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Which antibiotic can cause miscarriage in early pregnancy?

Published in Pregnancy Antibiotics 2 mins read

Certain antibiotics have been associated with an increased risk of miscarriage in early pregnancy.

Antibiotics Linked to Miscarriage Risk

According to the study "Antibiotics and Risk for Spontaneous Abortion," the following classes of antibiotics may increase the risk of miscarriage when taken during early pregnancy:

  • Quinolones: This class includes drugs like ciprofloxacin.
  • Tetracyclines: These include medications like doxycycline and tetracycline.
  • Sulfonamides: Examples of sulfonamides include sulfamethoxazole.
  • Metronidazole: This is an antibiotic and antiprotozoal medication.
  • Macrolides (excluding erythromycin): This class includes medications such as azithromycin but not erythromycin.

Common Examples of Risky Antibiotics

Antibiotic Class Common Examples
Quinolones Ciprofloxacin
Tetracyclines Doxycycline, Tetracycline
Sulfonamides Sulfamethoxazole
Metronidazole Metronidazole
Macrolides (except erythromycin) Azithromycin

Important Considerations:

  • Early Pregnancy: The risk of miscarriage associated with these antibiotics is primarily during early pregnancy.
  • Prescription: Many of these antibiotics, such as azithromycin and ciprofloxacin, are commonly prescribed in outpatient settings.
  • Alternatives: Always consult with a doctor about antibiotic choices during pregnancy. There may be safer alternatives available.
  • Individual Risk: It is crucial to consult a healthcare provider regarding specific antibiotic use and associated risks.

It is important to note that this information is based on the referenced study and should not be used to make medical decisions. Always consult with a healthcare professional for guidance during pregnancy.

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