Medicamentos considerados seguros (de acordo com a tabela acima de 2016) para uso durante amamentação, salvo contraindicações são:
- Diuréticos: hidroclorotiazida e espironolactona
- Inibidores adrenérgicos: alfametildopa
- BetaBloqueadores: propranolol
- Vasodilatadores: hidralazina e minoxidil
- Bloqueadores de Canal de Cálcio: verapamil, nifedipino, nimodipino e nitrendipino.
- Inibidores da Enzima Conversora de Angiotensinogênio: enalapril, captopril e benazepril
Medicamentos que são considerados potencialmente perigosos:
- Bloqueadores do Receptor de Angiotensina (BRA) telmisartana no período perinatal, valsartana.
- Inibidores adrenérgicos: reserpina, prazosina e terazosina.
POSTPARTUM HYPERTENSION —
Frequency and short-term course — Blood pressure peaks three to six days postpartum, and may be significantly higher in the immediate postpartum period than antepartum or intrapartum. Postpartum hypertension has been observed in as many as 20 percent of women within six weeks of delivery [80]. It usually resolves spontaneously within a few weeks (average 16±9.5 days) and is almost always gone by 12 weeks postpartum [81-83]. However, some cases may take as long as six months to resolve [81]. Hypertension that persists beyond this period should be evaluated and treated as in any nonpregnant woman.
Hipertensão em Gestantes – Artigo para médicos