Over-the-counter medicines

Whether you have a headache, a cold, or a pinch somewhere: Before you take any medicine during pregnancy, you should get your doctor's doctor confirm that your medicine of choice is harmless is. Because even a simple cold remedy can contain substances that are not good for your child. If you suffer from any of the conditions listed below, check beforehand that the usual medications - over the counter or prescription - are safe for you and your baby.

Pain

Few women go through pregnancy without a single headache or backache. Unfortunately, you are very limited in the choice of painkillers:

Aspirin is second-line drug as a painkiller in pregnancy. However, it should only be taken until the 28th week of pregnancy, a later regular intake could have a negative impact on the heart and circulatory system of your child. However, if you have had another miscarriage or pre-eclampsia, your doctor may prescribe aspirin in a low dose. These small amounts of aspirin can be safely taken throughout the pregnancy according to the doctor's instructions! A few weeks before delivery, especially if a caesarean section is planned, your doctor will advise you to discontinue aspirin, otherwise there may be an increased tendency to bleed.

Ibuprofen is one of the analgesics of choice in addition to paracetamol in the first two-thirds of pregnancy. From the 28th week of pregnancy, it should no longer be taken because it may have a negative impact on the heart and circulatory system and kidney function of the child.

Paracetamol is generally considered harmless and well tolerated as long as you follow the recommended dosage and only take it occasionally. It is one of the means of choice for pain and fever during pregnancy.

Avoid stronger analgesics that combine one of the above ingredients with other analgesics (painkillers). If you suffer from migraine, ask your doctor for a harmless drug.

Acne and blemishes

Benzoyl peroxide and salicylic acid are common ingredients in over-the-counter ointments.These can be used safely during pregnancy. The ointments work by loosening dead skin cells and clearing up clogged pores. However, if you use oral acne medication, you should consult your doctor. Isotretinoin, a derivative of vitamin A prescribed by some dermatologists, must not be taken during pregnancy, as it can lead to birth defects in the baby. You should leave it at least four weeks before you start planning your family. More suitable for acne therapy may be some antibiotics. The antibiotic erythromycin can be taken during pregnancy and clindamycin and doxycycline can also be used as second-line antibiotics if the doctor deems it necessary. However, doxycycline should not be taken after the 16th week of pregnancy, as it may lead to yellowing of the teeth.

Colds

Many decongestants contain ephedrine, which can increase your blood pressure and is not recommended during pregnancy. Instead, take ointments or drops that contain decongestant oils, such as menthol or eucalyptus. Put a few drops into a bowl of hot water and inhale the steam for ten minutes. That should help you get a clearer mind.

Constipation

Constipation is a typical pregnancy problem. The reason is the slower transport of food through the intestine, triggered by the production of the hormone progesterone, which is increased in pregnancy. Iron supplements can also cause constipation. You should not take laxatives during pregnancy. Instead, eat fiber-rich foods and drink more fluids. Special fiber drinks from the pharmacy are also harmless.

Cough

Consult your pharmacist before taking any cough medicine. Often these remedies are made up of many different active ingredients, some of which are not recommended for pregnant women. For example, some medications contain ephedrine, which can increase your blood pressure. The best way to cure a stuck cough is to inhale to release the mucus. If you have a dry, dry cough, you can take simple honey preparations. In the case of tormenting cough, dextromethorphan may be taken as a cough suppressant for a few days. Also, preparations containing codeine, you may use in the short term, if other measures have not helped.

Cystitis

If you have cystitis, be sure to consult your doctor, as this must be treated. Your doctor may then prescribe you an antibiotic suitable for pregnancy. To prevent inflammation, you should drink enough, even cranberry juice can be helpful.

Diarrhea

If you have an upset stomach during pregnancy, wait as soon as possible to see if your stomach calms down. If not, ask your doctor for advice. It is rarely necessary to take medication. If this is the case nevertheless, loperamide (Imodium) should be chosen. However, you should avoid long-term intake. To rebuild your weakened mineral balance, you can prescribe rehydrating (""water-saving"") salts and isotonic drinks.

Eczema

Use emollients, such as water-based creams, to control your eczema You may also want to use Hydrocortisone Ointment to soothe an occasional flare-up of the inflammation, but if you have a skin infection you should get a non-toxic antibiotic from your doctor.

Influenza

Staying on paracetamol-based medication Paracetamol-containing combination drugs may also be used promptly during pregnancy.

Heartburn and Indigestion

During pregnancy, your body produces the hormone progesterone to help maintain pregnancy, a side effect This hormone is that it is the sphincter at the E In addition to your stomach relaxed and your digestion becomes sluggish. In addition, the weight of your growing baby and uterus presses on your stomach, causing gastric acid to be forced back into the esophagus - resulting in uncomfortable heartburn. First, try simple antidotes, such as a glass of milk or mint tea. If that does not help, you can occasionally also take acid binders containing aluminum and magnesium - but only after consultation and dosage instructions from your doctor. If you have high blood pressure, ask your pharmacist for a low-sodium product. If antacids do not help, the doctor may also prescribe H2 blockers. The best studied of these is ranitidine during pregnancy. Also read the tips that helped other BabyCenter readers.

Hay Fever and Allergies

If taking antihistamines is necessary, you should take cetirizine or loratadine because they are best studied in pregnancy. It is best to discuss with your doctor what remedy to take. (Read more in our article on hay fever in pregnancy)

Psoriasis

You can use emollients to help control discomfort. If possible, you should not use coal tar and dithranol ointments during pregnancy. Salicylic acid ointments and weak corticosteroids may occasionally be used. However, some prescriptions, such as acitretin or methotrexate, are dangerous for the pregnant woman and the child and should be avoided at all costs.You should consult your doctor in any case beforehand.

Vaginal Fungal Infection (Candidosis)

Although antifungal ointments containing clotrimazole or nystatin are safe to use during pregnancy, your pharmacist will refer you to your gynecologist. These must first determine if it is not a worse infection that could harm your baby. If you suffer from fungal infections over and over again, he / she will take a test to see if it's possible that you have gestational diabetes. Oral anti-fungal agents should not be taken during pregnancy.

If you need to take regular prescribed medications

If you need to take regular medications, for example, if you have epilepsy or diabetes, talk to your doctor before you are due to conceive. The active ingredients may enter the baby's bloodstream through the placenta and be detrimental to its development. So it's very important to check a medicine before you take it. ""Your doctor is able to tailor the medical treatment to your condition, and in many cases you can continue to take the medication, albeit perhaps in a different dose ""explains pharmacist Martin England.

More information can be found at www. embryotox. de, the information page of the Pharmacovigilance and Counseling Center for Embryo Toxicology. This website for drug safety in pregnancy and lactation belongs to a publicly funded (among others by the Federal Ministry of Health), independent institute, which cooperates among other things with the Charité.

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