Undas for cea in a Pregnant Patient --Q

[Guest guest]

I'd appreciate guidance for treating chronic pustular rosacea in a newly

pregnant patient.

I have little experience with treating pregnant patients and would greatly

appreciate any guidance.

Prior to her pregnancy diagnosis, I had started her on Unda 10, 243, and 710

with plans to follow with a second set of 17, 39, and 4 .

Rationale was: 10 for hormonal imbalance, 243 to open emunctories, and 710 for

pustular probable closed cavity infection with demodex mite. 17 for skin, 39 for

infection, and 4 for possible hypochlorhydria or H pylori as potential root

causes. Note: We have not yet tested for H pylori or hypochlorhydria due to

logistical issues.

She was also taking I3C (hormone balance and liver detox), berberine

(antiinfective, antiparasitic), grapeseed extract (antiinflammatory), and whey

protein (address hypoglycemia and detox).

She also has a compounded topical made of seabuckthorn oil and grapeseed oil.

Questions:

--Undas: It appears that Undas can generally be used in pregnancy. Is that

correct? Are there Undas to avoid? Are any of the Undas mentioned above

problematic?

--Gemmos, Plexs, etc: Are Ulmus campestre and Unda 270 ointment okay in

pregnancy?

--Guides to treating pregnant patients with focus on indications and

contraindications: What references do y'all find most helpful and reliable?

--Botanicals: I believe that the internal I3C, berberine, and grapeseed extract

would be contraindicated in pregnancy, and that whey protein would be indicated.

I'm not sure about the topical with seabuckthorn and grapeseed. Advice

appreciated.

--cea: What approaches to rosacea would y'all use in a pregnant female?

Many thanks.

Neubauer, N.D., FABNO

Tulsa, OK