What pills can I take when pregnant?

What pills can be taken during pregnancy? This question is very important, since every woman worries about the health of the future baby, even if it has not yet been born. It is very important to take a differentiated approach to the issue of using any medications during pregnancy, because not only can the child suffer, but the reaction of the woman herself can be unpredictable. Therefore, you need to know about drugs that have less side effects on the fetus and therefore their use during pregnancy is a priority.

Features of drug use during pregnancy

It is very important to study all possible effects of this drug on the body of the expectant mother and the body of the child before using any medication during pregnancy. After all, pregnancy is a period in the life of every woman when another life is developing in her body and at this time you need to be very careful about taking any pharmacological drugs. The process of organogenesis begins in the first trimester, and then the growth and differentiation of tissues continues, which also requires increased attention to taking any medications. The fetus is an agent foreign to the woman's body, because it contains 50% of information from the father. The woman's immune system perceives it as an antibody to some extent, therefore, until the formation of its placenta with an individual barrier and blood flow, a state of relative immunosuppression develops. This is especially true for the first trimester of pregnancy, when there is no placenta yet, as an individual defense mechanism, and the fetus is very vulnerable. This condition of a pregnant woman contributes to a change in all reactions of the female body, which could have been normal before. That is, the reactions of pharmacological transformation of drugs also occur differently, which can thus significantly affect the child. Unexpected allergic reactions to drugs that were not there before may be revealed. Therefore, the issue of a differentiated approach to choosing a drug during pregnancy is very important, and it is necessary to carefully read the instructions before using the drug.

There are cases in which it is not always necessary to see a doctor, and a pregnant woman does not know whether it is possible to take this or that medicine. In such cases, for example, with a headache or toothache, or with high blood pressure, as a rescue drug there should be some kind of quick medicine until you can see a doctor. In such a case, it is necessary to know some features that need to be taken into account and the drugs that can cause the least harm.

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Allowed pills during pregnancy

It is very important to take pills only with the permission of the attending physician, but of course, there are cases when it is not possible to consult a doctor, so it is necessary to know which pills can be taken for certain conditions. The most common problem that arises is pain syndrome, which can be caused by toothache, cold, headache, but in any case, it is a very unpleasant symptom. Very often, women during pregnancy are bothered by headaches, which can be associated with lability of blood pressure or hormonal functional changes. In any case, headaches are those that are difficult to tolerate and there is a need to take a painkiller. Naturally, it is important to find out the etiology of such a headache. It is imperative to measure blood pressure, and if the headache is a symptom of its increase or decrease, then the treatment tactics are different. But the first aid, before diagnostic measures are carried out, can be taking medications. What painkillers can be taken during pregnancy? These include two main groups of drugs - non-steroidal anti-inflammatory drugs and antispasmodics. Among non-steroidal anti-inflammatory drugs, preference is given to paracetamol, as the least harmful drug in this group. But there are some features of paracetamol use at different stages of gestation.

Paracetamol should not be taken in early pregnancy, particularly in the first trimester. During this period, the process of formation of the baby's main vital organs occurs, as well as the formation of the placenta, which is a barrier to harmful factors. Therefore, taking any medications, including paracetamol, in the first trimester of pregnancy is strictly not recommended. Although it does not have a pronounced teratogenic effect, the possible harm is high. As for taking paracetamol during pregnancy in the second trimester, there is also growth of fetal tissue, but there is a formed placenta, which in some way protects the child. Therefore, if there are indications, paracetamol can be taken in the second trimester. Paracetamol during pregnancy in the third trimester has the least harm, since all the baby's organs are formed, and we are talking about the fact that intense pain syndrome has a stronger effect on the fetus than paracetamol. Therefore, taking paracetamol in the third trimester is the most favorable option. It should also be taken into account that children's paracetamol during pregnancy has a lower risk of complications due to the lower dose, so preference should be given to this drug.

If we talk about the analgesic effect, then for headaches, a drug from the antispasmodic group - papaverine - can be considered more effective and less harmful. The drug has a myotropic antispasmodic property, which is realized due to the effect on the muscle fibers of arterial vessels, and this also leads to their expansion and a decrease in pressure. This is how the analgesic effect of papaverine is realized for headaches, as well as for other spasmodic pains. An additional effect of the drug is its tocolytic effect, which allows it to be used in complex therapy in pregnant women. Also, papaverine is not harmful during pregnancy, since its active substances and metabolites do not have a direct toxic effect. Therefore, if the question arises, which pills can be taken for headaches - preference should be given to antispasmodics - papaverine or its analogues.

When a headache occurs due to high blood pressure, it is necessary to first relieve high blood pressure, since it threatens the occurrence of pregnancy complications. Therefore, it is imperative to know the level of pressure and how much to lower it. Tablets for pressure during pregnancy that can be taken - this is the advantage of antihypertensive drugs of central action. These include clonidine and dopegit, and dopegit is the drug of choice. The drug is taken at 250 milligrams, starting with the lowest dose, that is, one tablet. Nifedipine can be considered a second-line drug and a means of rapid assistance in case of high blood pressure. It shows its effect in 40-60 minutes, which can be the initial stage of therapy, and then dopegit will show its effect, maintaining pressure throughout the day. If there is no Nifedipine, then from beta-blockers it is possible to take labetolol, but as a reserve drug. Thus, Nifedipine will show the most pronounced effect, so it can be recommended for pressure in late gestosis of pregnant women.

Allergy pills during pregnancy that have a proven effect and do not affect the fetus - this is not all the drugs, or rather, there are no antihistamines approved for pregnancy. But in the third trimester, you can use an antihistamine, as a last resort, and preference should be given to second- or third-generation drugs that do not have a side effect in the form of drowsiness. Erius is an antiallergic drug that is used to treat allergic reactions. The mechanism of action of the drug in the treatment of allergic cough is due to the inhibition of histamine receptors by blocking them, which does not allow histamine to show its activity. Due to this, there is no tissue edema, increased secretion of sputum and possible skin rash. The drug does not cause a hypnotic effect, like its predecessors, due to which it is widely used. During pregnancy, this drug has not been tested quite widely, so its use in the first trimester is not recommended. Erius is available in the form of tablets and syrup. Syrup for adults, as a more pleasant form, can be used one teaspoon twice a day. Side effects of the drug are possible in the form of dizziness, headache, increased heart rate, liver dysfunction with an increase in liver enzymes, dry mouth and throat. This drug can be recommended in case of severe allergic reaction, but not for systemic use.

Cold and sore throat pills are widely used during pregnancy, since respiratory diseases are the most common among pregnant women. It is recommended to take those drugs that, along with a pronounced effect, have the least impact on the fetus.

The most recommended lozenges for sore throat during pregnancy are lozenges that have a long-term local effect. Throat lozenges coat the mucous membrane of the epithelial lining of the respiratory tract well, and therefore improve the severity of a cough if it is wet. Similar lozenges are used, the same as syrups - Doctor MOM, Faringosept, Mucaltin. Such lozenges, due to their rich herbal composition, have an expectorant and bronchodilator effect, and also relieve swelling of the mucous membrane, reduce the severity of the inflammatory reaction. Due to such effects, phlegm is better removed, transforming a dry cough into a wet one with the fastest resolution of the situation. Isla-Moos are lozenges that have a pronounced local effect on coughing and help reduce it. This drug is developed on the basis of Icelandic moss extract and due to this, it additionally acts on dryness and sore throat. The local immunomodulatory effects of this drug are also expressed, which increases its effectiveness in the treatment of cough as a symptomatic remedy. The drug is available in the form of lozenges and is used throughout the day when feeling a rough cough or sore throat, it can be taken every two hours, but not more than the daily dose of twelve tablets. No side effects of the drug have been found, use during pregnancy has no teratogenic effect. Therefore, as cough tablets during pregnancy, it is possible to recommend herbal tablets - Isla-Moos, Faringosept, Mucaltin.

When a woman's overall immunity decreases, local defenses also decrease, which contributes to a decrease in the activity of beneficial microorganisms with the proliferation of pathogenic ones. This is how one of the common diseases that worries pregnant women develops - fungal vaginitis, or thrush. This is a pathology that is characterized by the proliferation of fungal flora of the vagina with the development of corresponding clinical manifestations. Thrush is the most common pathology that occurs in pregnant women and is characterized by damage to the genitals. This requires the fastest possible treatment, but at the same time, the drug must be safe for the child. Tablets for thrush that can be recommended as a treatment are vaginal suppositories Clotrimazole. The drug does not have a systemic effect on the body even during pregnancy due to its minimal absorption. At the same time, taking the drug is contraindicated in the first trimester, since in the process of laying down the organs of the fetus, any effect, even with local treatment, can be teratogenic. Therefore, clotrimazole can be used during pregnancy, as it is very effective against many fungal infections, but it should only be used in the second and third trimester.

Another representative for the treatment of thrush is Nystatin. The drug Nystatin in the form of suppositories used to be the "gold standard" for the treatment of candidiasis, but over time the standards were revised due to the formation of fungal resistance to this drug. Today, they are returning to it because microorganisms have "forgotten" this drug a little and it is highly effective. Suppositories with Nystatin are a drug that has an antifungal effect, which is especially pronounced against yeast-like fungi. The mechanism of action of suppositories with Nystatin is the destruction of the cell membrane of the fungus. This occurs due to the fact that the molecule of Nystatin has many substances that are similar to the sphere of substances in the membrane of the fungus, and Nystatin is embedded in its membrane, thereby disrupting the work of cellular pumps. As a result of these processes, the normal ionic composition of cellular and extracellular structures is disrupted, which promotes the penetration of sodium ions into the cell, and then water. In this case, the cell disrupts its work and lysis of cellular structures occurs, and then the fungus dies, which stops the reproduction of the fungus. Suppositories with nystatin have only a pronounced local effect, are not absorbed into the systemic bloodstream. This allows us to assume the possible use of suppositories with nystatin during pregnancy. Considering the still not complete safety of the drug, Pimafucin can be considered the "gold standard". This drug is considered safer and is more widely used in pregnant women.

Anti-nausea pills during pregnancy are in high demand, since nausea is one of the symptoms of early gestosis. Therefore, it is necessary to differentiate the choice of the drug during this period.

Medicines that have a central direct mechanism of action - Cerucal - are contraindicated for use for self-medication in the early stages, and even in the later stages, they can only be used in a hospital. In order to relieve the gastrointestinal tract and reduce the severity of symptoms, you can only take sorbents and some hepatoprotectors.

Smecta is a natural sorbent that can adsorb viruses and bacteria, and also has a protective effect by stabilizing the mucous-bicarbonate barrier and increasing the amount of mucus. The drug reduces the symptoms of bloating and heartburn. Available in 3 gram sachets.

The drug can be used during pregnancy and lactation, since it is not absorbed, but excreted unchanged. Its use can reduce the severity of nausea, so at home, before consulting a doctor, you can take it yourself.

Heartburn is a common symptom that can occur in late pregnancy due to increased pressure in the abdominal cavity and pressure on the stomach from the enlarged uterus, which contributes to the reflux of acid into the esophagus and causes its irritation. This is due to the fact that the digestive system during pregnancy, due to the influence of hormones - prostaglandins - changes in such a way that hypotension of the gastrointestinal tract occurs. In this case, the lower esophageal sphincter cannot contract normally and its atony or involuntary relaxation occurs, which contributes to the reflux of acidic contents of the stomach. Increased reflux in late pregnancy also occurs due to the enlarged uterus, which presses on the stomach and intestines. This is accompanied by complaints of heartburn, nausea, vomiting.

Heartburn tablets during pregnancy that are recommended in this case are antacids, which include Rennie, Gaviscon, Maalox, Phosphalugel, Almagel. These drugs are practically harmless during pregnancy, since they do not have a systemic effect, but only neutralize the acid in the stomach. They also create a protective film that protects the mucous membrane from irritation and the feeling of heartburn disappears. One of the representatives is the drug Rennie. The drug is available in chewable tablets with different pleasant fruit flavors, which further inclines to choose this drug, although this is a subjective characteristic. The mechanism of action of the drug lies in its protective effect on the stomach and its antacid property. The drug contains active substances in the form of calcium carbonate and magnesium carbonate, due to which the effect of the drug is expressed. The active components of the drug after they end up in the stomach, contribute to the combination with hydrochloric acid radicals and as a result, it is neutralized with the formation of calcium and magnesium salts. This is how the neutralizing ability of the drug is revealed. An additional effect of Rennie is protective. It is explained by the stimulation of bicarbonate synthesis in the stomach cavity under the influence of magnesium, which helps protect the mucous membrane from aggressive factors. No direct teratogenic effect of Rennie has been identified; it is able to penetrate the fetoplacental barrier only in the smallest concentrations in the form of calcium and magnesium compounds, which proves that this drug can be taken during pregnancy. But a side effect of this type of drug is often observed - the opposite effect in the form of increased symptoms without taking drugs, so their constant use is not as effective as episodic.

Worms are an unpleasant pathology that often bothers women during pregnancy, since the background of the reduced immunity of the pregnant woman creates conditions for the favorable reproduction of these parasites. The issue of treating this pathology during pregnancy is individual. Sometimes it is not worth treating them during the process of bearing a child, and sometimes it is necessary. In any case, the use of antihelminthic drugs in the first trimester of pregnancy is not recommended, since they have a high risk of complications.

Anti-worm pills during pregnancy should be taken only after the woman's body has been prepared in the form of detoxification of the gastrointestinal tract, so the immediate use of any drug at home is not justified. But Pirantel is recommended and most often used. This drug has no proven harm to the fetus, but it also has no evidence base for use during pregnancy, so its use in the first trimester is not recommended.

Antiviral tablets approved for use during pregnancy are a very limited list of drugs, since while possessing an antiviral effect, the drugs also have a pronounced effect on the fetus. One of the most acceptable antiviral drugs that can be taken during pregnancy is Erebra. This is a herbal antiviral drug based on sea buckthorn extract, which is very effective against various viral diseases - influenza virus, parainfluenza, adenovirus, respiratory syncytial virus. Therefore, due to its herbal basis, such a drug can be recommended as an antiviral and its effectiveness is most pronounced for the prevention of influenza and in the treatment of the early stages of the disease.

Tablets that can be taken during pregnancy have a very limited use, since it is important not only to cure a particular pathology in a woman, but also not to harm the child. Therefore, it is necessary to be careful with self-medication, and also to take drugs only when absolutely necessary. Thus, it is better to prevent the occurrence of pathology before pregnancy than to treat it later with danger to the child.

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