RhAPPcast

Navigating Leflunomide Use in Pregnant Patients with Sjögren’s Syndrome

Rheumatology Advanced Practice Providers (RhAPP)

Danielle Gatti Palumbo and Monica Richey host a live episode at the RhAPP National Conference in Nashville, discussing a challenging patient case involving leflunomide and pregnancy. Monica shares her experience with a patient who had been on leflunomide for three years and unexpectedly became pregnant at 41 years old. They discuss the steps taken to manage the situation, including the use of cholestyramine to clear the drug from the patient’s system. The case highlights the complexities of prescribing medications like leflunomide, especially for women of childbearing age, and emphasizes the importance of patient education and careful monitoring. The episode concludes with reflections on the value of collaboration between pharmacists and healthcare providers, and the growth of the RhAPP community.