Migraine, a cold with a fever, back pain are the ailments that many adults suffer from. It is important for women to know whether Ibuprofen can be taken during pregnancy to get rid of inflammatory processes, pain and fever. Doctors strongly recommend that you use the medicine with caution, as it can harm an unborn baby.

Is it possible to take ibuprofen during pregnancy in the 1st, 2nd, 3rd trimester

Expectant mothers often go to extremes. Some avoid any pills, others take painkillers for any ailment. Ibuprofen is a non-steroidal anti-inflammatory drug that is not completely prohibited during pregnancy. For brevity, this drug group is called NSAIDs.

Paracetamol is the painkiller of choice, ibuprofen is a second-line drug. Even these approved medicines should be used sparingly, only in exceptional cases, if it is absolutely necessary for medical reasons. You should choose the dosage as low as possible, reduce the course to a minimum.

Ibuprofen in the early stages of pregnancy is permitted and relatively safe. There is still no scientific evidence of fetal malformations and an increased risk of miscarriage due to medication.

No randomized safety studies of the drug in pregnant women have been conducted.All published data were obtained in experiments on animal embryos or appeared as a result of evaluation of clinical experience.

The use of ibuprofen is allowed only in the first and second third of the entire nine-month period. The first trimester includes the time from conception to the 13th week of fetal development. The second trimester corresponds to the phase from the 14th to the 27th week of pregnancy. The instructions for the use of tablets (200 mg) and suspension indicate that caution should be exercised when using the medicine in the first 6 months.

In the period from the 28th to the 42nd week, the risk of damage to the heart, kidneys and lungs of the fetus as a result of treatment with Ibuprofen increases, so pregnant women should refuse this drug for 3 trimesters. Taking NSAIDs in the last months before childbirth increases the risk of reducing uterine contractions and increased bleeding.

The composition (active substance) of the drug

Ibuprofen is a derivative of phenylpropanoic acid - an anti-inflammatory agent, an analgesic-antipyretic.

The drug inhibits the biosynthesis of prostaglandins, the release of which leads to inflammation in the peripheral tissues, fever and pain.

They release tablets, suspension and rectal suppositories with ibuprofen. The content of the active substance in solid dosage form varies: 200, 400 or 600 mg. The concentration of the drug in suspension is 20 mg / ml. The suppository contains 60 mg of the active ingredient.

Ointments, gels and creams with ibuprofen are produced for external treatment. The concentration of the active substance is 5 g per 100 g of a soft dosage form. Dolgit cream with ibuprofen is contraindicated during pregnancy. The gel is allowed in 1 and 2 trimesters.

In which cases a drug is prescribed

Ibuprofen is used for inflammation and associated pain, fever.

The drug is prescribed for symptomatic treatment, it does not affect the cause and mechanism of the development of the disease.

What ailments ibuprofen helps:

  • pain of various etiologies (myalgia, lumbago, neuralgia, arthralgia, trauma, sprain, etc.);
  • fever due to infections of the upper and lower respiratory tract;
  • rheumatoid and psoriatic arthritis;
  • postoperative pain;
  • exacerbation of gout;
  • Toothache
  • osteoarthrosis;
  • radiculitis.

"Ibuprofen" is most effective for mild to moderate pain. Its action begins 15-30 minutes after a single dose. Antipyretic and analgesic effect lasts for 6 to 8 hours.

The drug does not have an antimicrobial effect. With angina, laryngitis, bronchitis, pneumonia is used only as part of complex therapy.

External forms of ibuprofen reduce pain and inflammation with soft tissue injuries, diseases of the musculoskeletal system. The active substance enters the bloodstream less than when using tablets and suspensions. Suppositories are safer than oral forms, since they do not destroy the gastric mucosa.

Instructions for use at different stages of pregnancy

Pregnant women in the 1st and 2nd trimesters can take 200 mg (1 tablet) 3 or 4 times a day for pain. A quick analgesic effect is required for migraines, injuries and sprains. It is allowed to increase the daily dose to 1.2 g, which corresponds to 3 tablets with an ibuprofen content of 400 mg.

The drug can be taken with migraine in a dosage of 10-15 mg / kg of body weight.

If the tablets cause pain in the stomach, then it is better to use a liquid dosage form. Take the drug inside during or after a meal. Be sure to observe an interval of 6 hours between doses.

A dose of ibuprofen 400 mg / day is considered safe and optimal. The risk of various side effects increases with the use of 600 - 800 mg of NSAIDs per day. The course of taking painkillers should be short - from 3 to 5 days.During this period, you need to eat well, using foods that do not irritate the stomach.

Drug interaction

The drug is undesirable to combine with anticoagulants and thrombolytics, drugs to reduce blood pressure, diuretics. Concomitant use with cardiac glycosides can lead to aggravation of heart failure.

Ibuprofen in combination with other NSAIDs or with corticosteroids increases the risk of damage to the gastric mucosa and the occurrence of bleeding.

If you take the medicine with antacids (drugs for heartburn and to reduce the acidity of the gastric contents), then the absorption of the drug decreases. In this case, a higher dose of NSAIDs will be required to eliminate pain or reduce temperature.

Contraindications, side effects and overdose

  • The drug can not be used in case of diagnosed hypersensitivity to its active and auxiliary substances.
  • Reception of "Ibuprofen" is prohibited after the 27th week of pregnancy.
  • The remedy is contraindicated in case of “aspirin” asthma, exacerbation of gastrointestinal ulcer, hematopoiesis, amblyopia, renal failure, cirrhosis.

It is dangerous to take NSAIDs with high blood pressure, edema, heart failure, hemophilia, gastritis and enterocolitis.

Treatment with ibuprofen may be associated with various side effects. Mostly, heartburn, pain in the stomach, digestive disorders occur.

An overdose is manifested by lethargy, headache, drowsiness. High doses of ibuprofen can cause seizures, acute renal failure. In these cases, it is necessary to stop treatment.

Analogs of NSAIDs

In Russia, Ibuprofen tablets are produced with a dosage of 200 mg at a price of 19 rubles (20 pcs.). Higher doses in the preparations "Ibuprofen Nycomed" and "Hemofarm" - 400 and 600 mg. The suspension is produced under the trade name "Ibuprofen-Akrikhin."

Women suffering from pain during pregnancy are prescribed Paracetamol. This tool is the most studied and safe in recommended doses. Panadol and Nurofen can be taken from tension headaches, and Sumatriptan can be taken from migraines.

In some cases, it is preferable to drink ibuprofen, in others - paracetamol. The second remedy is the drug of choice during pregnancy, but in small doses it weakly anesthetizes, and increasing dosages is dangerous for the liver. If ibuprofen is taken as an anesthetic at normal temperature, then the medicine reduces it by 1–1.5 ° С.

There are drugs containing two or more active ingredients.

  • The combined product "Brufica Plus" is available as a suspension. The composition of the painkiller and antipyretic medicine includes ibuprofen and paracetamol (100 mg + 162.5 mg / 5 ml).
  • The Nurofen Long, Ibuklin tablets contain the same active substances, only in other dosages. Such drugs are contraindicated in the 3rd trimester of pregnancy.
  • In the 1st and 2nd trimesters, pregnant women are prescribed Diclofenac. This more powerful analgesic helps with diseases of the joints, spine. Diclofenac is available in the form of tablets, suppositories and ointments.

You should consult your doctor before taking any medications during pregnancy. The doctor will professionally assess all the risks for the unborn child and the benefits for the mother, choose and recommend the best treatment option.

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