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Effects of Pregnancy on Drugs

Drug clearance increases during pregnancy as a result of increased cardiac output (hence renal elimination) and rate of metabolism. Doses of drugs often need to be higher in the 2nd and 3rd trimesters.

Clearance reverts quickly after delivery.

Trimester 1

Trimester 2

Trimester 3

Postpartum

13

26

40

normal adult

1.5 x adult

Cl/m