Monural in pregnancy

Can the new generation antibiotic monural be used during pregnancy? This article will try to answer this question.

Infection of the urethra during pregnancy is not a rare occurrence, one might even say – commonplace. After all, during this period, significant changes occur in the body of the expectant mother, affecting not only her reproductive system, but all organs and systems of the woman, including the urinary bladder and urethra, are involved in this transformation. Due to the increase in the level of the hormone progesterone (the pregnancy enzyme), the smooth muscles relax, the activity of muscle contractions decreases. This factor provokes stagnation in the urine, weakening the defense and opening free access to infections.

[ 1 ], [ 2 ]

Indications for the use of monural during pregnancy

As was stated earlier, during pregnancy, a woman is prescribed drugs of chemical origin only in case of obvious necessity.

Indications for the use of monural during pregnancy:

• Acute form of cystitis caused by infection. The pathology is aggravated by repeated relapses.
• Acute form of pyelonephritis caused by infection. The pathology is aggravated by repeated relapses.
• Bacterial nonspecific urethritis.
• Asymptomatic bacteriuria. A pathology that occurs without obvious symptoms and is diagnosed only during laboratory tests of the pregnant woman.
• Prophylactic administration of the drug before or after surgery related to the urinary system.
• Transurethral diagnostic studies.

Release form

Monural belongs to the pharmacological group of antibiotics. The form of the drug is granules, which are dissolved in water before use and taken orally in the form of a solution. Packages of two and three grams are produced. Granules are white in color. The drug is presented in two flavors: orange and tangerine.

[ 3 ], [ 4 ], [ 5 ]

Method of administration and dosage

It is worth noting once again that when prescribing any medication, including Monural, during pregnancy, it is worth comparing the real need for immediate treatment with the drug’s still not fully studied ability to influence fetal development, the immediate course of pregnancy and childbirth.

Before taking the drug, empty your bladder. Dilute a packet of Monural in 1/3 glass of water. Drink this mixture once a day, preferably at night. In this case, a therapeutic dose of the drug is created and maximum sterility of urine is achieved. In the vast majority of cases, one dose is enough to eliminate the problem. Only in case of extreme necessity (in case of exacerbations, acute or recurrent infections) is repeated administration of the drug allowed. It is possible in the same dosages, 24 hours after the first one.

If a woman has a history of renal failure, the dosage of the drug should be reduced and, if repeated administration is necessary, the interval between doses should be increased.

[ 6 ], [ 7 ], [ 8 ], [ 9 ]

Is it possible to use monural during pregnancy?

Any woman knows that during pregnancy it is advisable to avoid taking any medications, especially potent drugs. But the infection must be treated. Is it possible to take Monural during pregnancy? This drug appeared on pharmacy shelves not so long ago, but has already demonstrated its high efficiency in the fight against infectious diseases of the genitourinary tract. But the expectant mother is more wary of "its strength", because one tablet is enough to destroy all the bacterial flora located in the urinary tract. But on the other hand, a single dose of Monural is much more acceptable than taking a whole course of other antibiotics. At the same time, doctors and pharmacists confidently claim that the new generation drug Monural does not pose any danger either to the course of pregnancy itself or to the development of the embryo. There are results of clinical studies that confirm that the drug does not have a toxic effect on the fetus. Therefore, due to its positive qualities, this drug is actively prescribed during pregnancy.

But still, don't be fooled. Monural is still a chemical preparation and should only be used when absolutely necessary.

Instructions for Monural during pregnancy

A modern innovative drug, related to broad-spectrum antibiotics, which appeared not so long ago on the pharmaceutical market, it has already managed to prove its high efficiency in affecting most strains of bacteria that affect the human genitourinary system. The privileged use of this drug consists in the combination of its excellent properties affecting pathogenic flora, low toxic effects on the patient's body, which do not cause pronounced side effects. It is also attractive that to obtain a therapeutic effect, it is enough to take the drug once (repeated use of Monural is prescribed relatively rarely), which excludes long-term exposure of the patient's body to chemical compounds. This is especially valuable if treatment is required for a woman who is currently carrying her child, although the instructions for Monural during pregnancy sound ambiguous.

It states that the drug is harmless to the mother's health, it does not affect the development of the fetus, the risk of pathological changes on the physical and psychological plane is completely excluded. At the same time, there is such information that during pregnancy it is worth using this drug quite carefully, only in cases where the real benefit from treatment exceeds the danger to her unborn baby. From this phrase it follows that the risk of pathology still exists? It is alarming and causes some distrust that the drug in question is prohibited for use during breastfeeding. Monural is not included in the list of drugs prohibited or permitted for use during pregnancy. There is no information on it. That is, there are no real studies on the effect of Monural on the course of pregnancy and its direct effect on the embryo, to date.

If a woman's urinary tract is infected, it is necessary to treat it. In light of the "interesting situation of a woman", the use of this drug is more preferable. After all, to get the expected effect, one dosage of Monural (one package) is enough, while other antibiotics require a course of use.

It is also worth noting that in the international list of drugs this medicine is listed under the name Fosfomycin, produced by the joint Italian-Swiss company Zambon Group SPA. In our country, doctors prescribe it under the name Monural.

Use of Monural during pregnancy

During pregnancy, infectious lesions of the urinary system of a woman are quite common. After all, from the moment of conception, the woman's body undergoes significant changes, and, unfortunately, in most cases, immunosuppression (suppression of the immune system) begins to manifest itself. Moreover, this is not a flaw of nature, but its wise decision. After all, a fertilized cell, and subsequently an embryo and fetus, can, initially, be perceived by the female defense system as a foreign body that encroaches on the normal functioning of the body. A similar reaction can also be from the fetus. To avoid such a conflict, a woman's immunity is reduced from the moment of conception.

But at the same time, weakening of the body's defenses leads to an increase in morbidity, giving the opportunity for infection and other various pathogenic flora to "occupy" the woman's systems and organs. The use of monural during pregnancy is justified in case of infectious damage to the woman's urinary system. The only, important condition for its appointment should be a clear benefit for the health of the expectant mother with a minor risk to the fetus.

Monural when planning pregnancy

If a woman's genitourinary system has been attacked and discomfort has appeared, it is worth contacting a specialist doctor and undergoing the necessary examination. In case of diagnosing an infectious lesion of the urinary tract of a woman, it is necessary to undergo mandatory treatment in order not to aggravate the situation. Doctors state that monural is an absolutely safe drug when planning a pregnancy. Additional bonuses to this drug are also given by the fact that one dose is enough to solve the problem.

Monural in the first days of pregnancy

Monural should not be taken in the first days of pregnancy without any unnecessary need. If possible, it is necessary to treat all your pathology before conception, and during pregnancy, try to reduce the intake of any drugs to a minimum. In light of the fact that the instructions accompanying this drug do not provide unambiguous recommendations and in light of the fact that global studies of the effects of taking the drug have not been conducted, we can only advise "newly" pregnant women not to take any drugs, if possible, including monural in the first days of pregnancy.

Monural in the first week of pregnancy

The first week of pregnancy, the woman's body is just beginning to rebuild, getting used to its new state. All life support systems are activated, because they will have to serve two, and in some cases more lives for nine months (twins, triplets, etc. are conceived). A decrease in the work of the woman's immune system is normal, explained by the biophysiological processes occurring in the female body from the moment of conception.

If during this period of pregnancy a woman begins to feel discomfort during urination or asymptomatic urinary tract infection was diagnosed during routine laboratory tests, the obstetrician-gynecologist may decide to undergo a course of treatment for this pathology by prescribing Monural in the first week of pregnancy.

As already mentioned above, a specialist should decide whether or not to take this drug for a woman in her "interesting" position, having thoughtfully analyzed the clinical picture of the pregnant woman. If a severe exacerbation of the disease is diagnosed or a recurrent infection is observed, taking monural in the first week of pregnancy is clinically justified, in other cases, the prescription of any drugs should still be excluded.

Monural in early pregnancy

The woman is just beginning to get used to her new situation and, like a bolt from the blue, a genitourinary infection. The expectant mother begins to panic, and this can be understood. Caring about the health of their future child, responsible mothers try not to take harmful products at all and especially chemical drugs that can harm their baby. But health workers are in a hurry to reassure pregnant women, if they prescribe Monural in the early stages of pregnancy, then they are aware of the ratio of the effectiveness of treatment and the risk of subsequent negative manifestations. The latest clinical observations have shown high antimicrobial and antibacterial activity of this drug, while it also provides fairly high safety indicators, practically unburdened by side effects.

Monural during pregnancy in the 1st trimester

The first 12 weeks of pregnancy is the most crucial period, during which all organs and systems of the future little person are fully formed and any interventions in the natural course of development can be fraught with future deformities of the child, severe physical or psychological pathology. Therefore, during this period, it is especially worth excluding any self-medication. Based on the above, monural during pregnancy in the 1st trimester should be taken very carefully and only on the urgent prescription of your doctor. If there are any doubts about the competence of the doctor, it would not be superfluous to get advice from several sources, having undergone an examination by another specialist.

Monural during pregnancy in the 2nd trimester

Any medication, especially antibiotics, during the period of bearing a child are taken by a pregnant woman only under the strict supervision of a doctor. The most crucial moment in the formation of the child's body has passed, and it continues to develop further. Starting from the twenty-two week period, obstetricians monitoring the pregnancy already allow taking some antibiotics. Therefore, if an emergency situation arises related to infection of the genitourinary tract, the doctor can reasonably prescribe Monural during pregnancy in the 2nd trimester.

Monural during pregnancy in the 3rd trimester

The third, last trimester of pregnancy, a woman begins to gradually prepare for childbirth. And such a nuisance as the defeat of the urinary tract by pathogenic flora is an unpleasant factor. Fearing that the infection can spread further and capture the kidneys of the pregnant woman, which increases the risk of such a dangerous and severe pathology as pyelonephritis in a woman, it is necessary to take urgent measures. To prevent such a development of events, urologists, together with obstetricians and gynecologists, prescribe monural during pregnancy in the 3rd trimester. This drug is classified as a broad-spectrum drug that can lead to the death of the vast majority of microorganisms that can cause infectious diseases. With a high-quality treatment result, this drug also shows minor side effects. The duration of treatment is also pleasing. With monural, one dose is enough and the problem is solved. After all, it is much better to take this drug once than to take other pills for a long time.

Contraindications to the use of monural during pregnancy

The instructions included with the drug also indicate contraindications to the use of monural during pregnancy, which are not so significant. These include:

• Individual intolerance to the components of the drug.
• Severe renal dysfunction (CC<10 ml/min).

Side effects of monural during pregnancy

Numerous observations of the results and consequences of taking the drug in question did not register any pronounced side symptoms, but minor deviations from the normal state of the body were still observed. Side effects of monural during pregnancy are mainly associated with the reaction of the gastrointestinal tract. This may include heartburn, mild nausea, in rare cases, severe nausea that can become a catalyst for vomiting, and diarrhea may also be observed. If the pregnant woman is prone to allergic reactions, rashes and itching may appear on the skin.

Overdose

Monitoring the results of taking the drug Monural suggests that an overdose of this drug is associated with minimal risk.

Reviews of Monural during pregnancy

Thanks to the latest discoveries in science and technology, today the vastness of the Internet makes it possible to get acquainted with almost any information that interests us. And many women, before taking any step, try to find answers to their questions there. Therefore, before starting treatment, it would not be superfluous to read reviews about Monural during pregnancy from those women who have already encountered this problem and have undergone a course of treatment.

Opinions about monural and its use during pregnancy are quite diverse. One, voicing her problem, writes that, being in the fifth month of pregnancy, she encountered this infection, and the doctor prescribed her two packets of this medicine with an interval of three days. There were doubts and worries, but the attending physician explained in a popular way that the consequences of this disease are much more severe than the effect of antibiotics on the fetus. Thanks to the treatment, the pathology was quickly stopped and everything is fine with the child.

There are also reviews where, while pregnant, a woman was diagnosed with an infectious lesion of the urinary tract. As a medicine, the doctor prescribed Monural, but after reading the instructions, the pregnant woman sought advice from another doctor, who, after conducting additional research, replaced Monural with Kanefron, a combination drug based on plant components.

But many opponents agree that herbal preparations and various dietary supplements in this situation, especially in cases where bleeding is already observed, do not help - this is just a waste of time and money. "It is better to take Monural once and solve this problem than to suffer from discomfort and pain symptoms for a long time, undergoing a course of treatment with ineffective means," they say.

An untreated or incompletely treated infection is a huge problem later on and it is necessary to treat it. Every woman knows that it is advisable not to take any medications during pregnancy, but it is still worth weighing the dangerous consequences of further development of an infectious disease for the woman's health, and for the subsequent course of the pregnancy itself, and the possible risk to which the fetus is exposed. Whether or not to drink Monural during pregnancy is a personal matter for every woman, but do not forget that her health and the health of her child are at stake. Therefore, it is necessary to learn to set priorities correctly, making an informed decision.