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Dr. Naureen Alim on Instagram: "Safe meds for rheumatoid arthritis in pregnancy . Conventional DMARDs like hydroxychloroquine, sulfasalazine, azathioprine, colchicine, cyclosporine, and tacrolimus are all considered safe throughout pregnancy (per ACR & EULAR). . Biologics (TNF inhibitors) are also pregnancy-compatible. 👉 Certolizumab is preferred in all trimesters since it barely crosses the placenta. Others can often be stopped in the 3rd trimester if disease is stable . NSAIDs & steroids: Use