":611,"date":"2021-03-21T12:16:02","date_gmt":"2021-03-21T12:16:02","guid":{"rendered":"http:\/\/134.122.102.56\/SAND\/uk\/?post_type=professionals&#038;p=611"},"modified":"2021-10-19T14:50:33","modified_gmt":"2021-10-19T13:50:33","slug":"top-tips-for-gps-in-prescribing-in-perinatal-period","status":"publish","type":"professionals","link":"https:\/\/path-perinatal.eu\/uk\/professionals\/top-tips-for-gps-in-prescribing-in-perinatal-period\/","title":{"rendered":"Top tips for GPs in prescribing in perinatal period"},"content":{"rendered":"\n<section id=\"gm4e9af5c\" class=\"wp-block-gutentor-m3 section-gm4e9af5c gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g97435a\" class=\"wp-block-gutentor-e1 section-g97435a gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\"><a href=\"https:\/\/path-perinatal.eu\/uk\/professionals\/what-is-perinatal-mental-illness\/\" data-type=\"professionals\" data-id=\"612\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">Perinatal mental illness<\/span><\/a> affects 1 in 5 women and the vast majority of them are seen within primary care. GPs often encounter scenarios where women are taking psychotropic medication and they want their GPs to advise them whether these medications should be continued in pregnancy.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g65bc1f\" class=\"wp-block-gutentor-e1 section-g65bc1f gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Here are a few helpful tips to enable GPs to approach these scenarios:<\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-gd55ee8\" class=\"wp-block-gutentor-e7 section-gd55ee8 gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Stopping treatment abruptly may carry a high risk of relapse. Discuss with the woman about potential risks and benefits of psychotropic treatment. Relapse may ultimately be more harmful to mother and the child than continued effective drug therapy.<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Consider remaining with current (effective) medication, rather than switching, to minimise the number of drugs the foetus is exposed to.<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-2\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Consider switching to low risk drug (those with latest up-to-date evidence of safety for the mother or foetus), if necessary.<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-3\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">If you need further advice, contact your local perinatal mental health team.<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gma178922\" class=\"wp-block-gutentor-m3 section-gma178922 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gd34587\" class=\"wp-block-gutentor-e1 section-gd34587 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>If starting treatment during in the perinatal period.<\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g49ff1c\" class=\"wp-block-gutentor-e7 section-g49ff1c gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Choose the drug with the lowest risk profile for the woman, foetus and baby, taking into account a woman\u2019s previous response to medication.<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Use the lowest effective dose.<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-2\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Use a single drug, if possible, in preference to polypharmacy.<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-3\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">take into account that dosages may need to be adjusted in pregnancy.<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-4\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Avoid drugs contraindicated during pregnancy in women of childbearing age group (especially Valproate and Carbamazepine).<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-5\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">The woman (and her family, if appropriate) need to be involved in making an informed decision.<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm9e82ae8\" class=\"wp-block-gutentor-m3 section-gm9e82ae8 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g84eabb\" class=\"wp-block-gutentor-e1 section-g84eabb gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>More information is available at the following websites:<\/strong><\/h3><\/div><\/div>\n\n\n\n<section id=\"gm23a399e\" class=\"wp-block-gutentor-m4 section-gm23a399e gutentor-module gutentor-advanced-columns\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\"><div class=\"grid-row\">\n<div id=\"col-gm8c4fd6\" class=\"wp-block-gutentor-m4-col col-gm8c4fd6 gutentor-single-column  grid-lg-6 grid-md-12 grid-12\"><div id=\"section-gm8c4fd6\" class=\"section-gm8c4fd6 gutentor-col-wrap\">\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<section id=\"gmc6deae5\" class=\"wp-block-gutentor-m3 section-gmc6deae5 gutentor-module gutentor-container-cover\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\">\n<div id=\"section-g47f8f8\" class=\"wp-block-gutentor-e1 section-g47f8f8 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h1 class=\"gutentor-text\"><strong>RCGP Perinatal Mental Health Tookit<\/strong><\/h1><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm8be70fd\" class=\"wp-block-gutentor-m3 section-gm8be70fd gutentor-module gutentor-container-cover\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\">\n<div id=\"section-g3e4bc4\" class=\"wp-block-gutentor-e1 section-g3e4bc4 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">This&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.rcgp.org.uk\/clinical-and-research\/resources\/toolkits\/perinatal-mental-health-toolkit.aspx\" target=\"_blank\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">Perinatal Mental Health toolkit<\/span><\/a>&nbsp;is a set of relevant tools to assist members of the primary care team to deliver the highest quality care to women with mental health problems in the perinatal period.<\/p><\/div><\/div>\n<\/div><\/section>\n<\/div><\/div>\n\n\n\n<div id=\"col-gm5f9f1f\" class=\"wp-block-gutentor-m4-col col-gm5f9f1f gutentor-single-column  grid-lg-6 grid-md-12 grid-12\"><div id=\"section-gm5f9f1f\" class=\"section-gm5f9f1f gutentor-col-wrap\">\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<section id=\"gm5010701\" class=\"wp-block-gutentor-m3 section-gm5010701 gutentor-module gutentor-container-cover\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\">\n<div id=\"section-g40e736\" class=\"wp-block-gutentor-e1 section-g40e736 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h1 class=\"gutentor-text\"><strong>UK Teratology Information Service<\/strong><\/h1><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm8d720fb\" class=\"wp-block-gutentor-m3 section-gm8d720fb gutentor-module gutentor-container-cover\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\">\n<div id=\"section-gb2f88b\" class=\"wp-block-gutentor-e1 section-gb2f88b gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">The UK Teratology Information Service provides\u00a0<span class=\"has-inline-color has-vivid-cyan-blue-color\"><a href=\"http:\/\/www.uktis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">information for healthcare professionals on the safety of drugs in pregnancy<\/a>.<\/span><\/p><\/div><\/div>\n<\/div><\/section>\n<\/div><\/div>\n<\/div><\/div><\/section>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g43e387\" class=\"wp-block-gutentor-e1 section-g43e387 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\">LactMed<\/h3><\/div><\/div>\n\n\n\n<div id=\"section-g7eb4f4\" class=\"wp-block-gutentor-e1 section-g7eb4f4 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">LactMed is the&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501922\/\" target=\"_blank\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">Drugs and Lactation Database of the US National Library of Medicine<\/span><\/a>.<\/p><\/div><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"parent":0,"template":"","class_list":["post-611","professionals","type-professionals","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/professionals\/611","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/professionals"}],"about":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/types\/professionals"}],"wp:attachment":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/media?parent=611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}