In April 2013, the Dutch Health Council has published an advise to classify theophylline, prescribed for asthma and other respiratory diseases, and anti-inflammatories triamcinolone and triamcinolone acetonide as “presumed harmful to the unborn child (reproduction toxic category 1B) in occupational exposure. Wether these substances also have adverse effects on fertility remains unsure because the current state of knowledge is inadequate.
Occupational exposure to these substances particularly occurs in pharmacies and pharmaceutical industry.