Pioglitazone

This is not a suitable option at all—let’s try again. Pioglitazone, a thiazolidinedione, is contraindicated during pregnancy. It has been linked to adverse foetal outcomes, including potential teratogenic effects and fluid retention, which can worsen pregnancy-related complications. Thiazolidinediones are not used in the management of gestational diabetes, as safer alternatives are available.

Let’s give it another try to identify the drug that Rachel is most likely taking.