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Doctor IOM during pregnancy in 1, 2, 3 trimesters
Last reviewed: 10.08.2022
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Before using the drug Dr. IOM during pregnancy, which, according to some sources, it is permitted to take from cough to all pregnant women, you should read the instructions attached to it.
Can I have an IOM during pregnancy?
So, if you were recommended by Dr. IOM from a cough during pregnancy, find out about the peculiarities of this herbal remedy from the cough indicated in the instructions.
First, the preparations of this trademark (manufactured by the large Indian pharmaceutical company JB Chemicals & Pharmaceuticals) contain extracts from traditional Ayurvedic plants.
Further in the instruction the form of release of the given means is specified: a syrup, lozenges or troches, and also ointment for external application. The main indications for the use of syrup and pastilles Dr. MOM - cough with ARI, pharyngitis, laryngitis and bronchitis; ointments Doctor IOM - rhinitis and stuffy nose, headache and myalgia.
The compulsory order lists the ingredients (basic and auxiliary) included in the preparation; contraindications to use are called (for syrup - individual hypersensitivity and age up to three years, and for pastilles - age under 18 years); Possible side effects are noted (in the form of headache, discomfort in the abdomen and problems with the intestines, and for the ointment - skin irritation); the method of application and dose are indicated.
Do not be lazy to finish reading the instructions until the end, so as not to miss the main phrase, the meaning of which is that it is not recommended to prescribe and apply it to pregnant and lactating women - because of the lack of experience in its use and clinical safety studies in this category of patients. That is, the manufacturer warns: Do not take the IOM Doctor in early pregnancy, in the 2nd trimester and in the 3rd trimester.
[Why is Doctor MOM in pregnancy not recommended?
Many believe that herbal medicines - phytopreparations - are not "chemical", so they can not do much harm. This opinion is erroneous.
Neither the pharmacodynamics (mechanism of influence) of the funds of Doctor MOM, nor their pharmacokinetics (metabolism of organic compounds of plants and excretion of their cleavage products) - as in almost all other phytopreparations - are not given in the instructions.
To answer the question why the manufacturer does not recommend using the funds of Dr. IOM during pregnancy, it is necessary to elaborate on their composition.
The components of the syrup Dr. IOM, which has a bronchodilator and anti-inflammatory effect, are extracts from various parts of such plants as Adhatoda vasika, terminalia belerica, Ocimum sanctum, Curcuma longa, nightshade Indian (Solanum indicum), liquorice or licorice naked (Glycyrrhiza glabra), Aloe barbadensis (Aloe barbadensis); (Inula racemosa), ginger root (Zingiber officinale) and pepper cubeba (Piper cubeba). Also in the composition there is a local anesthetic - Levomentol.
Growing in Asia plant adatode Vasika (in Sanskrit Vasaka) belongs to the family of acanthus, its official botanical name - Justicia adhatoda or Justice vascular. Based on the alkaloid derivatives of this vasicin plant, a cough drug Bromhexine (contraindicated in 1 trimester of gestation) was developed. Alkaloids of justice (vasicin, vasicinone, oxyvazycin and deoxyvazicin) act on the uterine muscles as an endogenous hormone oxytocin, stimulating its contraction.
In addition, as noted by researchers in the Indian Journal of Pharmacology, another alkaloid contained in Vasaka, the pheganin, not only has powerful antimicrobial and bronchodilator properties, but, acting on the m-holinoretseptory smooth muscle tissue, enhances intestinal motility and has a stimulating effect on the walls of the uterus . Therefore Adhatoda vasica was traditionally used by midwives during childbirth
What is known about the terminology belerike (in Sanskrit - Vibhitka)? It is a genus of flowering trees of the Combret family, which grow in the tropics; for medical purposes, its fruits are used. According to the Ayurvedic Medicinal Plant, fruits contain fatty acids (linoleic, myristic, oleic), gallic acid and its derivatives, antibacterial properties of phenolic compounds, bactericidal action of tannins, antioxidant vitamins. Investigations of the medicinal possibilities of this plant have revealed its effectiveness with increased cholesterol, gastrointestinal and liver diseases. However, it is contraindicated for pregnant women due to the presence of β-sitosterol, one of the phytoestrogens belonging to steroidal alcohols and having a certain biochemical effect on the estrogen receptors of the tissues.
Another component - turmeric - has anti-inflammatory properties used in traditional Asian medicine. Turmeric extract contains curcumin, demethoxy curcumin and bisdemethoxycurcumin, which positively affect the general immunity of the body. At the same time, turmeric is used in Ayurveda to stimulate the uterus and regulate the menstrual cycle.
And, finally, the licorice root known to us is bare and unknown nightshade Indian. In both plants there is already mentioned β-sitosterol, and in nightshade - also phytoestrogen diosgenin (steroidal glycoside).
Do not recommend lollipops, lozenges, plates Doctor MOM during pregnancy, because in their composition there is an extract of licorice root and Levomentol (peppermint oil and its synthetic counterparts are contraindicated to pregnant women).
Also, parabens: propyl parahydroxybenzoate (E216) and methyl parahydroxybenzoate (E218) are used in the dissolving agents for coughing, perspiration, and sore throat (including IOM lollipops) as antiseptic preservatives that extend their shelf life to 5 years.
As reported in the Journal of Toxicology and Environmental Health, studies of the effects of parabens on the endocrine system have shown that methyl- and propylparabens show little estrogenic activity (acting as xenoestrogens and changing levels of estradiol and progesterone), and also affect the production of thyroid hormone during pregnancy.
Obviously, do not use the ointment of Dr. IOM during pregnancy, because of the number of its components - camphor, levomentol, turpentine, thymol, nutmeg oil and eucalyptus oil - in the "black list" of dangerous essential oils for pregnant women (compiled by experts from American Pregnancy Association) were peppermint and nutmeg oils. Read also - Essential oils for colds.
Phytomedication and pregnancy
According to the World Health Organization, about 25% of modern medicines are derived from plants. They are effective and give fewer side effects than synthetic drugs. But during the gestation period, some phytopreparations may be unsafe, for example, threatening to cause muscular contractions of the uterus. In the early stages, it can provoke abortion, in the second half of the term - premature birth.
It should be noted that in India the quality of such drugs is controlled: under the auspices of the Ministry of Health of India, there is a special department of AYUSH (Ayurveda, yoga, homeopathy, etc.), there is the National Council for Medicinal Plants, and dozens of research centers are working to study their properties. And all over the world Ayurvedic remedies are successfully used in the treatment of many diseases.
But during pregnancy, a runny nose, cough and sore throat need to be treated with safe methods and medications. Some analogues of Dr. MOM during pregnancy are presented in the materials:
Attention!
To simplify the perception of information, this instruction for use of the drug "Doctor IOM during pregnancy in 1, 2, 3 trimesters" 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.