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Question

Which of the following classical disease-modifying anti-rheumatic drugs is/are considered safe for use during pregnancy?

1. Methotrexate

2. Sulfasalazine

3. Hydroxychloroquine

4. Leflunomide

Select the correct answer using the code given below:

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

2 and 3

Methotrexate and Leflunomide are teratogenic and contraindicated in pregnancy, requiring discontinuation and washout before conception. Sulfasalazine and Hydroxychloroquine are considered safe DMARDs that can be continued during pregnancy.

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