AKT-1188

The community midwife has approached you regarding a patient she saw for her booking appointment that morning. The patient is a 22-year-old student who did not plan on becoming pregnant and is currently taking multiple prescribed medications. The midwife has requested that you review the medication list to determine if any of them need to be discontinued. The patient is taking levothyroxine for hypothyroidism, beclomethasone and salbutamol inhalers for asthma, adapalene gel for acne, and occasionally uses metoclopramide for migraines. She also purchases paracetamol over the counter for her migraines. She is believed to be approximately 8 weeks pregnant but is waiting for her dating scan.

Which of her medications, if any, should be stopped?