Psoriasis Home > Vanos and Pregnancy
Clinical studies have shown that steroids such as Vanos (fluocinonide cream) may increase the risk for birth defects and other problems when used during pregnancy. Although Vanos is applied to the skin, it may still cause problems. If a healthcare provider prescribes this medicine to a pregnant woman, it should be used at the lowest effective dose for the shortest period of time necessary.
Can Pregnant Women Use Vanos?Vanos® (fluocinonide cream) is a prescription topical steroid approved for treating itching and inflammation due to a wide variety of skin conditions. Based on information currently available, it is unclear if the drug is safe for use during pregnancy. As with most medications, it should be used only if necessary, at the lowest effective dose, and for the shortest possible time during pregnancy.
What Is Pregnancy Category C?Vanos is classified as a pregnancy Category C drug. The U.S. Food and Drug Administration (FDA) uses a category system to classify the possible risks to a fetus when a specific medicine is taken during pregnancy. Pregnancy Category C is given to medicines that have not been adequately studied in pregnant humans but have caused fetal harm in animal studies.
In addition, medicines that have not been studied in any pregnant women or animals are automatically given a pregnancy Category C rating.
Animal studies have shown that steroids, including Vanos, may increase the risk for birth defects (such as cleft palate) and may cause other problems (such as poor fetal growth). Similar problems might also occur in humans, although the risk is probably smaller for topical steroids that are applied to the skin like Vanos.
While short-term use (a few days) of Vanos applied to a small area of the body is probably not likely to cause problems, extended use or use over a large area of the body should probably be avoided during pregnancy. In addition, Vanos is a highly potent steroid. It is probably more appropriate for a pregnant woman to first try a less potent steroid.