A large part of pregnant women take a drug during pregnancy, either because they had previously taken it for a previous pathology, or because it was recommended to them, thus it is estimated that more than 80% of pregnant women took a drug during their pregnancy.
It is never advisable to self-medicate, but especially in pregnancy, since pregnancy involves important changes that can affect the action of these drugs or the health of the baby.
What does the doctor consider when prescribing or evaluating an already prescribed medication for a pregnant woman?
- Once the existence of the pregnancy is known, the medications that the woman previously took are reviewed. Some medications are contraindicated from the beginning of pregnancy.
- Prescribe only the absolutely necessary drugs.
- Try not to prescribe drugs in the first trimester, the most delicate moment and when you have to be more careful with some medications.
- Use drugs that have been proven safe in pregnancy, using whenever possible the drug alternative that carries the least risks.
- Use the lowest dose of the drug at which it is effective for the pregnant woman.
- Pay special attention to possible contraindications.
One of the drugs most frequently used to self-medicate are pain relievers or anti-inflammatories. They are used to treat the symptoms of other infectious, traumatic diseases etc ... (sore throat, sciatica, low back pain, headache ...), so their presence at some point in the course of a pregnancy is common.
The drug of general choice as an analgesic and antipyretic is paracetamol, although its use in prolonged treatments with high doses is not recommended. The use of aspirin or is not advised, and that of others like ibuprofen, naproxen, diclofenac, and metamizole they must be carefully evaluated for use in pregnancy.
Analgesic drugs derived from opioids (morphine, codeine ...)They can be used during the first two trimesters of pregnancy (but their use during the last trimester is not recommended due to the risk of causing respiratory problems in the newborn).
It is especially important to tell the doctor if they are taken migraine drugsMany of them are contraindicated since they have a high risk of producing malformations in the baby.
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