It is not recommended to take any drugs during pregnancy, but sometimes you can not do without medications. In such cases, doctors can prescribe a woman medicines that have the least detrimental effect on the fetus. Among these drugs is No-Shpa. However, can we be sure that the use of “No-shp” during pregnancy in the 3rd trimester will not harm the baby? Let's get it right.
In what cases is No-Shpu used?
Everyone knows that “No-shpa” from headache during pregnancy has been used for a long time. However, is it so effective? In what conditions is this drug generally used?
The active substance of the drug is drotaverine. It is sold in its purest form. Its function is to relieve muscle spasm, reduce the tone of smooth muscles, reduce their motor activity and have an expanding effect on blood vessels.
"No-spa" for headaches during pregnancy is actively recommended by doctors. However, not everyone is of the opinion that it is safe for the mother and the fetus. There is evidence that after taking the drug, toxicosis intensifies, appetite worsens, weakness intensifies, and the heart rate increases. Experts conclude that you must be very careful when taking this tool.
Action "No-shp"
The use of "No-shpy" during pregnancy in the 3rd trimester may be due to the need to reduce the excitability of the uterus. In addition, the drug is used to relieve cervical spasm during childbirth.
The effect of the drug on the body of a pregnant woman is as follows:
- decrease in uterine tone;
- decreased contractile activity of the smooth muscles of the uterus;
- normalization of blood supply to organs.
However, the use of No-shpa during pregnancy is not limited to gynecological indications only. Very often it is prescribed to relieve pain in chronic diseases of the organs of the gastrointestinal tract in the acute stage, as well as in violation of the bile ducts and blood vessels.
The advisability of taking the drug during pregnancy is explained by a change in the hormonal background, which, in turn, can exacerbate a woman’s chronic diseases. A change in the location of internal organs due to an increase in the size of the fetus can also lead to this.
"No-spa" in early pregnancy
At the beginning of pregnancy, some women are prescribed a drug in the form of injections. Injections "No-shp" help to remove the uterine tone, which is observed with the threat of miscarriage. Therefore, this drug helps to relax the muscles, and this, in turn, is dangerous at a later date, as it can cause premature birth.
Among other pain syndromes, No-Shpa injections are used for the following diseases:
- cholecystitis;
- cholangitis;
- gastritis;
- colitis;
- gastric and duodenal ulcer;
- enterocolitis;
- cystitis;
- nephritis;
- pyelitis.
With these diseases, taking the medicine as an anesthetic is possible only after a detailed consultation with a doctor. Indeed, the removal of symptoms can, on the contrary, aggravate the clinical picture of the disease.
"No-spa" in late pregnancy
Despite the danger of using the drug in the later stages, it is still prescribed in some situations. For example, "No-shpa" during pregnancy before childbirth helps to prepare the birth canal for the passage of the baby through them. It has a relaxing effect on the muscles of the uterus, which contributes to its more rapid opening and facilitation of the process.
Some experts believe that the action of “No-shpa” before childbirth helps to reduce the pain of labor, makes the labor period shorter and prevents breaks. All this facilitates the position of the child and helps him less painfully pass through the birth canal.
"No-spa" during pregnancy in the 3rd trimester has another use. Usually closer to the appointed date of birth, a woman may experience training fights. To be sure that these sensations are false and not true, it is recommended to take a couple of No-Shpa tablets.
After some time, it will be possible to understand the authenticity of the contractions. If they were training, then the pain will subside. But if these are real labor pains, then taking pills will not change the situation.
Tablet form
In the instructions for use with No-shpe, the dosage of tablets is indicated from 80 to 240 mg per day. The optimal dosage is determined by the doctor. Usually, 1-2 tablets are prescribed three times a day.
In the instructions for use, the dosage of "No-shp" in tablets varies depending on the pain syndrome that must be neutralized. The minimum dosage is 80 mg, so 2 tablets are most often taken (40 mg are available).
Injections
Usually, to achieve the effect more quickly, especially in emergency situations, “No-shpu” is used in the form of injections. The instructions for the No-Shpy injections state that this dosage form is suitable for those patients who have lactose intolerance. It is she who is contained in the tablet form of the drug.
The instructions for injections "No-shpa" intramuscular dosage of the drug is indicated from 40 to 240 mg per day. Although the dosage of injections does not differ from the dosage of tablets, the effect of the drug administered intramuscularly occurs much faster. This plays an important role in emergency situations, for example, when there is a threat of miscarriage or during rapid delivery.
Usually, 40 mg of the drug is administered once during labor. If necessary, this manipulation is repeated after several hours. In some patients, the relaxing effect of “No-shpa” contributes to a more rapid opening of the cervix. In addition, the process itself is less painful, which allows you to save power for a decisive moment.
When muscles are relaxed by an antispasmodic, the likelihood of rupture of tissues and mucous membranes is much less.
The disadvantage of using No-shpa in injections is the formation of painful seals, which are called "infiltrates." They occur at the injection site, since the drug is administered intramuscularly. However, do not worry, because infiltrates resolve within a few months.
The time of excretion
Like any other drug, No-Shpa is removed from the body after some time. Absorbed quickly enough. After about an hour, the concentration of the drug in the blood reaches its maximum.
The active substance "No-shp" is able to bind to plasma proteins. In addition, the drug is metabolized in the liver. The time for complete elimination of metabolites through the kidneys is 72 hours.
How long does No-Shpa act? Since the drug is absorbed quickly enough, it begins to act in 10-15 minutes.
Effect on the fetus
"No-shpa" during pregnancy in the 3rd trimester is able to have some effect on the baby, however, this drug does more harm to the mother. By the way, in some countries of Europe this medication is generally prohibited.
Studies were conducted, during which it was revealed that with prolonged use of the drug in children, developmental delays were observed. The most noticeable negative consequences are speech problems in babies.
The use of "No-shpy" during pregnancy in the 3rd trimester in the reviews of women is indicated as a useful method. The ladies who used this drug as prescribed by the doctor note that it relieves painful sensations of various etiologies well. However, it must be taken with caution and only after consulting a doctor.
Does No-shpa do harm?
This drug, like any other, has its contraindications for use.
- "No-shpa" during pregnancy in the later stages can cause premature birth.
- If a woman has problems with the kidneys, heart, liver or pressure (in particular, if it is lowered), then taking the drug is not recommended.
- Allergic reactions to the active substance of the drug or to auxiliary components may occur.
Due to the presence of the contraindications listed above, the dosage of No-shpa during pregnancy in the 3rd trimester is determined only by the doctor. It also determines the feasibility of using this drug in each case.
In addition to the fact that during the period of bearing a child this medicine can increase toxicosis, reduce appetite, cause weakness and heart palpitations, in some cases it can cause postpartum hemorrhage. Therefore, the use of "No-shpa" or drotaverine in its pure form during labor is undesirable or should be carried out under the constant supervision of a doctor. Due to the ability of the drug to relax the smooth muscles of the organs, the uterus does not contract after childbirth, which causes undesirable bleeding in the postpartum period.
The studies revealed that the drug does not have an irreversible negative effect on the fetus during pregnancy. However, some European countries do not practice taking the drug during the period of bearing the child - their studies show that in children there is a delay in speech development in the future. Domestic researchers do not provide such data.
Another advantage of the medication is its ability to normalize the cardiac activity of the child. Women who were diagnosed with fetal tachycardia were given injections. According to the ultrasound scan, the pathology was neutralized.
Adverse Conditions
If a pregnant woman has not previously observed negative consequences after taking No-Shpy, then with the onset of pregnancy, everything can change. Therefore, it is important to know what side effects can trigger this drug. Among them:
- hypotension (lowering blood pressure);
- heart palpitations (tachycardia);
- abnormal heart rhythm (arrhythmia);
- dizziness;
- headaches;
- insomnia or drowsiness;
- digestive disorders (nausea, vomiting, constipation, diarrhea);
- skin reactions (itching, rash, irritation);
- angioedema (extremely rare).
No-Shpa and Papaverin: combined use
So, it has already been mentioned above how long the "No-shpa" acts. To enhance its effect, a drug is usually prescribed in conjunction with Papaverine.
Both No-shpa and Papaverin are quite well-known and effective medicines. They have long been among the first in the list of pain relievers.
"No-spa" is an antispasmodic of myotropic action, that is, it affects muscle cramps. Removing them and relaxing the smooth muscles, it thereby removes pain. It acts quite quickly, but still, in some cases, its use is accompanied by the administration of Papaverine.
Pregnant women are often prescribed an additional medication in suppositories, as this is the safest route of administration. In addition, with the use of rectal suppositories, the absorption of the drug is better and faster. At the same time, "No-shpa" is prescribed in tablets or injections. Undoubtedly, the fastest action from an injection.
As for the dosage, usually these are 2 No-Shp tablets 3 times a day and one Papaverine rectal suppository also up to three times a day. Compatibility of drugs is evaluated only by a doctor. Self-administration can harm both mom and baby. The most common unpleasant consequences are premature birth or, on the contrary, too slow labor due to the relaxing effect of antispasmodics on the cervix.
Analogs of "No-shp" during pregnancy
Each woman is individual, and the tolerance of drugs is different for everyone. This may affect the nature of drug therapy for pain. Despite the fact that No-shpa is a universal drug that is suitable for almost everyone, rare reverse cases are also observed. In such situations, it is necessary to replace the medicine. To do this, fit:
- Drotaverinum.
- "Droverin."
- Spazmol.
- The biosphere.
- Spazmonet.
- "Vero-Drotaverin".
- Nosh Bra.
If No-Shpa is a drug that has been tested over the years and which does not pose a danger to a pregnant woman, then the above analogues should be taken only after consulting a doctor. Replacing a drug is not allowed without consulting a specialist, especially if a woman is expecting a baby - in this situation it is very dangerous.
Reception "No-shpy" is not a teratogenic factor during pregnancy. That is why the drug is so common in medical practice. However, if it is possible to relieve pain without taking medication, then it is better to use it.
If a woman has no contraindications for taking this drug, then you can safely take it, after consulting with a doctor who will prescribe the necessary dosage. Usually in the first trimester he is prescribed as part of therapy aimed at maintaining pregnancy. However, there may be an application for the symptomatic elimination of toothache or headache. But the use of the drug, starting from the second trimester of pregnancy, is usually carried out only in a hospital setting. This is necessary to prevent negative consequences and speedy relief of emergency situations.