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Bexarotene Pregnancy and Breastfeeding Warnings

Bexarotene is also known as: Targretin

Bexarotene Pregnancy Warnings

Because women of child bearing potential may be unaware that they are pregnant, pregnancy testing is recommended within one week prior to initiation of therapy, monthly while on therapy, and for at least one month after discontinuation of therapy. Bexarotene therapy may be initiated on the second or third day of a normal menstrual cycle if a negative pregnancy test result has been obtained within the past week. Effective contraception is recommended for one month before the initiation of therapy, during therapy, and for at least one month following the discontinuation of therapy. The manufacturer recommends that two forms of reliable contraception be used and that one of these be non-hormonal. It is also recommended that male patients with sexual partners who are pregnant, possibly pregnant, or who could become pregnant, use condoms during sexual intercourse while on bexarotene therapy and for at least one month after the discontinuation of therapy.

Bexarotene has been assigned to pregnancy category X by the FDA. Animal studies have revealed evidence of malformations. There are no controlled data in human pregnancy. Bexarotene is considered contraindicated during pregnancy.

Bexarotene Breastfeeding Warnings

There are no data on the excretion of bexarotene into human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

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