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Citramone in pregnancy
Last reviewed: 04.07.2025

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Citramon belongs to the group of combined, non-narcotic analgesics (painkillers) and non-steroidal anti-inflammatory drugs (NSAIDs). The main indications for taking the drug are pain relief, inflammation and fever. The composition of the drug includes: acetylsalicylic acid, paracetamol, caffeine, which enhance each other's therapeutic effect. Citramon is produced in tablet form and granules.
Headaches of varying intensity and temperature sometimes occur in pregnant women. The expectant mother takes a pack of citramon out of habit. But is it possible to use citramon during pregnancy? Based on the instructions for use, the drug is contraindicated in the first and third trimester, as well as during the entire lactation period.
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Is it possible to take citramon during pregnancy?
The teratogenic effect of citramon (disruption of intrauterine development) is caused by acetylsalicylic acid. During the twelve weeks, the foundation of the baby's organs is laid. The use of aspirin is fraught with serious defects - "cleft palate" and "hare lip". To get rid of these pathologies, surgical intervention will be required later.
Can Citramon be used during late pregnancy? Caffeine increases the effect of acetylsalicylic acid, which can weaken labor, cause bleeding, and premature closure of the aortic duct in the child.
Some expectant mothers put their well-being first. Of course, it is very important for pregnancy to proceed in a harmonious and healthy state. But is it necessary to tempt fate and use chemical medicines?
How does citramon affect pregnancy?
Citramon is not as harmless as is commonly believed. Overdose or individual intolerance to the drug can cause deafness, stomach/intestinal ulcers, changes in blood composition, and also lead to active hemorrhage and dysfunction of the central nervous system.
How does citramon affect pregnancy? The drug causes Reil's syndrome or "dead finger syndrome" in babies. The pathology manifests itself under the influence of acetylsalicylic acid and manifests itself in the form of convulsions of one or more fingers of the fetus's limb. The process indicates a circulatory disorder and is dangerous because of gangrene, leading to the death of the child. For the same reason, it is necessary to refrain from citramon during breastfeeding and for children under 18 years of age.
Aspirin, which has blood-thinning properties, can threaten sudden internal bleeding. If the uterus is in tone and the vessels are not elastic enough, this increases the risk of severe bleeding, which can leave the fetus without oxygen for a long time and thus cause a number of pathologies.
Citramon during pregnancy has a negative effect on blood circulation between the placenta and the baby.
Is citramon harmful during pregnancy?
The cause of the headache should first be diagnosed. The attending physician should prescribe treatment in accordance with your delicate situation.
The question "is citramon harmful during pregnancy?" has a clear answer - yes. The results of taking the drug can be the most unpredictable and serious. The component of citramon - aspirin causes irreversible pathologies of intrauterine development in the first twelve weeks and is dangerous due to a decrease in labor activity during the process of resolving pregnancy.
Try to do without medications before the birth of the baby and during lactation. Good sleep, rest, walks in the fresh air, cold compresses, and, in extreme cases, no-shpa will help you overcome the unpleasant syndrome. Some women manage to cope with the disease thanks to the balm "Zvezdochka".
Use of Citramon in Early Pregnancy
The first three months of pregnancy are characterized by hormonal changes in the female body, affecting the functioning of organs and systems. Blood vessels also undergo changes, working in increased conditions of expansion and compression. Sharp changes in blood pressure cause pain in the head, causing unbearable migraines.
Naturally, citramon in the early stages of pregnancy will relieve the most severe pain if you take at least 2 tablets. The expectant mother should understand that the drug based on acetylsalicylic acid in the first trimester can cause congenital anomalies - the development of a cleft palate ("cleft palate") and upper lip ("harelip"). Congenital defects can only be eliminated through complex surgical intervention.
Citramon should not be used during the first twelve weeks of pregnancy. If you suffer from unbearable, persistent migraines, consult a doctor who may recommend taking paracetamol or other treatment.
Instructions for use of citramon during pregnancy
Citramon during pregnancy freely penetrates the placenta in any trimester. The only question is how it will affect the embryo in each specific case? The risk of developing intrauterine anomalies is high at any stage of fetal development.
Let's turn to the leaflet-insert to the medicine: citramon during pregnancy the instruction assures that the drug has contraindications only at the beginning, end of embryonic development and during lactation. What to do: on the one hand, a wild migraine, and on the other - the fear of harming the child?
Let's go back to the Soviet era, when the drug first appeared in pharmacies. The composition of citramon was as follows (without specifying the amount of substances):
- acetylsalicylic acid (aspirin);
- cocoa;
- citric acid;
- caffeine;
- Phenacetin - stopped being used due to the presence of serious side effects.
Despite the withdrawal of phenacetin, the modern pharmaceutical market offers the drug under the same “name”, but with its own composition:
Name |
Manufacturer |
Aspirin |
Paracetamol |
Caffeine |
Askofen-Darnitsa |
Darnitsa |
200 |
200 |
40 |
Citramon B |
Monofarm OJSC |
240 |
180 |
30 |
Citramon U |
Lubnyfarm OJSC |
240 |
180 |
30 |
Citramon-Forte |
Styrolbiopharm LLC |
320 |
240 |
40 |
The table shows that there is no single instruction on the dosage of the drug - the amount of substances is different. Maybe that is why a Citramon tablet helps some people, but has no effect on others.
Citramon also has an impressive list of side effects:
- increases nervous excitability;
- leads to sleep disturbance;
- causes renal failure, internal bleeding;
- causes poor blood clotting;
- disrupts liver function;
- causes allergic reactions, etc.
Headache during pregnancy and citramon
It is interesting that doctors' opinions on the use of Citramon during pregnancy are divided. Some doctors ardently recommend the use of the drug regardless of the stage of fetal development, while others are categorically against using the drug throughout the entire process of gestation. The latter believe that only No-Spa is a safe medication.
If you suffer from migraines during pregnancy, you should first identify the cause of the pain. Headaches can be caused by:
- external factors – stress, nervous/physical fatigue;
- food – some types of fish, nuts, chocolate, cheeses;
- hormonal changes;
- lack or excess of sleep;
- sudden change in weather.
Headache during pregnancy citramon - not allowed. To alleviate the condition, with the permission of the doctor, you can take paracetamol or no-shpa. If during migraine there is a decrease in intestinal peristalsis, as a result - nausea, vomiting, it is recommended to use paracetamol in combination with caffeine. Caffeine facilitates and accelerates the absorption capacity, which means that the therapeutic effect of drugs is achieved faster.
If you took citramon during pregnancy
When a woman takes Citramon during pregnancy, she should inform her gynecologist about it as soon as possible. Only a doctor can determine the presence of fetal developmental disorders. Remember that after a fight there is no waving of fists, so do not aggravate your situation with self-flagellation and nervous attacks.
Based on the reviews of pregnant women themselves, many of them were allowed to take Citramon by their doctor. Women who gave birth to healthy and full-fledged babies advise taking the medicine to get rid of unbearable migraines, but not to abuse it. The use of any medical product should be discussed with a doctor.
Citramon forte during pregnancy
Citramon forte consists of: acetylsalicylic acid, paracetamol, caffeine, citric acid. Moreover, the quantitative component of aspirin is greater than in other analogues of citramon.
Let's study the instructions, which list the side effects:
- liver dysfunction;
- ulcerative processes of the digestive system;
- decreased blood clotting, possible bleeding;
- negative impact on the kidneys;
- allergic processes;
- headache and dizziness.
Citramon forte is strictly contraindicated during pregnancy, which can be understood from the quantitative composition of acetylsalicylic acid. While manufacturers call Citramon an old, reliable and proven friend (by the way, not always including in the instructions the peculiarities of using the drug during pregnancy), expectant mothers need to learn to soberly assess the situation even during a migraine attack and be able to answer for the consequences.
Whether or not to use Citramon during pregnancy is a conscious choice for every woman expecting a baby. If your pain is truly unbearable, go to a specialist. If you act out of habit, “eating away” the pain with a pill, then all responsibility for the birth process and the health of the future child falls on you.
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Citramon: contraindications during pregnancy
Acetylsalicylic acid, which is part of Citramon, is prohibited in the first and third trimesters of pregnancy, as it can cause early developmental defects. As for the last period of pregnancy, aspirin is dangerous because of:
- sluggish process of labor;
- the possibility of closing the arterial duct, which causes the process of hyperplasia in the pulmonary vessels and hypertension of the vessels of the pulmonary circulation.
Citramon contraindications during pregnancy include impaired platelet aggregation and inhibition of prothrombin synthesis in the liver, which can lead to profuse bleeding during childbirth.
Side effects of caffeine medication include:
- increased nervous excitability;
- insomnia;
- increased blood pressure.
Use any pharmaceutical drug with caution to avoid harming your baby.
Attention!
To simplify the perception of information, this instruction for use of the drug "Citramone in pregnancy" translated and presented in a special form on the basis of the official instructions for medical use of the drug. Before use read the annotation that came directly to medicines.
Description provided for informational purposes and is not a guide to self-healing. The need for this drug, the purpose of the treatment regimen, methods and dose of the drug is determined solely by the attending physician. Self-medication is dangerous for your health.