The question of whether or not pregnant women should take various medications, if necessary, should be decided by each expectant mother with her attending physician. Only a qualified specialist can assess the potential harm to the fetus and the benefit to the woman's body - it is not worth focusing only on the information of numerous pharmacological reference books.
Instructions for the use of the vast majority of medications contain a separate paragraph on how the treatment of the chosen remedy relates to the bearing of a child, and almost always it indicates that taking the selected medication during pregnancy can negatively affect the development and condition of the fetus.
Today, only a small number of women manage to avoid taking medications while waiting for a baby, and NO-SPA during pregnancy is one of the most demanded drugs.
NO-SHPA during pregnancy - why the drug is prescribed
The main reason for prescribing the drug NO-SHPA during pregnancy is the treatment and prevention of spasms of various hollow organs, first of all - an increased tone of the smooth muscles of the uterus. The main active ingredient in this case is the antispasmodic drotaverin, which suppresses the contractility of muscle fibers. That is why most experts believe that NO-SHPA should be in every woman's home medicine cabinet during pregnancy.
You should not take the drug without special need - only when a pulling, long enough and impossibility of immediate consultation with a gynecologist appears, a woman can independently take no more than 2 tablets once.
In all other cases, the mode of administration of the drug, its dose and even the method of administration should be determined by a qualified doctor.
Studies devoted to the drug NO-SPA during pregnancy have shown that after 8 weeks of fetal development, the use of the drug, subject to the recommended dosages, is completely safe. The main reason for the appointment of the drug is a condition that is not only quite difficult for the woman herself due to the occurrence of pain sensations of varying intensity, but also adversely affects the condition of the fetus.
The reason for this is a temporary deterioration in blood circulation in the placenta and uterine vessels during muscle spasm - the child does not receive the necessary amounts of oxygen and nutrients from the mother's body, and metabolic products accumulate in his blood, the excretion of which is also disturbed.
Uterine tone can provoke abortion or premature onset of labor - this condition serves as one of the indications for hospitalization of a pregnant woman in a gynecological hospital or maternity ward, where therapy will be prescribed, one of the component parts which necessarily becomes NO-SHPA. If necessary, taking the drug can be recommended on an outpatient basis, but if a woman must visit a doctor and monitor her condition
If necessary, during pregnancy, any dosage form of NO-SPA can be prescribed, and, depending on the situation, the gynecologist selects the optimal route of drug administration.
- pills - ordinary (used most often) or forte (prescribed at the rate of 1 tablet of NO-SHPA forte for 2 tablets of a conventional drug), its effect begins in 30-40 minutes, but to accelerate the effect, the drug can be absorbed under the tongue
- suppositories for rectal administration - are prescribed very rarely (due to the inconvenience of use), although their effectiveness can be compared with the introduction of the drug in the form of an injection. The effect of the drug is clearly noticeable within 10-15 minutes after administration;
- injection - can be administered subcutaneously, intramuscularly or intravenously (depending on the doctor's prescription). The rate of development of the clinical effect of the application depends on how the solution is injected - with subcutaneous administration after 20-25 minutes, with the introduction into a vein - already at 4-5 minutes.
When prescribing the drug inside, the maximum daily dose of NO-SPA during pregnancy is 6 tablets (conventional). When prescribing any other dosage form of the drug, a single and daily dose is determined for each patient individually.
This drug can be prescribed by a gynecologist or doctors of related specialties, not only for increased tone musculature of the uterus, but also if a woman has the following extragenital pathologies:
- diseases of the digestive tract, which are accompanied by intestinal spasms, flatulence - colitis, enteritis, enterocolitis, gastric ulcer and duodenal ulcer;
- diseases of the urinary system - urolithiasis, which are accompanied by attacks of renal colic;
- respiratory diseases (very rare);
- diseases of the cardiovascular system - hypertension, neurocirculatory (vegetative-vascular dystonia).
In this case, the drug NO-SHPA during pregnancy can be prescribed only if no contraindications to its use are found.
Contraindications to the use of the drug can be explained both by the peculiarities of the course of the existing pregnancy, and by diseases that arose in a woman before her onset. The use of the drug NO-SHPA during pregnancy is unacceptable in the following cases: 
- conditions not related to pregnancy - the presence or individual intolerance to the drug, hypotension (a tendency to lower blood pressure);
- conditions that occur during pregnancy - isthmic-cervical insufficiency (pathology of the cervix);
- terms of pregnancy - NO-SHPA is not prescribed until 8 weeks of gestation (due to the danger of a teratogenic effect at this time, the appointment of any drugs, except vitamins, is excluded) and after 37-38 weeks of bearing a child (at maturity of the cervix) due to possible weakness of labor.
NO-SHPA can be prescribed to women in childbirth (during the period of contractions) with discoordination of labor - in this case, the dose of the drug is selected individually.
The use of this drug should be carried out under the supervision of a physician, and if necessary, the effects of the drug can be investigated by ultrasound examination of the fetus, cardiotocography,.
No-shpa is one of the most popular antispasmodics, often used to relieve pain of various etiologies. The medicine helps to improve well-being during menstruation, relieve migraines, toothache, muscle and bone pain. Is it allowed to use No-shpa while pregnant (especially in the 1st trimester) and will it be safe for the baby? We will talk about this in this article.
The main component of No-shpa is drotaverin, which has a strong antispasmodic effect. The use of drotaverine is applicable for all smooth muscle structures of the body (on the gastrointestinal tract, organs of the circulatory and genitourinary system, biliary tract).
The remedy leads to vasodilation, which in turn provokes a more active blood flow to the organs. No-spa is processed by the liver for 24 hours and then excreted from the body.
Is it permissible to use this antispasmodic in situations where a woman is in an "interesting position"? Like other medications, No-shpu can be prescribed by the attending doctor, after the examination and if necessary. The main indication for taking the drug is the presence of an increased uterine tone (hypertonicity), which is often observed at the initial stages of embryo development.
It is necessary to consider in more detail what hypertonicity is. If you begin to notice mild painful sensations resembling a prick when making sharp turns or trying to get up quickly, this is not yet an indicator of hypertonicity. More precisely, the tone of the uterus may slightly increase due to stressful situations, haste, severe fatigue, but after relaxation, it returns to its normal state on its own.
It is worth worrying in the event that the pulling and aching pains in the lower abdomen have become your constant companions, plus they are accompanied by bloody discharge. Be sure to consult a doctor and it is likely that he will prescribe you No-shpu.
Please note that the use of No-shpa is allowed only at the initial stage of pregnancy. In addition to reducing hypertonicity and vasodilation, the remedy has a certain effect on the cervix and can even provoke its opening. And this is already the risk of premature birth.
For what purposes the drug can be used during pregnancy
The main reason for prescribing this medication during pregnancy is the prevention and elimination of spasms in the hollow organs. Basically, No-shpa helps to eliminate the increased tone of the muscles of the uterus. This is due to the main active substance - antispasmodic drotaverin.
The antispasmodic properties of the drug make it indispensable during pregnancy. In addition to hypertonicity of the uterus, the doctor may prescribe No-shpu in the following situations:
- in the presence of pathologies of the digestive tract, in which there are intestinal spasms and flatulence (colitis, enterocolitis, enteritis, gastric ulcer);
- to eliminate pathologies of the urinary tract, accompanied by attacks of renal colic (pyelonephritis, urolithiasis);
- for the treatment of pathologies of the cardiovascular system (hypertension, vascular dystonia);
- perhaps the appointment of No-shpa directly in the process of childbirth. Indications for use are discoordination of the labor process. But you need to use the tool very carefully, as it can provoke severe bleeding. The dosage of the medication should be selected on an individual basis;
- in very rare cases it can be prescribed for the treatment of respiratory pathologies.
Of course, like any other medication, No-shpa should be prescribed exclusively by a professional doctor. Do not self-medicate - it can have unpredictable consequences for your health, and even more so during pregnancy.
When is it better to refrain from taking No-shpa
It is contraindicated to use this remedy, in case of abnormal pregnancy, as well as in the case of pathologies that a woman had previously. So, for example, the appointment of No-shpa in such situations is not allowed:
If you have conditions not caused by pregnancy Allergic pathologies, personal intolerance to the active components of the medication, hypotension (pressure reduction)
For conditions caused by pregnancy Isthmico-cervical insufficiency (is a disease of the cervix)
At certain stages of pregnancy So, the drug is not used until the 8th week (there is a high likelihood of a teratogenic effect, during this period it is forbidden to use any medications, the only exceptions are vitamins), as well as after 37-38 weeks of bearing a child (due to taking such a period of time, the drug can lead to premature birth)
At first " interesting situation», As a rule, there are serious changes in the woman's body, arising from fluctuations in the level of hormones and accompanied by psycho-emotional instability. The influence of all these factors may not have the best effect on the state of the uterine tone, the normalization of which, as mentioned earlier, is what No-shpa helps.
Many doctors recommend that you always have this remedy with you and use the pill right away when you have discomfort. And some specialists, to play it safe, prescribe the drug even when there is no urgent need for it.
As with any other drug, you should not abuse it with No-shpa, use this drug only as directed by your doctor and only when the painful sensations bring you significant discomfort.
Methods of drug administration
In various cases during pregnancy, a doctor can prescribe any of all available dosage forms of No-shpy. The gynecologist, based on the specific situation, must choose the method of administration of the medication that will be most optimal. We propose to consider all the available in more detail:
Release form Description
Pills They can be ordinary (they are used in most cases) or forte (one No-shpa forte tablet is equivalent to 2 pills of ordinary medicine). With oral administration of the medication, a pronounced therapeutic effect begins after 30-40 minutes, if you put a tablet under the tongue, the effect will come sooner
Rectal suppositories This method of introducing No-shpy is practically not used (due to difficulties in application), although the result from suppositories is equated to the effect of injections. The drug begins to act clearly after only 10-15 minutes after the introduction of the candle
Injection It can be injected under the skin, into a muscle, or into a vein (the doctor chooses the appropriate method). The rate of appearance of the therapeutic effect depends on the method of administration - so, when injected under the skin, No-shpa begins to act after 20-25 minutes, with intravenous administration, the action begins at 4-5 minutes
No-shpa in the form of injections is used in cases where a woman has lactose intolerance, which is part of the tablets. The unpleasant moment of such use of the drug is that painful seals can form - infiltrates. They dissolve on their own within a few months.
Single, as well as daily dosage of the drug is different for all modes of administration and should be strictly individual for each pregnant woman.
Video - No-shpa: description of the drug
No-shpa is a medicine that, in addition to useful properties, there are also contraindications and side effects. So, drotaverine, for example, can provoke an allergic reaction; it is not recommended to use it in the presence of cardiac pathologies, liver and kidney diseases, and arterial hypotension.
No-shpa can provoke a worsening of toxicosis, lead to loss of appetite, stool retention, a state of general weakness and an increase in heart rate.
Please note that when combining No-shpa with other medicines, it is possible to enhance its therapeutic effect. Among these drugs, there are: Levodopa, Phenobarbital, and other drugs that have an antispasmodic effect.
Any pregnant woman probably asks the question: "Can this drug harm the fetus?" In order to find out this, many different studies were carried out, as a result of which no pathological influence of No-shpa on the state of the embryo was revealed.
Despite this, in some foreign countries (including Germany, England, the United States of America), for a couple of years, doctors do not prescribe such drugs during pregnancy. In their opinion, presumably the use of No-shpy by women in a position can lead to a slowed down speech activity in a child subsequently.
According to other data, the drug leads to the normalization of cardiac activity in the fetus. No-shpa was administered intravenously to women who suffered from tachycardia, and the drug successfully eliminated this pathology.
In Hungary, a medical experiment was carried out, during which doctors monitored the condition of 30 thousand pregnant women who used No-shpa, while being in the 2nd and 3rd trimesters. In addition to the main therapeutic effect, doctors have not identified a single case of the appearance of any pathologies in newborn babies.
Of course, any medicine is not a harmless candy, it should be used strictly according to the doctor's prescription and in a dosage determined by the doctor.
Video - taking medications during pregnancy and lactation. School of Doctor Komarovsky
Similar drugs
The most common analogue of No-shpa in terms of its therapeutic effect is the domestic Drotaverin. It is used in the presence of the same indications, but at the same time it costs much cheaper than imported No-shpa.
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During pregnancy, it is recommended to stop taking medications, or take as little as possible. This does not apply to women suffering from chronic diseases who cannot do without constant medication support. If you want, you can skip the introduction of the article, near the end of the specific answer to this question.
For example, if the expectant mother has diabetes, she needs to take insulin. Therefore, it is necessary to inform the doctor supervising the pregnancy about diseases and medications. Perhaps, if these medicines cannot be taken during pregnancy, he will advise taking others.
It must be remembered that any medication taken during pregnancy is harmful to the unborn child. It is especially important to refrain from taking medications during the first trimester of pregnancy, when the fetus is forming. Until 16 weeks, the placenta is not yet fully formed and does not perform a barrier function. Some drugs penetrate the fetus, have a very strong effect on the forming organs and systems, and can cause malformations.
After 16 weeks, the woman can already take some medications. But there is a list of pills that should not be taken throughout pregnancy. It includes some antibiotics, tetracycline, chloramphenicol, acetylsalicylic acid and analgin. Remember that any pills during pregnancy can only be taken as directed by a doctor.
How to get rid of discomfort and discomfort? If you have difficulties in the work of the gastrointestinal tract, revise your menu and choose foods containing plant fiber in your diet. And with heartburn, you can drink non-carbonated mineral water.
For migraines, flu, colds, you need to see a doctor. He will choose drugs that can be drunk during pregnancy. Some pain relievers you have taken in the past contain substances that are harmful to the baby: codeine, dihydroergotamine. For constipation, do not get carried away with local laxatives. They are absorbed into the intestines, and then through the blood they get to the child.
Many pregnant women in antenatal clinics are often prescribed to drink noshpa. And, of course, the question arises - can it be taken and how does it affect the body of the unborn child?
Noshpa during pregnancy is prescribed with an increased tone of the uterus.
Stress, nervous strain, excessive physical activity, multiple pregnancy - all these factors contribute to the appearance of tone. In the third trimester, increased uterine tone may. In this case, it is necessary to drink noshpu, just observe the dosage.
Noshpa does no harm either expectant mothernor her unborn child. Repeatedly in different countries the world has conducted various studies. Several thousand pregnant women took noshpa during the second and third trimesters of pregnancy. All women, without exception, had healthy children. Noshpa relieves pain both during childbirth and in the postpartum period, when the uterus is actively contracting. So during pregnancy, drinking noshpa is not only possible, but also necessary. But only as directed by a doctor.
