育龄期肾友，搞清楚药物对胎儿的影响非常重要。 肾病用药种类繁多，有的药对胎儿安全，有的药不安全。

综合现有指南意见，肾上线为大家总结了肾病常用药分别在备孕、怀孕、哺乳的使用规范，一起来学习吧！

注：√表示可以；X表示不可以；风险不明确表示：研究数据暂时不充分。

参考文献：

1.UpToDate.Adverse effects of angiotensin converting enzyme inhibitors and receptor blockers in pregnancy.

2.UpToDate.Pregnancy in patients with nondialysis chronic kidney disease.

3.UpToDate.Safety of rheumatic disease medication use during pregnancy and lactation.

4.UpToDate.Treatment of hypertension in pregnant and postpartum patients.

5.Russell MD, Dey M, Flint J, et al. British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: immunomodulatory anti-rheumatic drugs and corticosteroids.Rheumatology (Oxford). 2023;62(4):e48-e88.

6.Schreiber K, Frishman M, Russell MD, et al. British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: comorbidity medications used in rheumatology practice. Rheumatology (Oxford). 2023;62(4):e89-e104.

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