Features of the use of "Paracetamol" during pregnancy in the 3rd trimester
All expectant mothers know that during pregnancy many medicines can have a bad effect on the development of the fetus, provoking defects or even a miscarriage. But pregnant women have acute respiratory viral infections, toothache, cold, migraine or flu, because of which they may need a drug that can beat the temperature during fever and relieve pain, for example, Paracetamol.
Doctors call it safe for crumbs in the tummy, and the availability and effectiveness make this tool one of the most popular drugs for pain and heat. But before taking such medicine in third trimesterFor example, at week 32, the expectant mother should read the instructions and consult with her doctor.
What is this drug?
"Paracetamol" is a large group of drugs, which are abbreviated as NSAIDs, since they have an anti-inflammatory effect and have a non-steroid structure. The active substance of the drug, which is also called paracetamol, is able to influence the formation of prostaglandins - compounds that activate the inflammatory process, stimulate the rise in body temperature and support pain. The result of taking "Paracetamol" will be the return of body temperature to normal levels and a decrease in pain. But the anti-inflammatory effect of this drug is weak.
Pharmacies can meet "Paracetamol" in the following forms.
- In suspension. This option is usually bought for children, as it is easy to swallow and sweet to the taste, therefore there is usually the word “childish” on the package. For adults, it is less preferred because of the low dosage of the active substance in 1 spoon.
- In the candlelight. Such "Paracetamol" is presented in different dosages, suitable for both small children and adult patients. It is quite convenient to use, especially if there is nausea or vomiting. In addition, in this medicine the minimum number of components - in addition to the active component, it includes only the fatty basis.
- In effervescent tablets. This type of "Paracetamol" is absorbed faster than the active substance from the usual pill, therefore, is most popular with fever.
- In solution for injections. This form of medication is characterized by the fastest possible action, but is used mainly in the hospital, and the dose should be selected by a doctor.
- In tablets. This "Paracetamol" is most often used by adults. The tablets themselves are small, round and easily swallowed. In addition, they have a fairly long shelf life (up to 5 years), so this medicine is usually bought for a home first aid kit.
Is it allowed in the third trimester?
"Paracetamol" is considered a relatively safe medicine, which is prescribed at 28-40 weeks in such cases.
- If the future mother has a fever. Reception of "Paracetamol" is justified when the indicator on the thermometer is more than +38 degrees. In such a situation, which often occurs with viral infections, the child is at risk of hypoxia and intrauterine infection.
- If pregnant suffers from severe pain. "Paracetamol" can be taken to get rid of toothache, migraine, back pain, muscle aches, painful sensations during burns and so on.
At the same time, future mothers should remember that Paracetamol only relieves certain symptoms - pain and fever. And this is not always good. For example, a headache in a pregnant woman can be triggered by an increase in blood pressure, and taking Paracetamol tablets will not reveal this in time, which can be dangerous for both the woman and the fetus.
Therefore, before taking Paracetamol, it is recommended that you first consult a doctor.
How to use?
The doctor should give a dose of the drug for a particular woman, but most often, for a fever, Paracetamol is given at 500 mg per dose. As for pain, it is recommended to start with half of this dose (200-250 mg) to reduce the discomfort. If it is sufficient to eliminate the pain, then it is not necessary to increase the dosage. The maximum single dose for a pregnant woman is 1000 mg of the active substance.
To drink "Paracetamol" or use it in another way during pregnancy should be only as needed. This means that a pill, a candle or a suspension is used only for pain or when the temperature rises once. If the symptoms continue to bother you, it is permissible to take the medicine 3-4 times a day at intervals of at least four hours.
Do not exceed the dose of 4000 mg per day, as well as taking the drug for more than 3 days.
Can it hurt?
A woman's body may respond to Paracetamol with adverse symptoms. Although the reviews are rare, they sometimes cause an allergic rash, nausea, skin itching, abdominal pain and other ailments, which should be immediately reported to the doctor.
"Paracetamol" is harmful and in the presence of contraindications to the use of such drugs. For example, if the future mother has hypersensitivity to its components, then the drug will cause unpleasant symptoms of intolerance. It can not be taken in certain hereditary diseases, for example, in the absence of glucose-6-phosphate dehydrogenase in the body. Caution with the use of "Paracetamol" require patients with diseases of the stomach, liver, kidneys and many other pathologies.
Harm to the future mother and baby in the tummy can be caused by non-observance of dosages or excessively long reception. If you do not follow the recommendations of the doctor and exceed the doses indicated in the instructions, this will adversely affect the blood-forming organs, the liver and the gastrointestinal tract.
It is also important to take into account other drugs that are already taking pregnant, because they may be incompatible with Paracetamol, which also increases the risk of side effects.
Analogs
A full replacement for Paracetamol can be called Panadol, Calpol and Efferalgan, since the action of these drugs is due to the same active substance. They can be used in cases where "Paracetamol" was not in the pharmacy. But to replace this medicine with other NSAIDs should not be. Even ibuprofen medications approved at the beginning of pregnancy are prohibited in the third trimester. Medicines that include the combination of paracetamol with other active ingredients are not prescribed to expectant mothers either.
Doctor Komarovsky will tell about how to be treated for pregnant women in the next video.