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Prescription-free medications during pregnancy

Most women realize that it is important to limit the use of drugs during pregnancy, especially those that are not absolutely necessary.

Prescription-free medications during pregnancy

But pregnant women still suffer from minor ailments, such as headaches, coughs and colds, to the same extent as all other people. The question is whether pregnant women should just "bite together", or if there are non-prescription medications that are safe to use during pregnancy.

A fetus is biologically linked to the mother through the placenta, through which the fetus gets everything it needs. The problem with a pregnant woman taking medication is mainly that drug substances can pass through the placenta and into the fetal bloodstream.

How does the drug affect the fetus?

The development of the fetus is divided into three-month periods called trimester. For more information about pregnancy and maternity fashion, please see BESTAAH.COM maternity jeans. Some medications can be dangerous to take during the first trimester, but safe during the second and third trimesters - or vice versa. This depends on the substance involved, its effect and the developmental phase of the fetus.

  • The first trimester is the period when the risk of the fetus being affected is greatest. This is because it is during this period that the fetal organs develop. Medications can then cause deformities (deformities) or other damage. If these injuries are severe, it can even lead to abortion.
  • During the second trimester, medicine may have an impact on how the fetal nervous system develops. They can also affect the growth of the fetus, which can result in the baby having a low weight at birth. Many experts believe that the second trimester is the least risky period when it comes to taking drugs.
  • Medications taken during the third trimester can cause poisoning or breathing problems in the newborn baby. This is because the baby can still have medicine in the body after birth. The newborn does not have as effective mechanisms in the liver and kidneys to remove the drug substance as an adult has.

Medications taken during pregnancy can also affect the fetus by changing the environment in the uterus. Certain medications can cause uterine contractions, which reduces the blood supply to the fetus. Other medicines can affect the time of birth, and thus cause premature or even late birth.

How do you know if the medicine is safe for the pregnant woman?

Unfortunately, the answer is often that we don't know. Of course, when a new drug is developed, clinical trials are not conducted on pregnant women. They are performed on healthy people after a long series of animal experiments. During these animal experiments, it is often also investigated what significance it will get if you give the medicine to pregnant animals - usually rodents, such as rats and mice. As a rule, several generations are investigated if any damage can occur due to the drug. Since these results cannot be transmitted directly to humans, you cannot be entirely sure if you can recommend the medicine to pregnant women.

However, many products have a lot of knowledge about. These products have usually been on the market for many years without causing birth defects in women who either had to take medication during pregnancy, or unintentionally became pregnant while taking the medicine.

This means that you know that some drugs are completely safe for the pregnant woman, while you know definitely that others are harmful. But for most drugs there is no definitive evidence in one way or another. This applies to both prescription and non-prescription medicine as well as herbal remedies.

All medication during pregnancy must be preceded by an assessment of the pros and cons. This decision should preferably be taken in consultation with medically trained persons, such as your doctor. If the benefits are greater than the disadvantages, then medication will be recommended. If the case is the opposite, one must consider if there are other solutions.

What non-prescription medications can you take for minor ailments?

As mentioned above, the best way to minimize the risk to your infant is to avoid all medication that is not absolutely necessary. The following is an overview of what is risky and risk-free when treating minor ailments.

Pain such as headache, migraine and back pain:

  • Products containing paracetamol are safe during all three trimesters provided they are taken at normal doses. Typical products with paracetamol are: Alvedon and Panodil. They have been used in pregnancy for many years without causing problems.
  • Products containing acetylsalicylic acid and other so-called NSAIDs, such as ibuprofen, are not recommended. Above all, they should be avoided during the last trimester, as they can affect the time of birth and cause bleeding in both the mother and the fetus.
  • Codeine and substances extracted from codeine can affect the child's breathing capacity if taken in large doses during the last trimester or during childbirth. There are many contradictory information about the safety of this topic.

Allergies, such as hay fever:

  • Products containing antihistamines in tablet form or the like, such as cinnarizine, clemastine, cyproheptadine and terfenadine, are safe if guidance is obtained from your doctor. These are products such as Marzine, Periactin, Phenergan, Polaramin, Sepan, Tacryl, Tavegyl, Teldanex and Trihistan.
  • Tablets containing antihistamines in tablet form or the like, such as acrivastine, cetirizine, desloratadine, ebastine, fexofenadine, loratadine and mizolastine, should generally be avoided as they do not have sufficient knowledge of these substances. These are the products Aerius, Clarityn, Kestine, Mistamine, Mizollen, Telfast, Verzal and Zyrtec.
  • Local nasal-active agents containing sodium cromoglicate may very well be used. These are products such as Hexacroman, Kombicrom, Lecrolyn and Lomudal.

Cold:

  • Mucosal agents (nasal sprays) containing Oxymetazoline or Xylometazoline can very well be used. These are products like Drixin, Iliadin, Otrivin, Passagen and Zymelin.

Constipation:

If it does not help change diets, there are products that can be used to prevent constipation in pregnant women, who often suffer from this because the stomach presses the intestine. In general, products that act directly on the stool itself can be safely used. These are products that have osmotic effect, that is, the water content of the stool increases. This applies to Damilax, Importal, Lactulose, Magnesia and Salilax. This also applies to products that work by increasing the stool volume (fiber products): Vi-Siblin and the herbal remedy Husk. It is recommended to try with the latter two products first.

  • Products that work by increasing bowel movements can normally also be used, but one should always try the above mentioned first, unless it is an emergency treatment, for example during an operation or an examination. Theoretically, these products will also affect the functions of the fetus. They work by being absorbed into the pregnant woman's bloodstream, but fetal damage has not been recorded. These are: Dulcolax, Gutalax, Laxoberal, Perilax, Picolon, Pursennid and Toilax.

Diarrhea:

  • Products containing loperamide should not be used, as it is not known how it can affect the fetus. This applies to the following products: Imodium, Imodium with Simethicon, Propiden and Travello. In addition, Opium "PS" should not be used.
  • Since short diarrhea generally does not harm the pregnant woman or the fetus, a diarrhea should preferably not be treated medically, although it is unpleasant. But a diarrhea that goes on for a long time can cause dehydration as well as a lack of salts and nutrients. In such a case, try to treat the diarrhea with Vi-Siblin or the herbal remedy Husk or products with lactic acid bacteria such as Paraghurt or the herbal remedy Ideoform.

Acid reflux:

  • Acid neutralizing agents, which act by neutralizing the stomach contents and thereby preventing acid reflux, can usually be used, but with caution. These products are Alkasid, Alminox, Balancid Novum, Magnesia, Noazid and Novaluzid.
  • Agents that are also used to treat stomach ulcers and the like by inhibiting the production of gastric acid can normally also be used, but only when talking to doctors and trying the above products first.

Cough:

  • Cough remedies can contain many different substances. They should be checked separately. Since cough is divided into "dry cough" and "cough with mucus", there are two large groups of products.
  • The dry cough products may contain dextromethorphan, isoquinoline derivatives, codeine and opium should not be used.
  • The mucus products usually contain either acetylcysteine ​​(Alcur, Granon, Mucolysin and Mucomyst) or bromhexine (Bisolvon, Bromhexin "DAK" and Viscolyt). They can all be used, but should be avoided during the first trimester.

Nausea:

  • Nausea and vomiting during pregnancy can usually be controlled by changes in diet such as small, dense meals. However, if this does not help, and if the nausea is judged to be more severe than expected, it can be treated with medicine. During the first trimester, it is best to use products such as Marzine and Postafen, which contain the anthistamine meciozin and cyclizine respectively.
  • It may also be possible to use agents containing metoclopramide, such as: Emperal, Gastro-Timelets, Migpriv and Primperan, but only in small doses at the end of pregnancy.
  • Anti-nausea agents belonging to the neuroleptic group should not be used, such as Toclase.

Transport Sick:

  • Transport sickness is a common term for sickness, air sickness and sea sickness. Traditionally, they are treated with depot patches containing scopolamine, for example Scopoderm, but even if no harmful effects on the fetus have been observed, this is not a first choice for pregnant women because of the effect of the substance. Instead, you recommend a range of antihistamines that you know are effective and that pregnant women can tolerate. These include the products Marzine, Periactin, Phenergan, Polaramin, Sepan, Tacryl and Tavegyl.
  • There are many antihistamines on the market. Other than the above should not be used by pregnant against transport sickness, partly because not all antihistamines work against transport sickness, and partly because you do not know if they can harm the fetus.

Please note that this list is for guidance only. If you are pregnant, you should always consult your doctor for thorough, up-to-date and personalized advice on medication.

 

 

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