What drugs should be avoided during pregnancy preparations? Drugs should be avoided during pregnancy preparations

When preparing for pregnancy, whether you are a man or a woman, there are certain precautions that you should keep in mind when taking medications. Such as which medications to avoid. Below I’ve shared some medications to avoid taking while preparing for pregnancy, I hope they can help you.

Drugs that expectant mothers need to avoid

1. Drugs that cause chromosomal damage

2. Drugs that have toxic side effects on cells

3. Drugs to induce ovulation

4. Antibiotic drugs

5. Hormone drugs

6. Drugs to treat mental illness

7. Sleeping pills

8. Contraceptive pills: It is best to prepare for pregnancy half a year after stopping taking birth control pills

Tips: If a woman takes hormones, antibiotics, anti-cancer drugs, Drugs used to treat mental illness will have an impact on germ cells, especially during the 14-month cycle from early follicles to maturity. Do not get pregnant immediately after taking medicine for a long time. If you need to take medicine to treat certain diseases, you should consult a doctor before getting pregnant.

Drugs that expectant fathers need to avoid

1. Hormone drugs: inhibit the secretion of gonadotropin, thereby causing the testicles to produce sperm.

2. Drugs that inhibit sperm production: dichlorodiamide, an insecticide.

3. Drugs that affect sperm maturation and cause sperm to lose their ability to fertilize.

4. Drugs that affect ejaculation: ethidium, thioridazine, etc. for the treatment of hypertension.

5. External drugs: surfactants, organic metal compounds, weak acids, etc.

Tips: Many drugs can cross the barrier between testicular tissue and blood and interfere with sperm. Drugs such as morphine, erythromycin, rifampicin, ciprofloxacin, and ketoconazole can damage sperm. Damage to male sperm can lead to male infertility, female habitual miscarriage and other consequences. Some drugs can also enter the mother's blood circulation through semen, increasing the rate of fetal teratogenesis and perinatal fetal mortality.

Although many drugs can affect fetal development, it does not mean that all drugs have an impact. Some diseases may have a greater impact on the fetus than taking drugs, so it is best to follow the instructions of your doctor when taking drugs before pregnancy. Consult for details.

Medications that can be used during pregnancy

A. Mild morning sickness, adjust your diet, and use vitamin B6 to relieve morning sickness

When a pregnant mother has early symptoms of morning sickness, first of all Drink plenty of water, eat small meals frequently, don't force yourself to eat after vomiting, and try to eat as light a meal as possible. Morning sickness usually occurs in the first trimester, that is, in the first 3 months. In fact, the fetus does not have a very high demand for nutrients at this stage. The mother's previous reserves can meet the needs of the fetus, so there is no need to force yourself to do it. Eat food you can't eat. At this time, it is best to start from your own needs and eat as much as you can.

Pregnant mothers with symptoms of morning sickness should not only pay attention to a light diet, but also be careful not to go to crowded places. Because places with dense crowds generally have strong smells, pregnant mothers are much more sensitive to smells than usual. I remember that during my early pregnancy, I would feel nauseous when I passed the supermarket door. Usually, normal people cannot detect the smell of fresh food sold in supermarkets at the door, but pregnant mothers are different. Their noses become particularly sensitive, and they will detect even the smallest smell and then vomit.

Mild morning sickness can be managed through diet alone, but severe morning sickness requires medication. Severe morning sickness is mainly characterized by vomiting whatever you eat, general weakness, and may lead to severe dehydration. Whether dehydration is serious or not can be judged from the condition of the skin: if the pregnant mother vomits particularly severely and the skin on her body does not bounce back easily when pressed, she must go to the hospital. This situation is very dangerous and must be taken under the guidance of a doctor.

The doctor may give you sugar, saline and anti-emetic medicine.

Antiemetics, vitamin B6 was commonly used in the past, but now ondansetron is often used. These two drugs are classified as Class A and Class B respectively in the pregnancy safety classification of the US Food and Drug Administration, and are relatively safe.

B. Penicillin, cephalosporin antibiotics, azithromycin or clindamycin can often be used during pregnancy

Antibiotics are drugs that treat bacterial and mycoplasma infections. If the doctor clears Your disease must be diagnosed and treated with antibiotics. Be sure to tell the doctor that you are pregnant and ask the doctor to prescribe antibiotics that can be used during pregnancy. Amoxicillin belongs to the penicillin class of antibiotics and is classified as Class B in the pregnancy drug safety classification established by the U.S. Food and Drug Administration. It is an antibiotic widely used during pregnancy.

In addition to penicillin, antibiotics classified as Class B also include cephalosporin antibiotics. If you are allergic to penicillins or cephalosporins, your doctor may also consider prescribing azithromycin or clindamycin, which are also Class B antibiotics.

The above are all antibiotic drugs that can be used during pregnancy. Special attention should be paid to antibiotics that should be avoided during pregnancy.

Avoid using tetracycline antibiotics during pregnancy. The most commonly used drug in this class of antibiotics is doxycycline. These drugs cross the placenta and may accumulate on the fetal teeth, causing tooth discoloration, so their use during pregnancy should be avoided.

In addition, aminoglycoside antibiotics should also be used with caution. These antibiotics mainly include streptomycin, amikacin, etc. They are ototoxic and can damage the fetal auditory nerve and may cause birth defects. The baby is deaf. Like the deaf-mute dancers we saw in the dance "Thousand-Hand Guanyin" at the CCTV Spring Festival Gala, most of them were deafened by drugs such as streptomycin when they were young. For babies whose ear nerves have been damaged and require cochlear implants, the drugs most likely to cause damage to their ear nerves are also aminoglycoside antibiotics.

C. If constipation is severe during pregnancy, you can use Kaiselu occasionally, but it cannot be used for a long time.

Pregnant mothers whose constipation is still not relieved after conditioning can use some osmotic laxatives, such as Lactulose, etc., to increase the moisture in the intestines and soften the feces for easier elimination. Kaiselu can also be used occasionally, but not for long periods of time. For constipation caused by organic lesions, the primary disease should be actively treated. Perianal diseases, such as hemorrhoids, can also be treated with less toxic external drugs to relieve the symptoms of constipation. Currently, relatively safe hemorrhoid drugs used during pregnancy are commonly used suppositories and ointments of compound carrageenanate (such as Taining) for external use.

Pregnant mothers belong to a special group. They must be careful when treating constipation during pregnancy and avoid improper treatment that may cause harm to the fetus. Do not take lubricating laxatives, such as castor oil, etc., which will affect the intestinal absorption of nutrients and prevent fetal nutrition from being well protected; and do not take laxatives or highly stimulating intestinal moisturizers (such as fenugreek). Diarrhea leaves), otherwise it will increase gastrointestinal motility and cause uterine contraction, leading to miscarriage or premature delivery.

D. For eczema medication during pregnancy, hormonal ointments can be selected

Because estrogen and progesterone will increase in the body after pregnancy, the basal body temperature of the pregnant mother will increase accordingly, and there will be more in the body. A baby's body is prone to heat and dryness, and the immune system will also undergo changes. Therefore, the skin is prone to itching, allergies, and eczema during pregnancy. To care for eczema, you must first keep the skin moist and cool. If the skin temperature is too high, it will not be conducive to the recovery of eczema. Therefore, pregnant mothers with eczema should turn on the air conditioner when sleeping in summer and not allow themselves to sweat, otherwise the eczema will be difficult to cure. Also pay attention to sun protection, as sun exposure can easily induce repeated attacks of eczema.

We should also pay great attention to other details of life. For example, when choosing a detergent for clothes, be careful not to choose an alkaline detergent containing chemical ingredients, but choose a mild, hypoallergenic variety. Also avoid direct contact with the irritation of chemical substances. You can choose baby shower gel for skin care and use hypoallergenic skin cream.

In addition, physical stimulation, such as friction, should be avoided. Do not wear chemical fiber, wool, linen, or silk clothes. It is best to choose pure cotton, breathable, and soft clothes.

If the pregnant mother has taken all aspects of care and the eczema has not healed, she needs to consider taking medication. The first choice of drugs should be hormonal topical ointments. Ointments must be started with weak hormones, such as hydrocortisone butyrate (Udrall) or mometasone (Aloson). After short-term medication, once the symptoms are controlled, you should only use moisturizing cream to care for your skin and keep it moisturized, because skin suffering from eczema is afraid of dryness.

E. If rhinitis occurs during pregnancy, you can use physiological saline and hormonal nasal sprays

To relieve nasal symptoms caused by mild allergic rhinitis, physiological saline is the first choice to rinse the nasal cavity every day. Once or twice. There are nasal cleansers and matching cleaning salts on the market. Cleansing the nasal cavity with physiological saline has three functions: first, it cleans nasal secretions and allergens from the nasal cavity; second, it keeps the nasal cavity moist; third, studies have shown that rinsing the nasal cavity with physiological saline can improve the function of nasal mucosal cells. Makes nasal secretions easier to drain.

When the symptoms of rhinitis cannot be controlled, you should take medication. Otherwise, once the nose is blocked, the whole person's mental state will be bad, he will not have enough rest, and his oxygen supply will be insufficient. This will have an impact on the fetus. bigger. From this perspective, if pregnant mothers can no longer tolerate many diseases such as rhinitis, they can consider taking medication. To raise a healthy baby, the mental state of the pregnant mother is very important. The impact of your emotions on the baby is far greater than the impact of diseases and drugs.

Allergic rhinitis is caused by our immune system’s excessive defense response to the outside world, but we cannot destroy our own immune system to treat allergic rhinitis, so we can only treat the symptoms. treat. For example, if you have inflammation, you can use hormonal nasal sprays to reduce inflammation, which is equivalent to locally suppressing the body's immune response in the nasal cavity. Using nasal spray hormones, this method of administration only works in the nasal cavity without taking the medicine, so it is called topical application. It acts on the nose, and the corresponding side effects are also within the scope of the nose, mouth, and throat. It only acts locally, so it does not have much impact on the fetus in the abdomen. These are supported by clinical data.

Because allergic rhinitis cannot be eradicated, patients with the disease should continue to take whatever medicine they took before pregnancy. If you did not have allergic rhinitis before pregnancy but develop allergic rhinitis after pregnancy, the first choice of hormonal nasal spray should be budesonide nasal spray (Renocort). Budesonide is classified as Class B in the U.S. Food and Drug Administration's safety classification and is relatively safe. For pregnant mothers who have allergic rhinitis before pregnancy, if they used drugs such as fluticasone (such as Fusulin) or mometasone furoate (such as Nesona) instead of budesonide, pregnancy You can continue to use this medicine later. Although drugs such as fluticasone and mometasone furoate are classified as Class C, they are also widely used during pregnancy, and clinical evidence shows that they are also safe.