The fetus is especially vulnerable during the first trimester, when organs and systems are being laid, and the placenta is not yet fully formed. If the head of the future mother hurts often and severely, medications are indispensable. But you need to clearly know which medicines can be consumed and which ones are strictly prohibited.
Why the headache and what to do with it?
Waiting for the child is a joyful and exciting period for a woman, but at the same time as the birth of a new life may arise health problems. Many expectant mothers suffer from headaches during pregnancy, and often cephalalgia becomes chronic, pronounced. The main causes of seizures are:
- Changes in hormonal levels necessary to preserve and carry the fetus. Since the vegetative nervous system, controlled by hormones, is responsible for vascular tone, their imbalance leads to spasms or hypotension.
- The lack of macro-and micronutrients in the body of a woman. All nutrients are necessary for pregnant women in increased amounts. Therefore, if you do not adjust the diet in time, do not take vitamin complexes, after a while the deficit will become apparent. For example, with a lack of iron, anemia develops, the supply of brain tissue with oxygen deteriorates and the head starts to ache.
- Stress, fatigue, sleep disorders, often accompanying pregnancy, cause various cerebrovascular disorders.
- Colds and chronic diseases.
At the same time, tablets for headaches during pregnancy, especially in the early stages — in the first trimester — are undesirable. If painful attacks occur sporadically and do not differ in intensity, it is recommended to just relax, drink hot sweet tea, relax.
In the case when the pain is frequent and pronounced, it is necessary to consult a doctor. The specialist will recommend the safest drug treatment, and do not take any drugs yourself.
Effects of headache pills on the fetus
Why to use painkillers without the recommendation of a doctor for pregnant women is strictly prohibited? Once in the blood of the mother, the active substances get to the fetus, especially in the early stages, when the placental barrier is absent. In the same period, the child’s body is formed, so medicines can cause severe anomalies in the structure of organs, physical developmental delays, and antenatal (intrauterine) death.
In the second trimester, when the placenta is already formed and performs protective functions, pregnant women with headache attacks are allowed to drink some previously prohibited drugs. This period is considered the safest from the point of view of embryotoxicity, however one cannot exclude the risk of lagging in physical development, spontaneous abortion, intrauterine death. Therefore, there is also need to be careful and always consult with the gynecologist.
In the third trimester, the restrictions increase again. Antispasmodics for six weeks before PDR (week 35-40) are contraindicated, because they can lead to perenosheniyu, and vasoconstrictor drugs can cause premature birth. In addition, the third trimester is often accompanied by preeclampsia with increased blood pressure, and many headache medications have a hypertensive effect.
List of approved drugs
Drugs that can be drunk from a headache attack during pregnancy fall into three main groups:
- Non-narcotic analgesics. This includes medications of varying degrees of effectiveness, but only Paracetamol can be taken safely by pregnant women.
- Nonsteroidal anti-inflammatory drugs. They have a pronounced analgesic effect, eliminate inflammation as a cause of pain. Ibuprofen is the most safe for the fetus, but only in the 1st and 2nd trimesters, and it is forbidden to use it in the later periods.
- Antispasmodics. Spasms of cerebral vessels are the most common cause of cephalgia, so No-shpa, Drotaverine, Papaverine are among the most sought-after drugs. However, there are limitations for future mothers too.
There is another group of headache pills, but they are absolutely contraindicated for pregnant women. We are talking about vasoconstrictor drugs that are used for hypotension. The result of their admission during pregnancy can be miscarriage or premature birth due to stimulation of the contractile activity of the muscles of the uterus. Among other painkillers, only a few of the safest drugs are allowed.
Pills from the head during pregnancy, which you can drink at any time (with the permission of the doctor). The drug belongs to analgesics, while possessing also antipyretic and moderate anti-inflammatory properties. It helps with cephalgia of medium and low intensity, it does not have a teratogenic or embryotoxic effect.
Paracetamol is available in 500 mg tablet form, has many analogues under other trade names – Efferalgan, Tylenol, Panadol. Included in the combined oral remedies for headache (Citramon) and rectal suppositories (Cefecon).
Nonsteroidal anti-inflammatory drug that effectively eliminates the pain caused by inflammation, fever. In pharmacies, you can buy tablets of 200 and 400 mg under the international name or analogues Ibufen, Nurofen, MIG.
Medication for pregnant women can be taken only in the first and second trimester, since in the later periods it can provoke edema, increased pressure.
An antispasmodic drug, the active ingredient of which is drotaverin (available under both names), 40 mg per tablet. It acts quickly and efficiently, relaxing the smooth muscles of the cerebral vessels. May be prescribed to pregnant women for headaches at any time, but with caution.
Despite the fact that teratogenic effects on the fetus during clinical trials have not been identified, the likelihood of negative consequences is not excluded. Therefore, drinking No-shpu or analogs is permitted only when the benefit for the mother prevails over the potential risks.
Another myotropic antispasmodic that can be assigned to expectant mothers. The instructions for the tablets indicate that the tablet form has not been clinically tested in pregnant women, so there is no reliable data on its safety.
However, the drug is also available in the form of rectal suppositories, which act more gently.
One of the most effective combined remedies for headaches during pregnancy, which is allowed for use only in the second trimester. In the first and last three months, citramon is strictly contraindicated due to the presence of acetylsalicylic acid in its composition.
In addition to aspirin, the active ingredients of tablets are caffeine, paracetamol.
What pills can not take
Among the painkillers that effectively relieve bouts of cephalgia, there are several medications that are strictly forbidden to take from a headache during pregnancy at any time. These include:
- Aspirin, also known as acetylsalicylic acid. Its teratogenic effect is clinically proven: if you take the pills in the first trimester, the formation of the upper palate (wolf mouth) is disturbed, and the use of aspirin in the later periods inhibits labor and closure of the arterial duct in the fetus.
- Analgin or metamizole sodium. Causes congenital defects of the heart, blood vessels, kidneys when used in the first three months, shortly before birth is contraindicated for the same reasons as acetylsalicylic acid.
- Vasoconstrictor drugs (Ergotamine and others). They increase the tone of smooth muscle, which also consists of the uterus. Accordingly, the risk of miscarriage increases in the early stages, and in the late stages of premature birth.
The remaining headache medications for women in the position should be taken with caution. Even relatively safe means can cause individual negative reactions and adversely affect the condition of the fetus.