Features of the use of "Paracetamol" during pregnancy in the 1st trimester

Content

When a woman bears a child, she should be attentive to any drugs she takes. This is especially important in the first months of pregnancy, when all the organs of the future baby have just begun to form, and under the influence of medications this process can be disrupted. A lot of questions in future mothers causes reception Paracetamol, because it is one of the most effective and popular drugs for fever and pain.

If a pregnant woman has a fever or painful feelings, the doctor most often will prescribe this drug. However, you should not take such medicine yourself in the first trimester.

How does it work?

The active substance of the drug is also called paracetamol and has several healing effects, among which the most pronounced are anesthetic and antipyretic. They are associated with the effect of such a drug on the centers of pain and thermoregulation due to the inhibition of prostaglandins (the so-called substances that cause inflammation, increase body temperature and increase pain).

The effect of "Paracetamol" begins to manifest itself after 40-60 minutes, depending on the dosage form, and lasts approximately 4-6 hours. Removal of the drug from the body occurs mainly in the urine.

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Is it permitted in the 1st trimester?

In the first weeks of pregnancy, it is advisable for the expectant mother to refrain from taking any medication, even if they are called safe.

If it is possible not to take Paracetamol (for example, the pain is tolerable or the fever is small), then you should give up. The use of such a drug is permissible in extreme cases, when one cannot do without it.

The fact is that it is in the first trimester that all the important organs of the baby are laid. And the influence of any external factor, which include drugs, can be disastrous. Although in very rare cases, Paracetamol, taken in the first 12 weeks, can cause vices or cause miscarriage. Therefore, to drink this medicine is permissible only in situations where the benefits of taking it will be higher than the possible risk for the crumbs.

When is it applied?

The most frequent reason for the appointment of "Paracetamol" to pregnant women, not only in the first trimester, but also in any period, is increased body temperature. Take the drug should be when the thermometer showed more than +38 degrees, since with such a rise in temperature increases the risk of negative effects of fever on the fetus. The medicine will help the expectant mother, who has a flu or other infection, but with a slight increase in temperature, it is better to use safer folk methods.

Effective analgesic effect also allows you to take "Paracetamol" for pain. The drug is in demand for tooth and headache, for pain in the muscles or joints, for injuries or burns, and in other cases.

If the pain is not expressed and the future mother can tolerate it, then the medication should be abandoned. But severe pain can harm the crumbs, as they will be a source of stress and discomfort for a woman, so the use of Paracetamol will be justified.

Possible harm

Although doctors refer “Paracetamol” to drugs with a predominantly good tolerance, the body of some patients may react negatively to such a drug. Such a side reaction is associated with individual intolerance to paracetamol or one of the auxiliary components of the form of medication used. It can appear as a skin rash, itching and other allergic symptoms. Some women also have a negative reaction to the digestive system, such as nausea, stomach discomfort, heartburn, or a change in stool.

"Paracetamol" is definitely harmful for those expectant mothers who have contraindications to its reception. These include not only hypersensitivity to the drug, but also such serious pathologies of the gastrointestinal tract as bleeding and peptic ulcer. The drug is not used when there is a deficiency in the body of an enzyme called glucose-6-phosphate dehydrogenase.

There are also contraindications for individual formsParacetamol", For example, suppositories are not used for proctitis, and the suspension is not prescribed for impaired absorption of carbohydrates. In addition, with many serious diseases, the risk of side effects from taking Paracetamol will increase. These include liver pathology, bronchial asthma, kidney disease, blood formation disorders, and so on. Therefore, if the expectant mother has some kind of chronic disease, she can bring down the temperature with “Paracetamol” only under the supervision of a physician.

The drug is harmful and non-compliance with single dosages, excessively frequent use or too long treatment. Excess doses of "Paracetamol" can adversely affect the liver of a pregnant woman, as well as the state of the gastrointestinal tract, hematopoietic organs or kidneys. It is equally important to take into account the compatibility of such a drug with any other medications that the expectant mother can take. Some drugs reduce the effect of "Paracetamol" or increase the likelihood of side effects, so before taking it you should clarify their compatibility with a doctor or in a paper annotation, which is put into the packaging of the drug.

Release form and dosage

"Paracetamol" is produced by many pharmaceutical companies, and the number of its dosage forms is very diverse. This allows you to take the drug and infants and patients with vomiting, and in case of emergency. The most popular type of medicine for future mothers are pills. They are small in size, affordable, have a long shelf life (3-5 years), contain 200 or 500 mg of the active substance and are sold in packs of 10, 20 or more. This "Paracetamol" is convenient to purchase for the home first aid kit and use as needed.

Another popular dosage form for pregnancy are candles. This variant of paracetamol helps with toxicosis, as it is not taken by mouth and does not cause nausea. In addition, suppositories are as simple as possible - they include only the fatty base and the active substance. In this case, the dosage of paracetamol in one candle can be from 50 to 500 mg, so you can choose the appropriate option for any age.

Effervescent tablets are equally popular as they begin to act faster than usual. Such "Paracetamol" is produced by Hemofarm, quickly dissolves in water to form a palatable drink and contains 500 mg of the active ingredient per tablet. The drug is sold in plastic tubes of 10-40 tablets.

There are two more forms that are used in pregnant women much less. One of them is the solution for injections, which is injected mainly in the hospital in cases when you need to quickly eliminate the pain or bring down the highthe temperature. The risk of its side effect is higher, so it is resorted to only in emergency cases.

The second form is a sweet suspension.This drug is called "Children's Paracetamol", as it is in demand in children due to its pleasant taste and liquid consistency. However, the dosage of the active substance in one spoon is small (120 mg), so adults need to drink quite a lot of suspension. But if there were no candles or pills at hand, the expectant mother could also use such Paracetamol.

How to use?

Before you drink "Paracetamol" or use a candle, you should clarify a single dose with your doctor. For adults, the dosage of such medication per dose is usually 500 mg, but for the expectant mother it is often reduced to minimize the risk of harmful effects on the baby.

For example, if a pregnant woman has a toothache, the doctor will advise her to take a pill with a dosage of 200 mg or dissolve half of the effervescent tablet. And if this amount of active substance helps to cope with pain, then the dosage should not be increased. However, sometimes this dose is not enough and the doctor raises it to 500-1000 mg, but more than 1 g at a time is prohibited.

With regard to the frequency of use, then use "Paracetamol" in the first trimester should be only when absolutely necessary. This means that the medicine is taken once, when the fever or pain is very pronounced. If the temperature drops, and the pain has passed, you can not take the drug again for prevention.

Taking Paracetamol next time is acceptable only when the temperature starts to rise again, and the thermometer will show more than 38 degrees or the pain will resume. In this case, you can drink a pill or reintroduce a candle only after 4 hours, and reception more often than four times a day is unacceptable.

The maximum dosage of the active substance per day is 4000 mg. The duration of reception allowed for pregnant women - 1-3 days.

Reviews and analogues

Most women who had to take “Paracetamol” as a remedy for pain or heat while carrying a child speak positively about it. The advantages of this drug are a large selection of dosage forms and availability (“Paracetamol” is available in almost any pharmacy and is sold without a prescription), as well as the effectiveness and rare occurrence of adverse reactions. The disadvantages include the fact that the drug acts not earlier than 40-60 minutes after ingestion, and the duration of the therapeutic effect is small (3-4 hours).

If you need to replace "Paracetamol" with some other drug, then you can use "Efferalgun", "Kalpol" or "Panadol". The basis of these drugs is the same active ingredient, and the dosage forms, dosages, indications, as well as possible side effects and negative effects of such medicines are identical.

In this case, the expectant mother should be attentive to the combination drugs based on paracetamol, containing pheniramine, vitamin C, caffeine and other components. As a rule, these are powders or effervescent tablets from which a therapeutic drink is prepared. Take them during pregnancy is impossible.

As for the replacement of "Paracetamol" by "Nurofen"," Mig "," Ibufen "or another drug ibuprofen, it is permissible in the first trimester. In addition, these analogues have a longer therapeutic effect and do well with fever or painful sensations, so they are often chosen instead of Paracetamol, if its effect was not strong enough.

There are also drugs in which there is both ibuprofen and paracetamol, for example, Ibuklin and Next. They are not contraindicated in the first months of pregnancy, but before taking such drugs, it is advisable to consult with your doctor.

For details on taking Paracetamol, see the following video.

Find out what happens to mother and baby every week of pregnancy.
Information provided for reference purposes. Do not self-medicate. At the first symptoms of the disease, consult a doctor.

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