Health

Ibuprofen during pregnancy - friend or foe?

The quality of life of any person is largely determined by how he feels. Pain, fever and other unpleasant symptoms of various diseases can seriously ruin the existence and even lead to aggravation of the situation. If an ordinary person can get rid of these feelings by taking a pill of his usual painkiller or antipyretic medication, then during pregnancy a woman should carefully weigh the pros and cons of taking a certain drug and know if it can be taken. Ibuprofen is considered one of the safest medicines, but you should figure out whether you can drink it while in an interesting position.

Ibuprofen during pregnancy: whether or not

Being a non-steroidal anti-inflammatory agent (NSAID), Ibuprofen helps to cope with pain and high temperature well. But there is currently no unequivocal opinion about his safety when taking during pregnancy. Studies conducted on animals and pregnant women have not proven its effect on the incidence of congenital anomalies or damaging effects on the fetus, especially when taken once. At the same time, it was established experimentally that Ibuprofen can block the formation of hormones in the fetus, and this can lead to a violation of the reproductive health of the baby.

The instructions for use of the drug Ibuprofen said that it should not be taken in the III trimester of pregnancy. First of all, doctors justify this by the fact that taking the medicine at this time often leads to early closure of the arterial duct in the fetus. The arterial duct is the connecting organ between the pulmonary artery and the aorta. When a child is born, its lungs begin to expand, the concentration of oxygen in the blood increases, and this leads to a narrowing and gradual closure of this duct. Intrauterine closure of the ductus arteriosus is accompanied by an increase in the chambers of the right heart and pulmonary artery, as well as the opposite normal blood flow.

Also, taking Ibuprofen in the third trimester of pregnancy leads to a decrease in the number of amniotic fluid. Systematic administration of the drug during this period can lead to abnormalities in the kidneys in the fetus.

Ibuprofen in the I and II trimester of pregnancy is not prohibited by the instruction. But some doctors still caution against its use, as there are assumptions (not confirmed by numerous studies, but still recorded) that taking this drug and other medicines containing the same substance in the composition can lead to miscarriage, cardiovascular development. -vascular system and other pathologies. But I will once again emphasize that all the listed phenomena are not clinically proven and were caused by prolonged or exceeding the recommended dosage of the drug. Therefore, most doctors do not prohibit taking Ibuprofen as a pain reliever and lower the temperature of the drug for a short time. But it is recommended, if possible, to replace it with Paracetamol, which is less dangerous with respect to the effect on the fetus.

According to the classification of drugs adopted by the FDA (Food and Drug Administration in the USA), Ibuprofen belongs to the following drugs:

  • When used in the I and II trimester of pregnancy. This means that, according to animal tests, no risk to the fetus was identified, and no control studies involving pregnant women were conducted, or side effects occurred during animal tests, but in clinical studies in humans, the risk to the fetus was not confirmed;
  • D when taken in the III trimester of pregnancy, that is, there are good reasons to consider the drug dangerous for the fetus.
Ibuprofen can be taken during pregnancy, but only according to indications and observing the dosage and duration of intake

General information about the drug Ibuprofen

Ibuprofen belongs to the group of NSAIDs and non-narcotic analgesics. Acting is the same substance. Its main action is aimed at removing the heat, pain and elimination of inflammatory processes in the body. Ibuprofen is based on the fact that this drug reduces the production of prostaglandins, which are the cause of pain in any inflammation. The removal of heat occurs due to the fact that the excitability of the thermoregulating centers of the diencephalon decreases.

The active substance begins to act quickly: approximately half an hour after taking the drug. The maximum amount of ibuprofen in the blood is observed 1-1.5 hours after the tablet was drunk.

The release form of Ibuprofen may be different:

  • pills;
  • capsules;
  • effervescent tablets;
  • suspension;
  • rectal suppositories;
  • gel;
  • ointment.

Candles and suspensions are prescribed to treat children. Adults are recommended to take other forms of the drug. When stretching muscles or bruises, accompanied by severe pain, you can use gel or ointment, which have a local analgesic effect. It should be remembered that in whatever this drug form, it can not be used in the III trimester of pregnancy.
The differences between the gel and the ointment are in the texture of the drug, as well as the duration of action. The gel is absorbed better and faster and, accordingly, acts faster. While the ointment penetrates the tissue more slowly, but the effect of the drug lasts longer.

In many forums, you can read the advice to take pregnant form of the child. Allegedly, the harm from such drugs is less than from adults. But this opinion is erroneous, since the composition of Ibuprofen is the same in both child and adult forms. Only the concentration of the active substance, which is several times less in preparations for children, differs. The use of such dosages usually does not bring relief to an adult, as they are too small. Apply children's form of drugs, of course, possible. But only in the absence of the drug with an adult dosage. Otherwise it is irrational. Because for the onset of the therapeutic effect, you need to drink a double, or even a triple dose of child medicine.

Ibuprofen is available in several forms.

Indications and Contraindications

Indications for use of ibuprofen are:

  • inflammatory and degenerative diseases of the joints and spine: osteoarthrosis, rheumatoid arthritis, juvenile rheumatoid arthritis, ankylosing spondylitis (Bechterew's disease) and other spondylarthritis, osteochondrosis, spondylarthrosis and other pain syndromes associated with the spine;
  • articular syndrome in systemic connective tissue diseases;
  • inflammatory diseases of soft tissues (tendovaginitis, bursitis and others);
  • gouty arthritis;
  • post-traumatic and postoperative pain and inflammation;
  • pain, inflammatory syndromes in gynecology, otorhinolaryngology;
  • fevers with colds, flu;
  • headache, toothache.

In most cases, pregnant women are recommended to take this drug for headaches and high fever above 38 выше C.

You can not take ibuprofen and other drugs with the same active ingredient for:

  • gastric and duodenal ulcer in the acute phase;
  • severe disorders of the liver and kidneys;
  • diseases of the optic nerve;
  • hemophilia and other blood clotting disorders (including hypocoagulation), hemorrhagic diathesis;
  • recovery after coronary artery bypass surgery;
  • attacks of asthma, rhinitis, urticaria after the use of acetylsalicylic acid or other nonsteroidal anti-inflammatory drugs;
  • hypersensitivity to the drug.

Very carefully and only under medical supervision, this drug is used for:

  • the presence of erosive and ulcerative lesions of the mucous membrane of the gastrointestinal tract or bleeding from the gastrointestinal tract in history;
  • congestive heart failure;
  • hypovolemia (decrease in circulating blood volume);
  • weakened condition of the patient;
  • taking anticoagulants and diuretics.

The use of external products, which include ibuprofen, is prohibited if there is damage on those areas of the skin where you want to apply the medicine.

Ibuprofen has a number of contraindications.

Side effects

Most often, with the right dosage, Ibuprofen does not cause any side effects. But symptoms such as:

  • nausea;
  • flatulence;
  • constipation;
  • heartburn;
  • diarrhea;
  • dizziness;
  • headache;
  • excitation;
  • insomnia;
  • skin allergies;
  • increased blood pressure and heart rhythm disturbances, heart failure;
  • visual impairment.

It is extremely rare, but erosive and ulcerative lesions of the gastrointestinal tract occur.

Interaction with other drugs

Take at the same time 2 drugs that belong to the group of NSAIDs, it is impossible. This may cause damage to the stomach lining. There are also a number of drugs that are also not recommended to be combined with ibuprofen.

Table: Drug Interactions with Ibuprofen

Anticoagulants and antiplatelet agentsincreased risk of bleeding
Barbiturates and antidepressantsincreased risk of intoxication
Caffeineincreased analgesic action of ibuprofen
Methotrexateincreased risk of side effects
Diureticsdecrease in diuretic effect; in patients with dehydration - increased risk of developing acute renal failure
Potassium-sparing diureticsincreased potassium concentration in the blood
Antihypertensive drugsreduced effectiveness of the latter
Cyclosporineincreased kidney toxicity
Lithium and digoxin preparationsincrease their number
Hypoglycemic drugsenhancing the effect of lowering blood sugar
Rifampicinincreased risk of intoxication
Estrogens and Ethanolincreasing their side effects
The simultaneous use of certain drugs with ibuprofen can lead to a change in the effectiveness of both, and even increase the side effects of drugs.

How to take ibuprofen

In the instructions for use indicated that the adult treatment regimen is a reception of one tablet 200 mg 3-4 times a day or one tablet 400 mg 2-3 times a day. It is important that the daily dose does not exceed 1200 mg. The duration of treatment rarely exceeds 5 days. Sometimes the doctor may increase the duration of the course or adjust the amount of the drug taken.

In pregnancy, a single dosage corresponds to the amount of the drug for a single reception of an adult, that is, 1 tablet of 200 or 400 mg. As mentioned above, the expectant mother should not use this drug for long-term treatment. It is necessary only in emergency cases, for example, with severe headache or fever.

Despite the fact that most of the sources indicate exactly such an acceptable dosage, I think that it is better to limit yourself to a smaller amount of medication.

Consumption of more than 800 mg of Ibuprofen per day should be coordinated with your doctor. There should be at least 4 hours between tablets.

To reduce the intensity of the drug on the gastrointestinal tract, Ibuprofen should be drunk after a meal, drinking plenty of water.

The use of ointment and cream involves applying a thin layer of the drug on the inflamed area of ​​the body 2-3 times a day.

Although Ibuprofen is sold in pharmacies without a doctor's prescription, it is not recommended to prescribe it yourself. Be sure to consult with your doctor, who will prescribe the necessary dosage and tell you how long to drink the medicine.

Video: Ibuprofen during pregnancy

What can replace Ibuprofen

Analogs similar in composition to Ibuprofen and possessing all its characteristics (including contraindications) are:

  • Nurofen. Its cost is much higher than that of Ibuprofen. For example, the cost of packing Ibuprofen tablets is about 35 rubles, and Nurofen - about 170 rubles. The drug is available in several forms: tablets, capsules, suspensions.
  • Ibuprom Find this medicine in Russian pharmacies will not work. But it is not terrible, because the tool has many analogues available for the Russian buyer. Available in pill form.
  • Faspik. Available in tablet form and in the form of granules for preparing a solution with different flavors. The tablets have a dosage of 400 mg, and the granules are packaged in sachets, the contents of which suggest the presence of the active substance in the amount of 200, 400 and 600 mg. The cost of tablets is about 105 rubles for 6 pieces. A pack of 12 sachets of granules - about 130 rubles.

The dosage of these drugs corresponds to Ibuprofen: a single dose of 200-400 mg.

A functional analogue, that is, similar in action, but different in composition, is Paracetamol and preparations that contain the eponymous substance (Panadol, Efferalgan). Paracetamol-based preparations are available in the form of tablets, capsules, rectal suppositories, suspensions, effervescent tablets.

Paracetamol is a safer way to relieve pain and heat in a pregnant woman, but not as effective. Contraindications to its reception are:

  • hypersensitivity to the active substance;
  • "aspirin triad" (a combination of intolerance to NSAIDs, bronchial asthma and recurrent nasal polyposis);
  • inflammatory diseases, erosion and ulcers of the gastrointestinal tract;
  • gastrointestinal bleeding;
  • severe renal impairment;
  • diagnosed hyperkalemia (abnormally high concentration of potassium in the blood);
  • recovery after coronary artery bypass surgery.

A single dose of Paracetamol is 1 tablet with the amount of the active substance 200 mg. In rare cases, doctors may allow you to increase a single dosage to 2 tablets. But this is practiced extremely rarely, since despite the fact that the drug is relatively safe, it is still better to minimize the amount of drugs taken during pregnancy.

Although Paracetamol is less dangerous for a pregnant woman to take, its use should not be systematic. Only single dosages are safe.

Paracetamol is safer than ibuprofen

Folk remedies for pain and heat

Many pregnant women still try to do without pills. In case of fever or headache, they use popular recipes to relieve these symptoms. The action of herbs can really help in reducing the temperature, but only if its rate does not exceed 38-38.5 ° C.

First of all, you need to remember that tolerating high temperatures is very dangerous for the fetus and mother. Therefore, when raising the thermometer mark above 38 ° C, it is necessary to take measures to reduce the temperature. The main principles in this process are to prevent dehydration and natural heat loss. Therefore, it is necessary to provide the pregnant woman with abundant drinking and allow the body to lose excess heat, that is, not to wrap up in ten blankets, and, if possible, leave at least a minimum of clothes.
Well helps to cope with the temperature decoction of lime. To prepare it, you need 4 g of dried linden inflorescences, pour 2 cups boiling water and leave for 5 minutes. The resulting infusion filter, divided into 3-4 parts and drink during the day.

Linden tea helps to reduce the temperature

Also, when the temperature rises, many recommend drinking tea with raspberries. It is important to drink this drink is not hot, but warm. Otherwise, the temperature will increase instead of decrease. To prepare tea with raspberries, you can use fresh or frozen berries, leaves or jam from this berry. Fresh or frozen berries need to be filled with boiling water, let it brew a little and drink no more than 4 cups per day in a warm form. No less useful are raspberry leaves. They can be brewed as ordinary tea, adding to brewing or brewing separately. If you have only raspberry jam on hand, then you can also add it to tea or simply eat it in small portions with a warm drink. One or two teaspoons of jam at a time will be enough.

Strengthen the action of raspberry will help the combination of this berry and lime blossom. To prepare such a drink you need 1 tsp. Linden flowers and 1 tbsp. l raspberries pour 1 cup boiling water and let it brew for 5-10 minutes. Drink this infusion can be no more than 4 cups a day.

Raspberry tea does not need to drink hot

From the pain of tea helps calendula or lemon balm. For its preparation you need 1 tbsp. l Inflorescences of calendula or melissa leaves pour 0.5 liters of boiling water and let it stand for 15 minutes. Strained drink, you can drink 100 ml 3 times a day.
With severe headaches, you can try to make an infusion of cinnamon. To prepare it, you need 1 g of cinnamon powder, pour boiling water and let it brew for half an hour. After adding a little sugar, the resulting drink should be drunk every hour.

Reviews on the use of ibuprofen during pregnancy

When I got it, the doctor said to drink ibuprofen. He answered the question about harm - choose the lesser of two evils. Длительная боль может вызвать тонус и кислородное голодание плода, чем это вредно - все и так знают, а таблетка - одноразовое использование. Выпил и забыл о боли.

Nimfa

//deti.mail.ru/forum/v_ozhidanii_chuda/beremennost/ibuprofen_pri_beremennosti/

I neuropathologist prescribed Ibuprofen, because I was always tormented by headaches, and during pregnancy it was generally a nightmare. Apparently, this is due to pressure, because often headache "on the weather." So the neuropathologist said that Ibuprofen is safe in 1-2 trimesters, studies have shown that it does not affect the fetus. It can even be lactating, and lactating, as you know, is almost impossible at all.

Olga

//www.tiensmed.ru/news/ibuprofenus2.html#pod32

I prescribed ibuprofen a doctor during pregnancy. And to my question about the undesirable consequences I intelligibly explained that the inflammatory process in the mother's body can cause far more harm. But still, without the advice of a doctor, future moms will not recommend any medicine to you.

Alexandra

//www.tiensmed.ru/news/ibuprofenus2.html#pod32

Pregnancy 5 weeks !! Opened the gum over the wisdom tooth without anesthesia, hellish pain is already 4 days - it is absolutely impossible to tolerate, the cheek is swollen by 5 cm, so I put Nurofen children's candles before bedtime, one candle helps (I anesthetize for 15-20 minutes I can sleep). A friend during pregnancy (she did not know that she was pregnant) had surgery on the tooth - she and antibiotics saw and ketans swallowed in batches, but nothing, gave birth to a healthy girl! So once at a time it is not necessary ... And enduring the pain (I do not mean the headache) is undesirable, besides, if the pain is acute ...

Catherine

//www.tiensmed.ru/news/ibuprofenus2.html#pod32

I personally did not dare to take Ibuprofen. I am now in the sixth month of pregnancy. About two weeks ago my temperature rose, everything ached and ached, and all because of a cold. I went to the family doctor, he prescribed some herbal pills and Ibuprofen. Honestly, I bought the pills, but Ibuprofen was afraid. The temperature knocked conventional grind vinegar for two days

Vera

www.tiensmed.ru/news/ibuprofenus2.html#pod32

Ibuprofen is not prohibited to take in the I and II trimester of pregnancy. Single or short reception will not harm the fetus. But in the last 3 months it is better to refuse its use, replacing this drug with a safer Paracetamol.