04.04.2015

Medicine for non pregnancy

This photo taken March 10, 2013 shows non-prescription drugs displayed at a pharmacy in New York.
An abortion can occur spontaneously due to complications during pregnancy or can be induced, in humans and other species. In the fine print is the warning that painkillers like Advil aren't for the third trimester. Don't panic if you used decongestant pills, but doctors advise a nasal spray in early pregnancy.And don't abandon antidepressants or epilepsy medicines without talking to your doctor first. Some brands are safer during pregnancy than others — and worsening depression or seizures aren't good for a mom-to-be or her baby."To come off of those medications is often a dangerous thing for the pregnancy itself," warns Dr.
But researchers examined 25 pregnancy-related websites and found no two lists of purportedly safe drugs were identical.
The CDC says medication use during the first trimester — especially vulnerable for birth defects because fetal organs are forming — has jumped 60 per cent in the last three decades. Plus, women increasingly are postponing pregnancy until their 30s, even 40s, more time to develop a chronic health condition before they're expecting.The CDC is beginning a Treating for Two program to explore how to get better information, and the FDA plans to revamp prescription drug labels with more details on what's known now.


But people want an easy answer — use it or don't — and for many drugs, they won't get one anytime soon."Women agonize over it," said Dr.
She helps direct California's pregnancy risk information hotline that advises thousands of worried callers every year.Some drugs pose particular birth-defect risks. For example, the FDA requires versions of the acne drug isotretinoin, first marketed as Accutane, to be sold under special tight controls. Similarly, last year FDA said women who want to use a new weight-loss drug, Qsymia, need testing first to be sure they're not pregnant.Other medications are considered safe choices. A recent massive study in Denmark offered reassurance that taking the anti-nausea drug Zofran for morning sickness won't hurt the baby.But many drug labels bear little if any details about pregnancy.
Drugmakers shy from studying pregnant women, so it can take years for safety information to accumulate.
It can be hard to tell if a drug adds to that baseline risk.Consider antidepressants, used by about 5 per cent of pregnant women. Studies suggest a version called SSRIs may increase risk of a serious lung problem at birth — from 1 in 3,000 pregnancies to 3 in 3,000 pregnancies, Chambers said.


The 34-year-old takes a variety of heart medications, including a cholesterol-lowering statin drug that the government advises against during pregnancy.So when Tussey wanted a second child, she turned to doctors at Ohio State University who specialize in treating pregnant heart patients. Now four months pregnant, "it seems everything's fine."Sometimes it's a question of timing.
That painkiller ibuprofen, sold as Advil and other brands, isn't for the third trimester but isn't a big concern earlier on, said Dr.
Siobhan Dolan, an adviser to the March of Dimes.And women should watch out for over-the-counter drugs with multiple ingredients, like decongestants added to allergy medicines, Dolan said.



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