A 24 year old female patient with lupus presents to the clinic for a re-evaluation.

A 24 year old female patient with lupus presents to the clinic for a re-evaluation. Based on your assessment, the patient does not appear to be responding well to her current treatment regimen. PMH includes lupus and migraines. Current medications include hydroxychloroquine and acetaminophen. The patient is sexually active and states she is trying to get pregnant. No pertinent labs are provided at today’s visit. When considering how to modify her therapy, which of the following medications should be AVOIDED in this patient? (Select all that apply) Group of answer choices Mycophenolate mofetil Azathioprine Cyclophosphamide Methotrexate

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