Common diseases and drug use during pregnancy

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All drugs affect your body in some way. For this reason, you need to be more careful about the use of drugs when you are pregnant. Do not use any medicine without consulting your doctor. Do not use all medicines recommended or prescribed to you, including herbal medicines, without consulting your doctor following your pregnancy. Change the drugs you are taking regularly with drugs that will not harm during pregnancy, by consulting your doctor before getting pregnant.

What medicines can I take during pregnancy?

Many pregnant women do not know which drugs to use safely. Below are some drugs that can be used safely in some common health problems: Never use drugs without the knowledge of your doctor.

Medicines containing paracetamol for headaches, muscle aches and mild fever (Minoset, Vermidon, Termalgine)

In cases of cold, runny nose, flu and similar situations, saline nasal drops or ocean water sprays (Berkofiz nose drops, Sterimar solution) Benadryl lotion or tablets can be taken within the first 3 months in cases where it is very necessary. Sudafed can be used after 3 months. Do not use nasal drops that contain substances that contract the vessels (vasoconstrictor), such as otrivin, iliadin.

For sore throat, pain when swallowing, gargle with slightly salt water or lozenges (strepsils-bepanthene)

You can take benadryl tablets for allergic ailments.

Syrups containing dextromethorphan or guaifenesin can be taken for cough. However, the best treatment for cough is to drink plenty of fluids.

You can take antacid drugs for heartburn and gas complaints (Talcid tablet, Rennie tb, Rennie Duo Syrup, Gaviscon Tablet).

Local anesthesia drugs that do not contain epinephrine can be used for dental treatments. Paracetamol can be used for pain.

Antibiotic use during pregnancy is a very special situation and should not be used unless necessary. Some antibiotics should definitely not be used: Tetracycline, Doxycycline (tetradox tb, monodox tb), Ciprofloxacine (cipro ), Ofloxacine (oflocide), Cotrimoxazole (Bactrim .. Should not be taken for the first 3 months).

If antibiotic use is necessary, penicillin group and cephalosporin group drugs should be preferred.

What will you do when you have the flu or a cold?

Influenza is a disease caused by viruses and spreads rapidly to the environment. Complaints usually increase in a few days. There is no definite cure for this disease. Antibiotics do not cure this disease. You can take the medicines listed above according to your complaint.

When you have a cold or flu while pregnant, do the following:

get as much rest as possible

Drink plenty of fluids.

You can get vitamin C

You can use paracetamol for sluggish malaise (up to 3-4 tablets per day)

Nasal spray can be used in case of nasal congestion.

When should you call your doctor?

Please call your doctor if you have the following symptoms:

If you have a high fever (more than 37.5°C) with skin color changes

If you cannot take fluids for more than 24 hours or if you have a feeding problem

Continuing difficulty in swallowing and persistent sore throat

Headaches that do not improve with pain medication

If green-yellow sputum is produced with coughing

If you have difficulty breathing, chest pain.

Brief Information on Drug Use

There is no statement that “it can be used safely during pregnancy” in the package insert of any drug. This is not always because the drug is unsafe or harmful. Generally, the reason is that the experiments on the use of drugs during pregnancy and their harm to babies cannot be done ethically.

Medicines are examined in 5 main groups according to their harm to babies.

Group A. When the mother uses the drug, it does not have a negative effect on the baby.

Group B. Can be used during pregnancy. There are no studies showing that it causes anomaly.

Group C. It should not be taken during pregnancy unless absolutely necessary.

Group D. It should definitely not be used by pregnant women. It is known to cause anomaly (injury) in animal experiments. There are not enough studies in humans.

Group X. It should definitely not be used by pregnant women. Anomaly (disability) in humans has been shown in his studies.

It is necessary to stay away from drug use as much as possible, especially in the early period (within the first 3 months) of pregnancy.

Medicines used before you know you are pregnant usually do not cause any anomalies. In this case, the “all or nothing law” applies. In other words, if the drug does harm, either the baby is lost or the pregnancy ends in miscarriage. If this does not happen, the baby continues to develop normally and there is no disability in the baby.

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