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No-shepherd in pregnancy

, medical expert
Last reviewed: 07.07.2025
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No-shpa is the most common antispasmodic, widely used to relieve pain of various etiologies. The drug relieves migraines, dental, muscle, and bone pain syndromes.

No-shpa helps women to ease their menstrual symptoms. The medicine is often prescribed during pregnancy. Pregnancy is a great responsibility for the life of the future baby, so the question arises: "Is No-shpa safe during pregnancy?" The concern of expectant mothers is understandable, because No-shpa is a medicine.

As it turns out, No-Spa is not only indicated for many pregnant women, but is a necessary substance for patients with uterine hypertonicity, allowing for the prevention of spontaneous abortion at an early stage.

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Dosage of No-shpa during pregnancy

No-shpa is available in the form of tablets, capsules and infusion solution. The basis of the medicine is the active substance - drotaverine hydrochloride. The auxiliary elements include corn starch, lactose, povidone, talc, magnesium sterate. All this must be taken into account if there is an intolerance to one of the components.

No-shpa is indicated for pregnant women in the following situations:

  • smooth muscle spasm;
  • decreased uterine tone;
  • conditions requiring weakening of contractions.

The required amount of the drug, as well as the form for administration, is prescribed by the doctor on an individual basis. As a rule, to reduce hypertonicity at the beginning of the term, it is recommended to take one or two tablets two or three times a day (80-240 mg). The intramuscular dosage of no-shpa during pregnancy can be 40-240 mg / day.

The use of the drug before childbirth helps to reduce pain, normalizes the contractile activity of the uterine muscles, shortens the period of labor and reduces the risk of injury. Although European specialists consider the use of No-Spa during childbirth to be a relic of the old school, and in a number of countries the use of the drug at any stage of pregnancy has been completely banned.

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Is it possible to take No-shpa during pregnancy?

The basis of No-shpa is drotaverine, an active substance with a pronounced antispasmodic property. Drotaverine affects all smooth muscle structures of the body (gastrointestinal tract, genitourinary and circulatory system, biliary tract). The drug causes vasodilation, which contributes to an increase in blood flow to the organs. Within 24 hours, the drug is processed in the liver and removed from the body.

Can No-Shpa be used during pregnancy? Like any other medicine, No-Shpa is used on doctor's orders, after a preliminary examination. The main indication for taking the drug is increased uterine tone in the early stages of fetal development.

In general, it is necessary to understand the concept of hypertonicity in more detail. If you felt something like a prick when turning sharply or when trying to get up quickly, you should not worry. A state of nervous tension, unjustified haste, fatigue often increase uterine tone, which returns to normal after relaxation. Pains of a nagging, pulling constant nature accompanied by bloody discharge indicate the presence of problems. Such cases allow the use of the drug. It should be remembered that no-shpa during pregnancy is used strictly at the beginning of the term, if there is a threat of miscarriage.

In addition to reducing muscle tone and dilating blood vessels, the drug has a relaxing effect on the cervix, causing it to open. Therefore, taking No-Spa in the later stages is not recommended.

No-shpa in early pregnancy

The beginning of pregnancy is accompanied by abrupt changes in the body, hormonal changes and increased emotionality. All these factors can affect the uterine tone, so do not worry if short-term discomfort in the lower abdomen appears.

Many doctors advise carrying no-shpa with you and taking pills when painful sensations appear. It is best to first consult a gynecologist, and only then take the medicine. Some doctors play it safe, prescribing no-shpa to relieve tone without any apparent reason. Naturally, if uterine tension does not decrease, pain increases, vaginal discharge appears - these are alarming symptoms and no-shpa will be indicated in the early stages of pregnancy to preserve the fetus.

As for other cases and the possibility of taking the drug on your own, it is better to first consult a gynecologist who, if necessary, will prescribe competent treatment.

Is No-Spa harmful during pregnancy?

No-shpa is a medicine that has its own contraindications and side effects. Drotaverine, the basis of the drug, can cause allergic reactions, is not recommended for use in diseases of the heart, kidneys, liver, as well as for people with low blood pressure. No-shpa often aggravates toxicosis, leads to loss of appetite, constipation, weakness and increased heart rate. The antispasmodic is prohibited for use during labor due to the increased risk of postpartum hemorrhage.

Any expectant mother is worried about the question: "Is No-Spa harmful during pregnancy?" During clinical studies, doctors did not reveal any harmful effects of No-Spa on fetal development. However, in a number of countries (in the USA, England and Germany) for several years now, specialists have not practiced taking the drug by pregnant women. The experience of foreign gynecologists indicates a connection between taking No-Spa during pregnancy and a slowdown in speech activity in the baby later on.

Other data indicate that no-shpa normalizes fetal cardiac activity. Women with fetal tachycardia were given the drug intramuscularly and the pathology went away.

Hungarian scientists conducted a medical study, observing thirty thousand pregnant women taking No-shpa in the second and third trimesters. In addition to the therapeutic effect, doctors did not detect a single case of pathology in infants after birth.

In any case, No-shpa should be used with caution and taken strictly according to doctor’s prescription.

No-shpa and papaverine during pregnancy

No-shpa is a spasmolytic agent with myotropic action. The drug helps to reduce the tone of smooth muscles, dilate blood vessels, and reduce the motor activity of the muscular structures of internal organs.

No-shpa, in view of the duration of action and effectiveness, takes first place among similar drugs, papaverine is no exception. At the same time, no-shpa does not affect the work of the autonomic and central nervous systems. The positive effect of no-shpa is observed after two to four minutes after taking the drug, the maximum effect is after half an hour.

No-shpa and papaverine are sometimes used together during pregnancy. No-shpa can be taken in tablets, 2 pcs/3 times a day, or injections as prescribed by a doctor. Papaverine suppositories are used simultaneously with no-shpa or as a separate remedy. As a rule, doctors prescribe one suppository in the rectum up to three times a day. The combination of administration depends on the individual characteristics of the woman's body and the course of pregnancy.

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No-shpa during pregnancy: instructions

Myotropic antispasmodic, which is No-shpa, shows the best results on the organs of the genitourinary and digestive systems.

Muscle contraction, pain and hardness in the lower abdomen are the main symptoms of increased uterine tone, which can cause a miscarriage early in pregnancy. To relax the muscles, doctors prescribe No-shpa.

No-shpa during pregnancy instructions state that the drug is used in cases where the risk of treatment is lower than the risk of the disease itself. Research data have not revealed teratogenic or embryotoxic effects of drotaverine during pregnancy. Parenteral administration of no-shpa during labor is not recommended due to the possible development of postpartum hemorrhage. The drug is also contraindicated during breastfeeding.

No-shpa is not used in the following cases:

  • hypersensitivity to one of the components;
  • renal/hepatic failure;
  • heart disease;
  • glaucoma.

Women with low blood pressure should exercise extra caution when taking the medication.

How to take no-shpa during pregnancy?

With the question: "How to take No-shpa during pregnancy?" it is better to contact the antenatal clinic. Based on the examination, if necessary, you will be prescribed a dosage of the drug.

The use of any pharmacological agent during pregnancy should be approached with caution and sober judgment. If you look at the forums, you can see that no-shpa is actually prescribed to almost half of women during pregnancy. But mothers themselves remind that no-shpa is not a vitamin and should only be taken in emergency cases, agreed upon with a gynecologist. There are indeed countries (for example, Finland, Estonia) where no-shpa does not exist and pregnant women do without this drug. Maybe our doctors are really playing it safe?

Be that as it may, taking no-shpa should not be done uncontrollably. Pain in the abdomen appears not only as a result of the threat of termination of pregnancy, but also as a symptom of serious diseases - an attack of appendicitis, intestinal obstruction, ulcer perforation, etc. The listed processes require immediate surgical intervention, and taking no-shpa can "blur" the clinical picture and only worsen the situation.

Why take No-shpa during pregnancy?

No-shpa can be called a "folk pill", popular for attacks of headaches, toothaches, menstrual pain. But why take No-shpa during pregnancy?

The main indication for taking no-shpa is increased uterine tone with the threat of miscarriage at the beginning of pregnancy. In this case, the drug relaxes the smooth muscles of the uterus, reduces their motor activity, promotes vasodilation and improves blood circulation. In the last months of gestation, it is not advisable to take the drug, since the medicine acts on the opening of the cervix. As a painkiller, no-shpa is used during childbirth. This is also done with extreme caution due to the possibility of postpartum bleeding.

How to take no-shpa during pregnancy?

The forty-year trust that No-Spa has won among consumers is due to the fact that the medicine eliminates the cause of pain syndromes, and does not mask them. High safety, effectiveness and minimal side effects of the drug have been confirmed by clinical trials in more than forty countries around the world.

High-quality raw materials for No-Spa are manufactured at the Hungarian plant in strict compliance with the technological process, which allows achieving a high degree of purification from foreign impurities and guaranteeing the exact quantitative content of the active substance (40 mg) in each tablet. Modern packaging marking allows protecting the drug from counterfeiting.

No-shpa is often recommended by obstetricians and gynecologists to relieve constant uterine tone and maintain pregnancy at an early stage. The main thing is not to self-medicate, but to promptly contact a specialist who will prescribe a course and dosage of the drug.

The question: "How to take No-shpa during pregnancy?" can be answered unequivocally: "Without fanaticism." No need to reach for a pill at the slightest tension in the stomach. Take the medicine only if necessary, justified by medical indications. Headaches, toothaches and other pains should be eliminated without the use of drugs. For example, with a massage or a visit to the appropriate specialist.

No-shpa injections during pregnancy

No-shpa during pregnancy in ampoules is used to prepare for childbirth in order to speed up the process of opening the cervix. During labor, 40 mg of the drug is administered intramuscularly, the injection can be repeated after a couple of hours or more. No-shpa also has an analgesic effect, reduces the likelihood of ruptures.

No-shpa injections during pregnancy are indicated for women with lactose intolerance (it is contained in the tablets). Infusions allow achieving the fastest pain-relieving effect.

An unpleasant phenomenon when receiving No-shpa injections is the formation of painful seals - infiltrates, which dissolve within a few months.

Use of No-shpa during pregnancy

The period of bearing a fetus requires a revision of the daily diet and thoughts, and also cancels the intake of medicinal substances. An exception may be the use of no-shpa during pregnancy with the permission of a gynecologist.

No-shpa allows you to quickly relieve pain and reduce uterine tone. But you should not consider the drug a panacea for any pain. The drug should be used under medical supervision, in the specified dosage and in especially acute cases.

Short-term pulling discomfort in the lower abdomen may indicate that the uterus is preparing for the upcoming birth, so short-term pain should be taken calmly.

No-shpa in the last weeks of pregnancy

No-shpa in combination with papaverine, buscopan or belladonna is a kind of preparation of the uterus for childbirth. During the examination, when the time to give birth approaches, the gynecologist evaluates the degree of softening of the cervix. If it is insufficient, then no-shpa is often prescribed.

No-shpa in the last weeks of pregnancy reduces the risk of delayed opening of the cervix by relaxing the muscles. According to doctors, the drug helps labor go easier, less painfully, and reduces the risk of ruptures.

Some women in labor believe that No-Spa really does make labor easier, and the process itself begins on time and proceeds smoothly. Other expectant mothers are categorically against any medication, believing that one should not interfere with the natural, organic process. Of course, it is up to you to decide. It is important to remember that taking the drug is only possible on the recommendation of a gynecologist.

No-shpa at the end of pregnancy

When the long-awaited event is already close, no-shpa helps to determine the reliability of contractions. If after taking two pills the pain does not stop, but on the contrary - intensifies, becomes more frequent, then the time has come and you should go to the maternity hospital.

On the other hand, premature labor can be provoked by No-Spa at the end of pregnancy, which is associated with its ability to accelerate the opening of the cervix. Therefore, you should not take the drug spontaneously.

Taking No-shpa before childbirth, according to some doctors, is even considered a useful remedy that has a beneficial effect on the fetus's cardiac activity.

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The effect of no-shpa during pregnancy

The use of No-shpa by pregnant women is associated with the need to reduce uterine excitability and maintain pregnancy. The drug is also used for spasms of the uterine os during labor.

The effect of no-shpa during pregnancy:

  • decreased uterine tone;
  • decrease in contractile activity of the smooth muscle structures of the uterus;
  • dilation of blood vessels and increased blood flow to organs.

In addition to gynecological indications, No-Spa is prescribed during pregnancy to relieve pain in the gastrointestinal tract, and problems with the bile ducts and blood vessels.

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Attention!

To simplify the perception of information, this instruction for use of the drug "No-shepherd 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.

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