iodine rash pictures. In cryosurgery, you will be given some. Treatment may include: Antihistamines to relieve mild symptoms such as rash, hives, and itching; Bronchodilators such as albuterol to reduce asthma-like . If you are going to take anything with Chlorella, its best taken at the same time as 2 capsules of Sodium Alginite-- or "Algin". This medication contains iodine and potassium iodide. Causes and Treatment of Hyperthyroidism Rash. Excess sweating may occur under the arms (axillary hyperhidrosis) or on the soles of the feet and palms of the hands (palmoplantar hyperhidrosis). Symptoms of Bromide Toxicity / Detox Reactions. Clinical Presentation of Delayed Reactions Most delayed cutaneous reactions to IC present as exanthematous eruptions in the week following a contrast-enhanced CT scan or coronary angiogram. McCullough recommends routine use of this mouthwash on a daily. Although iodine sensitivity is rare, it can still cause hives, rash and anaphylactic shock in affected individuals. SIDE EFFECTS: Stomach upset, nausea, vomiting, or mild rash/itching may . Iodine excess is uncommon and is caused by consuming too much of the mineral iodine, which can sometimes affect thyroid function. I suggest you stop the iodine for a few days and see if the welts start to clear up. Widely in balanced does alli diet pills work and increasing physical activity may increase the efficacy of the blood first, and second, generation sulfonylureas. Delayed reactions to IBCA are not uncommon, but those to GBCA are that “late skin reactions of the type which occur after iodine-based . Dermatitis herpetiformis is an intensely itchy, blistering rash that affects some people with celiac disease. Having the rash does not limit your activities such as going to school, sports, swimming, etc. We report an illustrative case of a delayed cutaneous reaction to IC and review the literature on the epidemiology and management of this underrecognized phenomenon. Apply a small amount of 7 percent iodine tincture to a cotton ball. 6 As reactions can include contact dermatitis, urticaria and life-threatening anaphylaxis,7 it is paramount that chlorhexidine allergy be . It causes clusters of small blisters and bumps. Figure 1Clinical pictures of a patient with non-immediate contrast media allergy. There are many treatment options including prescription oral medications, shampoos and skin treatments. How to Treat Ringworm With Iodine. Iodine is essential for our life, because it’s the key component needed for the production of thyroid hormones. - Use cetaphil soap or no soap when showering on reactive area. Red, raised rashes can develop anywhere on the body and can progress quickly to a generalized reaction of hives, or painful red welts usually on the torso. Apply the iodine to your thyroid or near your thyroid so that your thyroid can easily utilize it. See full list on iodine-resource. Symptoms of an iodine allergy commonly present on the skin. The iodine does not induce an allergic reaction, but getting inside the body or on the skin, a microelement enters into a special reaction, which produces a foreign protein to the organism, and the existence of this element causes the development of allergic symptoms. Why is iodine used before my eye iodine. With autoimmune conditions, the body mistakenly attacks itself. Iodine has thus been replaced by substances known as iodophores that. A female mite will lay 2 to 3 eggs per day, which hatch in 3 to 4 days. Graves disease is the most common cause of hyperthyroidism (80%). Emergency treatment of anaphylactic reactions: Guidelines for healthcare providers. An allergy to iodine itself does not exist. - Claritin or Zyrtec will help a lot. Shellfish allergies can be dangerous and cause severe allergic reactions. If the welts stay, then you know it was a very hungry bug. I eat alot of junky food full of iodine (you would be surprised to know how much food contains it) for a small 35 year old women with 2 small kids. The following mentioned points are the major symptoms of an iodine allergy. 2 inches) in diameter (vesicular) or large (bullous), which are up to 2 cm (0. What are the Effects of an Iodine Allergy? (with pictures). Apply a small amount of iodine tincture directly to the ringed rash. Dilute by adding 2 tablespoons (30 ml) of the 10% Povidone Iodine into a full glass of water (250-300 ml). Your GP can locate an allergy clinic in your area by visiting the website of the . · When patients claim that they have an 'iodine allergy', ask them what substances they are allergic . She lost 30 pounds and has had the energy to join a workout bootcamp. picture 3: A comparison image between a healthy tooth and a tooth with gum disease. Folliculitis occurs when hair follicles become infected. People with history of significant allergic reactions told not to have after having the new jab, had treatment and are both fine now. Graves' disease can run in families. Palm rashes can occur due to common skin conditions, such as eczema, or due to irritants and allergens. The rash is the result of a localized immune response, and it appears symmetrically on both sides of the body in high-flex places, like the elbows, knees, and butt, as well as the face, scalp. Rub the iodine into the affected skin until the skin is thoroughly saturated. Scabies causes include close or sexual contact with an infested individual. The dermopathy of Graves' disease is a rare, painless, reddish lumpy skin rash that of Graves' disease is an autoimmune process. Water fluoride entering your body with every eight ounces your immune system today thyroid gland is located in the diagnosis is to answer is no. The treatment of reactions The dose of non-ionic iodine-based. Water it down to the color of iced tea. Folliculitis Pictures - 54 Photos & Images. What is sporotrichosis? Sporotrichosis is a rare type of fungal infection that can occur in both humans and animals. My back is also covered with an itchy rash, my throat is sore, and my thyroid is inflamed. (If you feel the need for a formula, start with 10 parts water to 1 part iodine. I just recently began iodine supplementation about a week ago with Lugo's 2% one drop daily in apple cider vinegar and honey water. Perhaps, every other day with the Lugols, honey and apple cidar vinegar to give your body more time to detox would solve this dilemma. The hot tub rash may heal quickly when the affected and itchy part is not scratched. The higher the iodine concentration, the better the chance that more x-ray photons will be absorbed. aspirin, ibuprofen, iodine), general anesthesia and local anesthetics, latex rubber . When the patient was given radioactive iodine in liquid form, she did not develop any complications, skin rashes, or other reactions after radioiodine treatment . I would add that it is known that reduced kidney function can manifest in eczema. The results of skin prick tests and blood tests will help form a clear picture. Allergies may manifest as skin rashes. A skin reaction to iodine would appear as hives, itching or a rash. ) If it shows up too light, simply include a. 02% to 2% of people receiving contrast. In patch tests, however, allergic reactions weren’t caused by the iodine. Methimazole (brand name Tapazole), is commonly prescribed to those who have hyperthyroidism and Graves’ disease. Iodine has thus been replaced by substances known as iodophores that contain an iodine molecule linked to a large molecular-weight organic compound. Iodine is an element that is used by the thyroid. It is caused by thyroid -stimulating antibodies which bind to and activate the thyrotropin receptor on thyroid cells. Sodium iodide I 131 is an oral anti-thyroid medication used to treat hyperthyroidism (overactive thyroid gland) and some cases of thyroid cancer. Betadine solution, which contain 10% Povidone iodine, is often used on the skin for first aid procedures and as a disinfectant prior to surgery. Every hair on your body grows from a follicle under the skin. In most cases of hypothyroidism, patients have reported the presence of dry and itchy skin. Estrada, soaking the fingernail infection with povidone-iodine is the most effective treatment available. They require emergency medical treatment and admission . “With mast cell I’m allergic to all adhesives and bandages in the hospital. If you have a mysterious rash, it may be because of one of these common skin conditions. I was on T4 meds from 2010 and continued to get worse until I found STTM and. If you have any known allergy to povidone–iodine please tell your eye. Anaphylaxis: Practice Essentials, Background, Pathophysiology. Some show signs of sensitivity to iodine with nausea, flushing, fever, or some labored breathing. I just started and iodine free diet yesterday that is supposed to last for 2 weeks until my uptake and scan testing. Use a palm size amount of iodine. This can cause a sudden skin reaction and can be potentially dangerous. - Compress with cold water (take luke warm showers). There are some tips to cure iodine burns quickly. A rash of molluscum contagiosum infection bumps on a child's skin (HKPNC/iStock via Getty Images) Iodine: There's limited information that iodine may help speed up the clearance of molluscum. "Iodine-based contrast agents are widely used for CT and other X-ray studies. Treatment · Seaweed, 1 sheet dried: 11 to 1,989 percent of RDI (recommended daily intake) · Cod, 3 ounces or 85 grams (g): 66 percent of the RDI . Taking metformin skin rash pictures taking steroids, there's no way you could lose weight with a way to melt. Strong solution of iodine is corrosive and can cause blistering and necrosis of skin, commonly referred to as chemical burns or irritant contact dermatitis. If you have experienced a severe allergic attack in the past, you should carry an epinephrine pen to stop the onset of an attack. If you notice you have a rash or bumps on the area that were not there before you applied the iodine to a cut or scrape, see your doctor right away. Here are the steps: Soak a tiny piece of rounded cotton ball with povidone-iodine. Occasionally people having CT scans or other imaging exams will have an allergic-type reaction to the iodine contrast, but research has found that they can be treated safely without long term effects. With or without a visible rash, an itching sensation, or pruritis, may develop . The following treatment options can be used to get rid of skin barnacles: Cryosurgery: This is a medical procedure that uses extremely cold temperatures to freeze abnormal growths on your skin. skin rashes are a symptom which can be difficult to tie to a cause. The most effective prophylaxis regimen involved admitting the patients the day before surgery for preoperative treatment with 3 topical . For the itchy rash, applying menthol lotion may help as a relief measure. This medication may also be used to protect the thyroid gland after radioactive iodine treatment or in a radiation exposure emergency. Skin eruptions following treatment with Iodine-131 for hyperthyroidism: a rare and un-reported . If the rash is really bad, use Clobix (steroid cream - prescription) once a day. The rashes can take a few weeks to disappear, and as it’s a virus, there’s no medication for it, so the key treatment is rest, fluids and infant paracetamol if your child seems uncomfortable or in pain. Many of the treatments can be painful (such as liquid nitrogen). Humans cannot produce iodine, so it must be consumed. Creams such as thermazene and silverex that contains Silver sulfadiazine may be applied. Rashes caused by hives commonly develop from an allergic reaction to supplements. Applies to povidone iodine topical: external cream, Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, . picture 1: A comparison image of a healthy gum and a gum disease. This however, is something of a misnomer. Learn about types, causes, symptoms, and treatment of common skin rashes like COVID-19, shingles, hives, poison ivy and oak, contact dermatitis, atopic dermatitis, psoriasis, eczema, ringworm, rosacea, and scabies. This adverse reaction occurred on the buttocks of an eight-year-old male after undergoing a laparoscopic appendectomy involving antiseptic …. Then just use the dropper or a roller ball and apply the iodine directly to the skin. Concentration of any contrast media agent determines how radiopaque the agent will be. Wash off the betadine thoroughly and pat dry. The toxicities of iodine and iodide ion are the reasons why the body keeps only a trace amount of this element. last night started rash now face swolen puffy glands up. Common side effects of sodium iodide I 131 include nausea, vomiting, chest pain, increased heart rate, itchy skin, rash, hives, and temporary hair thinning. Iodine is important to thyroid health, and allergic reactions to it are very rare. Allergic contact dermatitis from povidone-iodine: a re-evaluation study. In fact, almost all reactions are mild and more han 99 percent patients with them will get better within a day. See multiple ringworm in dogs pictures below. Iodine, especially that found in X-ray contrast dye. Topical oro-nasal PVP-I prophylaxis should not be considered in patients with iodine allergy or those undergoing radioiodine treatment. The rash develops in clusters of welts and may get bigger and migrate to other parts of the body for no reason. Severe reactions are rare, and occur in less than 1 in every 25,000 people who have ICCM. MRSA can also lead to cellulitis, an infection of the deeper layers of skin and the tissues beneath them. Iodine is an important mineral for our bodies. Rashes can vary in location, pattern and extent and may occur in any area of the body. In a small container water down 10% povidone iodine with water. Most cases are not severe, and depending on the cause, the rash may improve on its own. Dermatitis herpetiformis (DH) is an intensely itchy skin disease. Despite the recommendation, there is not enough evidence in the literature to endorse its use for skin preparation over other products such as iodine-povidone, . With or without a visible rash, an itching sensation, or pruritis, may develop immediately after iodine exposure or injection. Approximately 2% to 3% of people in the U. In most cases, the infection will go away on its own in 1 to 3 months. A lugol’s solution will absorb well into the skin. "patient had ct scan of heart&lungs on friday using contrast iodine. How to Use Povidone Iodine for Skin Infection in Dogs. They light up blood vessels and enhance perfusing tissue. Even after having my defibrillator placement surgery, I went home with blisters all over the front of my chest and rashes from the bandages needed to stop the bleeding. Cellulitis can spread quickly over a few hours. It could be possible that you've moved a substantial amount of undesirable molecules into the kidneys which is the cause of the rash. For example, itching and scratching can result from some other condition, which causes the dog to open the skin to bacteria. Most skin infections are secondary, which means that it is caused by another condition. Iodine deficiency is also recommend antithyroid drugs. This may be a sign that you are having an allergic reaction or other skin issue due to the iodine. Januvia Rash Pictures – Dexmedica, It appears at the same rate today as it did in the 1950s, eHealthMe makes it possible for everyone to run their OxyContin is the brand name for the powerful semisynthetic opioid oxycodone, Because of the variety, Other than chronic itching, On Jan 31, including rapid. In a study published in the Journal of General Internal Medicine, 74% of the participants diagnosed with low-thyroid levels, were discovered to struggle with dry, itchy skin as well. Lugols Oral: Uses, Side Effects, Interactions, Pictures, Warnings. Oxycodone rash pictures – LJBYX. Benzoyl peroxide used for cure of acne and iodine rinse may be applied. The skin will absorb the iodine, which in turn will kill the fungus. Radioactive iodine causes no hair loss and no nausea Infections It is a compilation of months of research See. Improvement should be seen within one week. The hypernormal sarcoid skin rash pictures responses in the cells without increase your water while others whose thyroids were found to protein. Contrast medium reactions, recognition and treatment . Use the size of the palm of the person that you’re applying the iodine to. The iodine-based dye sometimes used for CT scans may produce an allergic reaction. had allergic reactions to seafood or X-ray contrast agents. The skin looks pink or red, like a. Two days ago I acquired a patch of welts on the rear thigh right below the buttock. Acute contrast reaction · self-limiting manifestations that usually resolve without any specific treatment, e. An iodine allergy is an allergy to foods or other substances which contain the element iodine. Chlorella is a very cleansing food that does re-distribute mercury and dump it all over your body while it tries to push it out. However, even this very small amount can cause sensitivity reactions in some people. She switched from Synthroid to NDT. However, it can make dogs uncomfortable and itchy with bare skin patches. Most people who get these delayed reactions have rashes, itchy skin, headaches, or nausea. MRSA Pictures: What a MRSA Rash Looks Like. Iodinated contrast dye contains iodine and is used in most CT scans and other types of imaging involving X-rays. Moderate reactions can include severe vomiting, skin reactions, and swelling, and occur in about 0. Allow it air dry, do not cover it with a dressing. The iodine shouldn't hurt the skin, but it can cause staining and discoloration. Jan 5, 2013 - Explore Angela Elser's board "Hashimotos Before and After Photos" on Pinterest. Typically, the shingles rash develops initially around the side of your torso such as in the photo below. All documented side effects of CT scans are considered short term. If you have a delayed reaction to contrast, you may need treatment. dermatitis herpetiformis patients can stop avoiding iodine when their rash symptoms clear up which can take anywhere from a few months to a couple of years on a gluten-free diet. 02% of people receiving contrast, with. Also nicknamed “rose handler’s disease,” the fungus can be found in certain plants and their surrounding soil. Alcohol-based agents are likely superior to aqueous agents. In cryosurgery, carbon dioxide, argon gas or liquid nitrogen can be used to remove these overgrowths. All these points have been found by different researches and studies related to iodine and body health. An allergic reaction to iodine can lead to the manifestation of rashes, swelling of the throat, bleeding, joint pain, fever, hives and other symptoms of an . Drug rashes can appear as a variety of skin rashes, including pink to red bumps, hives . It was almost as if iodine was leaking out of my body and staining my skin. Allergic reactions to iodine can vary for those affected by this allergy, but the most severe reaction is anaphylactic shock, which is fatal if not quickly treated. The most frequent reactions were to PVP-iodine (20%), balsam of Peru Standard treatment of ACD is simply avoidance or removal of the . In most cases it is effective in reducing thyroid hormone levels, and while it’s not doing anything for the cause of the problem, it can help to prevent someone from receiving radioactive iodine (RAI) or thyroid surgery while the underlying cause of the condition is being addressed. Iodine reduces thyroid hormone and can kill. It is used along with antithyroid medicines to prepare the thyroid gland for surgical removal and to . Betadine rash: This is possibly a contact dermatitis from betadine an iodine containing solution. More often these symptoms appear when the patient with prolonged time uses the. Below you will find pictures of scabies rash on different parts of the body including the hands, breasts, genitals, and chest. See what folliculitis looks like in our visual guide to children's rashes and skin conditions. In this case, the small intestine is the target. anaphylactic shock I hope I grow out of my dairy allergy I don't want to have this happen good thing Benadryl can save the day almost always. Allergic reactions to iodine can vary for those affected by this allergy, but the most severe reaction is anaphylactic shock, which is fatal if . The following list is a compilation of the potential symptoms of detox that may be experienced when first taking iodine. Ronald Ward: Rash: Should document in your medical records. Iodine deficiency can lead to various uncomfortable symptoms. Mold on skin pictures People with sepsis often develop a hemorrhagic rash—a cluster of tiny blood spots that look like pinpricks in the skin By Dominique W After the course of this infection, the signs and symptoms of the disease disappear on their own By Dominique W By Dominique W. picture 2: An advanced form of a gum disease. Adverse reactions to iodine have been reported as leading to death from anaphylaxis, which is a severe allergic reaction that affects your entire body. In most cases, this sensitivity, particularly to injected iodine is labeled iodine allergy. Just like any other sensitivity reaction, the severity can vary from mild to moderate . The other posters are knowledgeable. Go to the doctor if you develop a rash. It is added to some foods and also to salt. After a couple of days, the cheek rash will appear next, and then your child may develop a raised, itchy, spotty rash across their body. Folliculitis can occur in children or adults, but is uncommon before age 2. Crow’s® Lugol’s Iodine Solution. The iodine concentration of contrast media is determined by the number of iodine molecules in milligrams present in a milliliter of a solution (mg/mL). Iodine allergy can be treated with an oral antihistamine obtained over the counter such as Benadryl. What Does Shingles Look Like? 11 Shingles Pictures of Rashes. Exposure to products containing iodine can cause various symptoms for people with an iodine sensitivity, including: an itchy rash that develops over time (contact dermatitis) hives (as urticaria. How long does a rash last from an iv of iodine for a ct scan. Avoid contact with clothing and other areas of the skin, as iodine will stain. In some, the rash may be just a simple skin irritation, but in others, the rash could be part of an allergic reaction. Improvement should be seen within. This can be treated with an oral antihistamine obtained over the counter such as benadryl. The vast majority are secondary to the administration of fluorescent, or contrast, dyes used to increase visibility of certain details in the CT image. picture 4: An image showing a healthy gum, a gum with gingivitis, and a gum with periodontitis. Says Angela: I also take T3 (Cytomel) for reverse t3 and working on iron problems. rash doesn’t respond to standard diaper creams and takes. See more ideas about hashimotos, thyroid, hypothyroidism. This will make the product diluted enough to use as a mouth rinse, or gargle, (approximately 1. Hot water is not good for any allergic reaction. Hyperhidrosis is a condition that causes excess sweating. Seaweed, prunes, eggs, and dairy products are among them. There is no scientific formula or need for exact proportions. Detox Skin Rash??? by Alita (Minneapolis MN) Thank you so much for your wonderful information. Iodine contrast allergy can cause acute and delayed allergic reactions. What Are the Side Effects of CT Scans? (with pictures). Some treatments have a risk of burning the surrounding skin. In patch tests, however, allergic reactions weren't caused by the iodine. An actual iodine allergy is extraordinarily rare. Your doctor may have you do a patch test if they think you're allergic to the povidone in povidone-iodine solution. Some show signs of sensitivity to iodine with nausea, flushing, fever, or some labored . The specific iodine acne can appear: rash on the face and less on the whole body; Allergic rhinitis; Some patients have ioderma - this is a toxic dermatitis with blisters, purpura and swelling; Iodizm can sometimes be accompanied by fever and intestinal disorders. Case reports in scientific literature over the past half century have demonstrated an association between iodine exposures and flare ups of . Detoxing stresses the body and this results in the adrenals having to deal with the added stress. If you felt pain in the areas described (face, neck, arms, stomach, legs) and have now started to develop a red rash such as the one below, you likely have shingles. If they clear up, then you know you were detoxing too fast. It starts as a red rash (such as the one seen in the. Overview of the Thyroid Gland The thyroid is a small gland, measuring about 2 inches (5 centimeters) across, that lies just under the skin below the Adam’s apple in the neck. Iodinated contrast (IC) often is overlooked as a cause of delayed drug reactions. Pyoderma is the only primary skin infection in dogs. Use of iodine as an antiseptic has gone into disrepute as a result of its short lasting action and irritant properties. If you are allergic to iodine or iodinated solution, you will have itchy rashes on different parts of your body. A skin reaction to iodine would show as hives, rash and itching. And when left untreated, it can be the cause of. The rash has various features regarding the form of the disease: a small one to 5 mm (0. Iodine has, for centuries now, been used to treat all kinds of cuts and injuries. Picture of Hyperhidrosis: Starch-Iodine Test. Iodine allergy symptoms may be a true reaction to an iodine allergy or a reaction to other allergens affecting your body. It typically affects people in their 30s to 50s, but it can happen at any age. It has been found that some patients who have been treated with iodine develop an allergic reaction to it which may be caused my prolonged exposure to liquid and may result in rashes, hives, itching as well as swelling on the face, mouth and tongue. A number of factors can cause dry skin, and hypothyroidism is one of them. Celiac disease rash, aka dermatitis herpetiformis, is an itchy, blistering skin rash. We describe 7 patients referred to the skin allergy unit of the dermatology department for the diagnosis and treatment of contact dermatitis after . Allergy to iodine refers to varieties of drug intolerance and it is not a widespread disease. 2 %) 2 tablespoons = 30ml povidone iodine. Iodine tincture should be applied three times per day. Acute Generalized Exanthematous Pustulosis Caused by Pantoprazole. Palm rash: Causes, pictures, and treatments. The rate of concordance for Graves' disease is about 20% among. Chlorhexidine may decrease SSI rates compared with povidone-iodine, and chlorhexidine-isopropyl alcohol likely offers better skin decontamination before clean surgery than povidone-iodine plus isopropyl alcohol or iodine povacrylex plus iso …. Inside the bubbles and blisters, the liquid is transparent, then it becomes cloudy, and pus is visible when infected. Our body is not able to produce those by itself, that’s why we have to consume foods rich with this element. Celiac is a condition in which gluten, a protein found in some grains, triggers an autoimmune response. 2,12 The reactions tend to resolve within 2 weeks of onset, and the treatment is largely supportive with antihistamines and/or. All you need is a bottle of povidone-iodine, cotton balls, and band-aids. As a result, patients may continue to be readministered these agents, experiencing preventable morbidity. These are Angela’s combination of pictures from over the last 1 1/2 years. Picture of Diagnostic Tests – Hyperhidrosis: Starch. A gum disease should be treated as soon as possible. Iodine burns are caused when you use too much of iodine on a wound, especially when using a gauge or a. Chemical burn is a rare complication of topical polyvinylpyrrolidone-iodine (PVP-I), commonly called povidone-iodine (trade name Betadine, Purdue, Stamford, NJ). The small lumps (mollusca) on the skin will usually go away without treatment within 12-18 months. The rash appears as pink, circular rings and can appear anywhere on your body. Contact Dermatitis 2005; 52: 9-10. Unfortunately, because I avoided iodine for 16 years, my thyroid essentially 'died' last year, and since all thyroid meds contain iodine, I break out in blisters at the slightest gluten contamination. RIngworm is a superficial fungal infection of the skin. Pictures of Dermatitis Herpetiformis & Article Links. specialist examining allergy reaction examination at work - Stock Image . By Jessica Migala June 07, 2021. A) Maculopapular exanthem after Imeron (Iomeprol) despite . This lifelong condition affects more men than women. Severe reactions include anaphylaxis, a life-threatening emergency that can lead to difficulty breathing. Avoiding iodinated contrast media for medical imaging tests not necessary in radiology if concerned about iodine allergy. Patients with seafood allergy will also have an allergic reaction to radiocontrast media because of the iodine contained in both. Personnel, medications, and equipment needed for treatment of allergic reactions always should be available when these agents are administered. pink to reddish skin that’s smooth or chapped. Learn about the symptoms, diagnosis and treatment. Rash, swelling and flushing caused by sensitivity to sunlight and heat. Hives cause severe itching, swelling and redness to develop shortly after ingesting the supplement. Do not take Sodium Iodide I 131 if pregnant or breastfeeding.