cellcept and peragnancy

hello
my wife has myesthenia gravis. she taked cellcept. now she is peragnant.she not taken cellcept 42days befor peragnancy . is it safe ? my wife is upset about herchilld.

[Thomas D Schiano, MD]

we use cellcept routinely during pregnancy.  obviously it is best not to take anything while one is pregnant but we do not routinely have women discontinue it if they become pregnant.  she definitely should be seen be a high-risk OB.