Is UVB phototherapy safe to use in pregnancy?
Type:Uv phototherapy Time:2016-08-30 9:30:55The appropriate treatment for psoriasis in a woman who is pregnant,
or who plans pregnancy, will depend on the extent and severity of the
skin condition.
Topical therapy can be used with confidence, but avoid using large
quantities of salicylic acid, calcipotriol, topical steroids and
calcineurin inhibitors for long periods of time.
Photochemotherapy (psoralens and UVA or PUVA) is effective partly
because it damages cellular DNA, so it is thought safest to avoid oral
PUVA during pregnancy. However, no specific damage to mother or child
has been reported. Methoxsalen is Category B2. The risk of topical PUVA
in pregnancy is considered very low.
UVB phototherapy is safe for pregnant women with more severe
psoriasis. Ciclosporin can be prescribed when systemic therapy is
essential, providing blood pressure and kidney function are very
carefully monitored.
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