{"id":44,"date":"2015-07-19T19:39:12","date_gmt":"2015-07-19T19:39:12","guid":{"rendered":"http:\/\/www.i-base.info\/qa\/?p=44"},"modified":"2024-11-18T20:39:58","modified_gmt":"2024-11-18T20:39:58","slug":"when-is-cotrimoxazole-not-recommended-for-pregnant-hiv-positive-women","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/44","title":{"rendered":"Is cotrimoxazole recommended during pregnancy for women living with HIV?"},"content":{"rendered":"

Yes.<\/p>\n

WHO guidelines recommend using co-trimoxazole during pregnancy, just as they would for a woman living with HIV who is not pregnant.<\/p>\n

The main concern is only if someone was allergic to this drug (or class of drug).<\/p>\n

This means that cotrimoxazole is recommended for the mother’s health, it should be used throughout the pregnancy.<\/p>\n

Some doctors are cautious about using cotrimoxazole during the first trimester in pregnancy.<\/p>\n

If the mother’s CD4 count is less than 350 then this is needed this for her own health, and the benefits are likely to outweigh any theoretical risks.<\/p>\n

This is also supported by this 2014 review:
\nhttps:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4331013<\/a><\/p>\n

This answer was updated in 2015 from a question first asked in 2006.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

When is cotrimoxazole contraindicated (not recommended), in a pregnant HIV-positive woman, with a CD4 less than 200 cells\/mm3?<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,29,19],"tags":[],"class_list":["post-44","post","type-post","status-publish","format-standard","hentry","category-all-topics","category-opportunistic-infections","category-pregnancy"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/44","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=44"}],"version-history":[{"count":8,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/44\/revisions"}],"predecessor-version":[{"id":25632,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/44\/revisions\/25632"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=44"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=44"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=44"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}