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Monthly Archives: September 2024

Ustekinumab (Stelara ™) and Breastfeeding

Ustekinumab is a disease modifying, biological drug used to treat psoriatic arthritis, plaque psoriasis, Crohns disease, and ulcerative colitis. It is given by sub cutaneous injection. It has a  molecular weight 149,000, poor oral bioavailability  and milk plasma ratio 0.001 – 0.027 Ustekinumab is a recombinant human monoclonal TNF antibody that binds specifically to TNF- […]

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Adalimumab (Humira™) and Breastfeeding

Adalimumab is a disease modifying, biological drug used to treat rheumatoid arthritis, psoriatic arthritis, Crohns disease, ulcerative colitis and Hidradenitis suppurativa. It is given by sub cutaneous injection. It has a  molecular weight 148,000. Poor oral bioavailability  and relative infant dose 0.12% ( well below 10% regarded as compatible). Adalimumab is a recombinant human monoclonal […]

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Raised cholesterol and breastfeeding

When I was working as an independent pharmacist prescriber my main role was to look at primary prevention of cardio vascular disease – identifying factors which raised the risk of people to have a heart attack or stroke in the next 10 years. I used an online calculator using various data like BMI, smoking status, […]

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