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 for 24 hours is processed by the liver 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 tone of the uterus (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 if 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 No-shpu for you.
Please note that the use of No-shpa is allowed only at the initial stage of pregnancy. The tool, in addition to reducing hypertonicity and vasodilation, 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 ingredient - the antispasmodic drotaverine.
The antispasmodic properties of the drug make it indispensable during pregnancy. In addition to hypertonicity of the uterus, the doctor may prescribe No-shpa in the following situations:
- in the presence of pathologies of the gastrointestinal tract, in which there are intestinal spasms and flatulence (colitis, enterocolitis, enteritis, gastric ulcer);
- to eliminate pathologies of the urinary sphere, 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 medicine 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, with an abnormal course of 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:
In the presence of conditions not caused by pregnancy Allergic pathologies, personal intolerance to the active components of the drug, hypotension (pressure reduction)
For conditions associated with pregnancy Isthmic-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 the beginning of the "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 psychoemotional instability. The influence of all these factors may not in the best way affect the state of the uterine tone, the normalization of which, as already 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 experts, 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, the doctor can prescribe any of all available dosage forms of No-shpy. The gynecologist, based on the specific situation, must choose the most optimal way of administering the medication. 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 pill under the tongue, the effect will come sooner
Rectal suppositories This method of introducing No-shpa 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 selects the appropriate method). The rate of appearance of the therapeutic effect depends on the method of administration - so, when administered 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 - painful seals - infiltrates can form. They dissolve on their own within a few months.
A single, as well as a 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, which, in addition to useful properties, also has its own 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, with 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, its therapeutic effect may be enhanced. Among such 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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Using various medications during pregnancy, a woman should first of all think about whether this drug will harm her and the baby.
How to treat a headache of a pregnant woman? Is it possible to drink No-shpa during pregnancy, how harmless will it be for mom and baby? Is there no reason to replace this common antispasmodic with some other kind? Let's figure it out.
Treatment of headaches during childbearing
If you look at the set of indications for the drug, then this includes pain in the head. Consider this list:- Spastic conditions of smooth muscles;
- Spastic constrictions of small and large blood vessels of the brain;
- Spastic conditions of the cervix when carrying a child;
- Colic in the intestines of a different nature;
- Cholangitis and cholecystitis of all kinds;
- Urolithiasis and gallstone pains.
During pregnancy, No-shpa has a strong analgesic effect on the brain in the first 10 minutes. It will be faster when used in the form of intramuscular injections or injection into a vein. Here, the onset of the desired effect is from 5 minutes. If we evaluate the time of anesthesia, regardless of the method of administration, then it takes half an hour, no more. Rapidly absorbed in the intestines, the antispasmodic completely, practically without residue, penetrates into the human bloodstream. But it is excreted from the body without residues only after three days.
Headache, of course, should not be tolerated and the question "is it possible for No-shpu during pregnancy?" has only an affirmative answer. Let's consider the most common causes of headaches:
- Changes in the work of the body due to the restructuring of the hormonal background;
- Hypotension (decrease in atmospheric pressure) at the beginning of pregnancy in combination with toxicosis;
- An increase in blood pressure, which often occurs in the 3rd trimester, appears at the end of pregnancy. At the same time, swelling of the extremities is not uncommon, the concentration of protein in the urine increases. All together can cause pathological changes in the body of the fetus.
- Strictly monitor the nutritious diet, it is its violation that can provoke headaches. Products containing tyramine, phenylamia are subject to an exception, or their use should be allowed only in very small quantities.
- Dramatically limit bananas, Japanese dishes, exotic fruits on the menu or cut them to a minimum. Chocolate, citrus fruits, nuts and various yogurts are also subject to reduction or complete exclusion.
- The main principle of nutrition during pregnancy is rationality and many times. Up to six to seven times a day. After all, hunger is also quite capable of provoking a headache. However, overeating is also harmful, as it can create excess weight and associated hypertension. This is again fraught with pain in the head and even complications during childbirth.
Can I drink "No-shpa" during pregnancy?
No-spa during pregnancy is recommended very often, because this medicine has practically no effect on the fetus. It relieves muscle pain, relieves vasospasm. It is a good idea to always have this medicine in your home medicine cabinet. Even when the pain is minor, but felt in the lower abdomen, its reception is recommended. Within five to ten minutes, the pregnant woman should feel relief. A stable effect occurs about an hour after the moment of administration. The reason for this pain can be both brisk walking and excitement, and having sex.Sudden spastic pains in the muscles of the uterus are very strong. In this case, it almost becomes necessary to take an anesthetic. But it is better to limit yourself to pills or to give No-shpa injections during pregnancy, since analgesics are mostly prohibited in this situation.
Considering all this, it turns out that headaches during pregnancy are not uncommon, especially in the early stages. The choice of medicinal products must be well founded and considered. Not the last place in this series should be occupied by No-shpa. After all, there are profound changes in the hormonal background of the expectant mother, the adaptation of the whole organism to new conditions.
However, migraines during pregnancy are not always the result of vasoconstriction. Often, the head hurts just when the blood vessels are dilated, and here no-shpa can only aggravate a woman's condition. However, with vasoconstriction, no-spa acts more effectively than papaverine and leads to faster relief.
It is necessary to consult a doctor as often as possible and avoid taking the medicine in large doses on your own. When choosing medicines, one should dwell on those that do not harm the pregnant woman and the child and are most quickly eliminated from the body.
Often women choose the children's "Panadola" or "No-shpe". But these drugs do not always have the desired effect. Then the next drug of choice is Citramon. But "Citramon" has a hypertensive effect and is suitable only for those women who do not suffer from high blood pressure. This drug is also undesirable for a child.
"Paracetamol" is successfully used in the treatment of pain in the head during pregnancy, but only in its pure form, without pharmaceutical additives. You can find out about the composition of the drug in the annotation to the drug in its package.
Of course, it is undesirable to take any medications in the early stages of pregnancy. Especially it is necessary to avoid drugs from subgroups of analgesics, caffeine and barbiturates. Antihypertensive drugs are also contraindicated in order to lower blood pressure.
Advantages of "No-shpa" during pregnancy
No-shpa primarily affects the smooth muscles of the abdominal cavity, exerting an action that is called myotropic in medicine. But it does not affect the nervous system, and therefore it is completely safe for a pregnant woman and for a baby. It is more effective than Papaverine and is the drug of choice due to its high efficiency and duration of exposure. Papaverine is used much less frequently during pregnancy.No-shpa is produced in the form of tablets, capsules and solutions for injections; it is versatile and convenient for any application.
However, No-shpa is not a panacea for all ailments during pregnancy. You cannot postpone going to the doctor when you feel the harbingers of premature birth. After all, deeply premature babies rarely survive.
If a woman has unusual abdominal tension, cramps or severe pain, then immediately call a doctor or ambulance.
When and how to take No-shpa during early pregnancy
Let us now understand in more detail when and how to drink No-shpa during pregnancy. Most often, No-shpu is prescribed in the first trimester - after all, in the final stages of pregnancy, it is capable of provoking cervical dilatation. But in order to lower the muscle tone of the uterus and relieve pain, you can take 1 or 2 tablets three times a day. The total daily dose of the drug for pregnant women is recommended no more than 240 mg. These are simple recommendations - how many No-shpa tablets can be taken during pregnancy without harm.
For those who previously had poor lactose tolerance (this substance is part of No-shpa), an antispasmodic is prescribed in the form of injections. The thing is that the solution of the drug does not include lactose. The daily intake in this case should not exceed 240 mg. Much faster the effect of No-shpa occurs when injected into a vein - in this case, the drug is immediately carried by the bloodstream throughout the body.
If we talk about the duration of treatment, i.e. how much to drink during pregnancy, it is determined by the attending physician. In most cases, the symptoms of uterine hypertonicity are removed as early as 3 or 5 days. It is advisable to control blood pressure when taking No-shpy, since the use of strong antispasmodics can reduce it. In the event of a drop in blood pressure below permissible norms, you should abandon the antispasmodic and use tonics to restore the general condition. Also, with intestinal problems, we can fully combine it with No-shpa.
The main reason for taking medications for pregnant women is a decrease in the tone of the uterus. Although, this factor can also be looked at in different ways. Not every time a decrease in tone requires treatment. It seems that no other country in the world monitors the tone as carefully as in Russia. Even a slight tension in the lower abdomen - already a woman is seized by fear, she is immediately placed in a hospital and often drinks pills, which are just undesirable during this period. Naturally, no one is going to joke with the tone of the uterus, but reinsurance is not the best option in treatment.
The attending physician can best answer the question of how often you can drink No-shpa during pregnancy. But a woman's well-being can also be a determining factor.
A woman usually feels toned herself, and if problems arise in the form of aching and pulling pains, sometimes even with bloody discharge, and the uterus is hard and tense, then this is not always a cause for alarm. Often, a pregnant woman feels a tingling or tingling sensation at a sharp turn, if she wants to get up - and this should not scare her either. There is enough deep inhalation - exhalation, and everything falls into place, the pregnant woman is okay again. A nervous outbreak, a rush to go somewhere, physical overstrain can also lead to a short tone of the uterus. This usually goes away after the pregnant woman is able to calm down, relieve stress. And in this case, one should not rush to take antispasmodics.
You also need to get rid of nervous tension by entering the doctor's office of the antenatal clinic, all the more you should not independently feel the uterus before coming to the doctor - as a result of this, the gynecologist is also able to draw the wrong conclusion. It should be borne in mind that short-term tones that occur from time to time are a kind of preparation of a pregnant woman's body for childbirth, the so-called "training fights", which become more and more frequent by the end of pregnancy. It is with their help that the stomach gradually goes down.
However, it is not uncommon for the uterus to be very active and require medical attention. These may be just those cases when you need to use No-shpa or another medicine. It is only important to know whether and how much pills should be taken.
In order to relax the muscles of the uterus at the beginning of pregnancy, when there is a threat of miscarriage, No-shpa is just right. Thanks to it, the tension of smooth muscle tissues decreases, their spastic-convulsive movement decreases. There and then a sufficient expansion of the vascular branches occurs, and the tone of the muscle organs decreases. However, at the same time as taking No-shpa, relaxation and even opening of the cervix are possible. Taking this into account, the appointment of the antispasmodic No-shpa in the last weeks of pregnancy should be done with considerable caution. This does not include the case when No-shpa during pregnancy is used as needed immediately before childbirth.
One should not be silent about the fact that No-shpa during pregnancy is prohibited for use in many countries and even withdrawn from pharmacies. In countries such as Germany and England, pregnant women are not allowed to use it. Other medicines are used there to reduce the tone of the uterus.
Analogs of "No-shpy"
The analogs of No-shpy include drugs that are similar in terms of medical indications and use, pharmacological effects. However, in no case should you make a decision to interchange antispasmodics without consulting your doctor.Drotaverin... It is produced in the form of tablets and solutions for injections and is used to relieve and completely eliminate pain in spasms of smooth muscles. It is used for cholecystitis, cholelithiasis, stomach or duodenal ulcer, for constipation of a spastic nature, common muscle spasms, spastic and intestinal colic. Drotaverine is used for the purpose of vasodilating effects, for relieving headaches in cerebral spastic vascular conditions. Drotaverine during pregnancy is used as often as No-shpa.
In gynecology, it is used for algodismenorrhea, to relieve tension and spasm of the smooth muscles of the uterus, with the threat of abortion. It is also used for spasms of the pharynx of the uterus during childbirth, to accelerate the opening of the pharynx of the uterus by relieving tension in postpartum contractions.
Buscopan... This antispasmodic is used for spasms of the intestines, stomach, parts of the genitourinary system, with biliary, intestinal and renal colic. Relieves pain in cholecystitis. It is also used for narrowing of the bile ducts of the spastic type. Indications for the use of Buscopan are the treatment of gastric ulcer, with duodenal ulcer.
Berberis Homaccord... This antispasmodic drug is used in the complex treatment of spasm of the bile and urinary ducts during inflammation of the bladder, gallbladder, urine and gallstone disease.
Spasmalin... This drug is used in the treatment of ailments such as:
- pain syndromes arising from spasms of smooth muscles of the abdominal organs;
- to reduce the severity of pain after surgical operations and after diagnostic actions associated with pain;
- in the form of tablets is used to treat headaches of various origins.
- moderate pain with spasms of smooth muscles of the abdominal cavity;
- renal and hepatic, intestinal colic;
- dyskinesia of the bile ducts;
- relieving pain symptoms of arthralgia and neuralgia, myalgia and sciatica;
- to reduce postoperative pain and pain after complex diagnostic procedures;
- in order to lower the temperature in case of infections and inflammations.
It is often used for short-term treatment of diseases of the nervous system and joint pain.
Analyzing materials from various sources and based on the experience of medical practitioners, the use of the classic antispasmodic No-shpa during pregnancy is justified, relevant and effective.
However, indications for taking this drug can only be medical and consulting, self-medication is completely excluded, since in this case it is possible to harm not only the woman, but also the unborn child. The number of tablets, ampoules, and injections taken should also be strictly dosed.
Along with the presence in the pharmaceutical industry of a large number of No-shpa substitute drugs, it still remains the most important drug of choice for appropriate indications.
During pregnancy, women are often faced with spasmodic pains, in particular with uterine tone. When this condition becomes uncomfortable or dangerous for a pregnant woman, antispasmodics are prescribed for her. The most popular and affordable of them is No-Shpa. This drug stops muscle spasms and relieves pain.
Common cases in which the drug "No-Shpa" is prescribed for pregnant women
If the tone of the uterus interferes with the pregnant woman's normal existence (sleeping, doing the usual household chores, etc.), then the antispasmodic No-Shpa or its analogues are prescribed: Buscopan, Drotaverin or Magnesium B6. These drugs stop the tone... If these medications do not help, the doctor prescribes more serious therapy. For example, the introduction of intravenous drugs, which will already require hospitalization, rather than outpatient treatment.
The attending physician may prescribe the drug "No-Shpa" during pregnancy (including in the early stages) as well:
"No-Shpa" during pregnancy: release form, method of administration and warnings
The active ingredient is drotaverine. Acting on smooth muscle tissue and dilating blood vessels, drotaverine relieves spasm and relieves pain.
Forms of drug release
No-Shpa is available in different dosage forms:
Method of application and standard dosages
Individual dosages and the course of treatment are prescribed by the attending physician. The instruction of the drug contains standard dosages and method of administration:
Pills... One or two tablets at a time, two to three times a day. One tablet contains 40 mg of drotaverine. The maximum daily dose for an adult is 240 mg. The course and dosage can be changed by the attending physician.
Candles... One suppository is administered twice a day. One candle contains 40 mg of drotaverine. Candles are inserted with clean hands into the anus, lying or standing. After the introduction, you must refrain from defecation for half an hour. This is necessary for the complete absorption of the active substance. The duration of the appointment is determined by the doctor.
Injections... The daily dose is 40–240 mg of drotaverine. The dose is divided into one to three parts per day and injected intramuscularly. For acute pain (colic), 40–80 mg of the drug is administered intravenously. This form of medication is used in severe cases, when the effect of the drug should occur as soon as possible. Injections for pregnant women are used only in hospital treatment and under the strict supervision of the attending physician.
Cautions
Uterine tone: answers to the most frequently asked questions
Why is there hypertonicity of the uterus?
The uterus is a muscular organ that can tense up early in pregnancy. But as a rule, the tone of the uterus is more noticeable, according to subjective assessment, from 17-20 weeks of pregnancy. Until this time, the tone of the uterus (if any) is manifested by pulling pains in the lower abdomen in a pregnant woman, and it can also be determined using ultrasound diagnostics.
After 20 weeks, the tone is felt as the tension of the uterus, which lasts for a few seconds, after which the uterus relaxes. As a rule, this tone does not give a pregnant woman severe pain. The uterus can become toned with a change in body position or with physical exertion. The main thing is the number of cuts. Up to 10 contractions throughout the day is the absolute norm.
When should i see a doctor to treat uterine tone?
The tone needs to be treated:
Most often, doctors prescribe the drug "No-Shpa" for the tone of the uterus.
Why is the pronounced tone of the uterus harmful to the child?
Pathological tone can lead to premature rupture of amniotic fluid, shortening of the cervix or premature birth (up to 37–38 weeks). When the uterus is in constant tone for a long time, this leads to a short-term disruption of blood flow. If hypertonicity of the uterus is accompanied by oligohydramnios, then this leads to intrauterine hypoxia (oxygen starvation) of the fetus. Green leaks are a sign of oxygen starvation.
Finally
A pregnant woman, faced with pain of a spasmodic nature, which gives her discomfort, first of all should see a doctor... The specialist will competently select the complex of treatment, and also prescribe a suitable antispasmodic, if required. Antispasmodics are widely used by obstetricians-gynecologists, and the effects of this kind of drugs on the pregnant woman and the fetus are well understood. Under no circumstances should you prescribe treatment for yourself during pregnancy on your own, as this can lead to irreparable consequences. If the pain is sharp or caught by surprise, then you need to call the antenatal clinic or ambulance. They will tell you the correct procedure.
Any drug has contraindications and side effects. Taking medication, people understand that they may face some unpleasant phenomena. When drugs are prescribed to pregnant women, it is necessary to take into account the possible harm not only for the patient, but also for the unborn child.
Among all the known drugs, there are only a small number of drugs, the use of which is permitted during pregnancy. These medicines include No-Shpu, which is an excellent antispasmodic agent. The active substance of this drug does not harm the fetus and allows you to relieve spasms, which sometimes pose a threat to a woman in a position.
No-Shpa: active substance, properties
The main substance that ensures the effectiveness of No-Shpa is drotaverin. It affects the smooth muscle fibers that form the walls of the internal organs, acting as an antispasmodic.
After taking this medication, the muscle tissues in the uterus, the walls of the stomach and other organs become relaxed, cramps and pains are eliminated. Additional components of the drug are talc, magnesium stearate and corn starch.
The advantage of No-Shpy over centrally acting antispasmodics is that it does not affect the peripheral parts of the nervous system and does not affect the central nervous system. This explains the fact that the drug has no serious side effects. No-Shpa is often used for gynecological pathologies, is used in urology and gastroenterology, for headaches.
In addition, it is prescribed for women who are carrying a child to relieve uterine cramps in order to maintain pregnancy. The active substance of this medicine dilates and relaxes blood vessels, which improves the supply of oxygen to tissues. Experience has shown that No-Shpa is effective in fetal tachycardia. Sometimes her injections are used at the beginning of labor in order to ensure full dilation of the cervix.
Considering that Noshpa acts on smooth muscle structures, it must be remembered that it also affects blood vessels. When the vascular wall relaxes, the pressure decreases slightly. This effect is mild, but can occur in pregnant women suffering from hypononia, or when taking a large dose of the drug.
No-Shpa and pregnancy: indications for admission in the first, second, third trimester
During the first trimester of pregnancy, a woman carrying a child should pay special attention to her health and lifestyle, since at this time the formation of all systems and organs of the fetus begins. If any deviations in well-being occur, a woman should immediately consult a doctor.
At the initial stage of pregnancy, No-Shpu is usually recommended when uterine hypertonicity is determined and there is a threat of miscarriage. The active element of the drug causes relaxation of the muscle structures of the uterine wall and maintains its normal tone. Due to these properties, No-Shpu is often prescribed in the first trimester to ensure the normal development of the unborn baby.
During pregnancy in the second and third trimesters, the drug should be drunk with great care. In the later stages of pregnancy, the job of the woman and the doctor is to support the development and growth of the baby. Starting from 33 weeks, the expectant mother, together with the gynecologist, must ensure the physiological readiness of the baby by the time of birth. For this reason, at 36, 37 and 38 weeks, the prescription of drugs that can negatively affect the condition of the pregnant woman and cause premature birth should be avoided.
The use of No-Shpa in the last stages of pregnancy after 36 weeks can relieve the increased tone of the uterus, but drotaverine also affects the cervix. This can promote early disclosure and cause premature labor. Most often, doctors prescribe No-Shpu to patients who are at 39 weeks of gestation.
Contraindications in pregnant women
Before you start taking No-Shpa, you should carefully study the information regarding its appointment during pregnancy. The use of the drug has a number of limitations when it comes to pregnant women.
It is forbidden to take No-Shpu in the following cases:
- earlier than 8 weeks in accordance with the obstetric term;
- high individual sensitivity of the patient to the components of the drug;
- pathological conditions of the cervix;
- low blood pressure;
- blockage of the coronary arteries;
- glaucoma;
- chronic liver pathologies;
- kidney disease.
Instructions for the use of tablets and injections
No-Shpa is a medication with myotropic antispasmodic action, which has the greatest effect on the muscle fibers of the reproductive, urinary and digestive systems. The main symptoms in which drotaverine is indicated for use during pregnancy are pain, petrification in the lower abdomen. These phenomena may indicate the threat of miscarriage in the early period of gestation.
No-Shpa is produced in the form of tablets and solution for injection. Which form of the substance will be most suitable for each woman, how many times a day to take the medicine, the doctor determines in accordance with the instructions for the drug.
Scheme and dosage
When taking No-Shpa, the maximum dosage should not be exceeded, which is 240 mg per day. If one tablet contains 40 mg of the active ingredient, then you can take no more than 6 tablets per day. If the concentration of drotaverine in one tablet corresponds to 80 mg, then a maximum of 3 pieces per day are taken. With a single use, pain and cramps should disappear within 1 hour.
The daily dose must be divided into 3 parts. Thus, more than 80 mg of the active substance cannot be consumed at one time.
There are times when the doctor recommends No-Shpy injections. If the drug is used intramuscularly or intravenously in the form of injections, then the same maximum permissible doses of administration are observed as when taking the tablet form of the substance. Noshpa's injections during pregnancy help prevent the threat of miscarriage in the first trimester.
Pregnant women should not drink or inject Noshpa for more than 1-2 days, as with a longer course of treatment there is an increased risk of side effects. If spasms, pain and increased tone do not go away after a two-day intake, then further actions must be agreed with the doctor.
Drug interactions
When prescribing No-Shpa during pregnancy, it should be borne in mind that drotaverine, which is its active component, can enhance the hypotensive effect of other drugs taken by a woman. For this reason, it should be clarified whether the patient is taking tricyclic antidepressants, procainamide or quinidine.
It is also prohibited to use Noshpa in conjunction with other drugs of the antispasmodic group. The simultaneous use of these drugs can provoke increased relaxation of muscle fibers, which will entail premature delivery.
Immediately before the onset of labor, you can combine Noshpu and Buscopan. This combination of drugs prevents tears during labor.
Side effects and symptoms of overdose
No-Shpa during pregnancy is shown quite often. This is due to its relative safety and a small number of side effects. However, in some cases, undesirable effects from the use of the drug are still noted. Against the background of the use of No-Shpy, pregnant women may experience:
- constipation;
- nausea;
- allergic skin rashes, Quincke's edema;
- headaches and dizziness;
- tachycardia;
- decrease in vascular tone and blood pressure.
If the patient notices one of these symptoms after taking the medication, then he should consult with his doctor. Perhaps the woman has an individual intolerance to the components of the drug. Then another remedy will be prescribed to her.
An overdose of No-Shpoy occurs in case of non-observance of the instructions. A person may, intentionally or inadvertently, drink too much of the substance, as a result of which he exhibits the following symptoms:
- nausea, vomiting;
- intestinal obstruction;
- chest pain;
- loss of consciousness;
- heart rhythm disturbances;
- depression and respiratory arrest.
In case of an overdose in a patient, it is necessary to provoke vomiting. Hospitalization and gastric lavage are mandatory.
How does No-Shpa affect the fetus?
Numerous experiments have shown that drotaverine does not show a negative effect on the fetus at the stage of intrauterine development. No-Shpa is considered a completely safe drug, which ensures widespread use in gynecology and use in early pregnancy.
When examining newborns, specialists did not reveal any deviations in their development associated with the intake of drotaverine by the mother. Doctors note the greater effectiveness and duration of the action of No-Shpa in comparison with other antispasmodics. However, we must not forget that the absence of a negative impact takes place only if the recommendations of the doctors are followed.
Some Western doctors suggest that taking drotaverine by a mother during pregnancy may affect the development of her baby after birth. In particular, they associate the lag in the development of speech with the frequent use of the drug by the mother. This hypothesis has no scientific confirmation, but, in any case, a woman carrying a child should adhere to the permissible dosages of the drug, and prolong the course of treatment only on the recommendation of a doctor.
Drug analogs
No-Shpa has a number of analogues that also relieve spasms and eliminate pain. However, not all of them are indicated during pregnancy. Some drugs are toxic and negatively affect the baby in the womb, so during pregnancy it is forbidden to take any antispasmodics on your own without consulting a doctor. The closest analogs of No-Shpa in action are shown in the table.
| Name | Active component | Application features |
| Papaverine | Papaverine hydrochloride | It is not used for glaucoma, liver pathologies, hypothyroidism, renal failure and supraventricular tachycardia. It is used for spasms of smooth muscle fibers of the abdominal organs, effective for bronchospasm and cerebral vasospasm. |
| Duspatalin | Mebeverine hydrochloride | It is prescribed for disorders in the work of the gastrointestinal tract, spasms and irritable bowel syndrome. May cause allergic skin symptoms. |
| Niaspam | Mebeverine hydrochloride | Effective in treating stomach and intestinal cramps. Virtually no side effects, in some cases urticaria, angioedema may occur. |
No-Shpa, the main element of which is drotaverine, is considered the most effective against smooth muscle fibers of the uterus. In addition, it has been proven to be safe for the fetus. The combination of these properties makes the drug indispensable in the treatment of pathological conditions that occur during pregnancy. It is prescribed in most cases with the occurrence of ICI and uterine hypertonicity, but depending on the duration of pregnancy, the duration of the course and the number of receptions are determined individually for each woman.
The drug belongs to the group of antispasmodics and relieves pain in the digestive system. It is also often prescribed to women in position. The main indication for taking No-shpa during pregnancy is uterine hypertonicity.
Despite all the safety, this is a drug that has its own indications and contraindications.
About the drug
The active ingredient of No-shpy is drotaverin. Spasmolytic substance of myotropic action. This indicates the effect of the drug on the cells of smooth muscle tissue, which is a component of hollow organs - intestines, stomach, uterus in women.
When the active substance enters the body, muscle tissue relaxes, the spasm disappears, as a result, pain sensations disappear or minimize.
If ordinary muscle relaxants act in parallel on the nervous system, then No-shpa does not have such an effect. Therefore, there are no serious side effects. For this reason, the drug is indicated for use by pregnant women.
The effect of drotaverine on the cardiovascular system should be taken into account. This contributes to a slight decrease in blood pressure. And if for ordinary people such an effect is insignificant, then in hypotensive patients it can worsen well-being with high doses of the drug.
Indications for use
The main indication for prescribing the drug is smooth muscle spasm. Most often, drotaverine is effective for abdominal pain when conventional antispasmodics do not work. But taking the drug for headache or toothache is useless.
Indications for the appointment of No-Shpa tablets:
- Intestinal, hepatic and renal colic.
- Urolithiasis disease.
- Cholelithiasis.
- Cholecystitis.
- in pregnant women.
- Risk of miscarriage.
Thus, the drug is effectively used in gynecology. When symptoms of miscarriage, abdominal pain in pregnant women appear, the No-shpy pill eliminates uterine hypertonicity and thus preserves the fetus.
Another use in obstetrics is during childbirth. With a strong spasm of the muscle tissue of the uterus and its cervix, the child clamps. The woman in labor is given a drotaverine drip, which helps to restore normal labor.
No-shpa during pregnancy
No-spa during pregnancy is safe for both the woman and the fetus. However, its uncontrolled use without consulting a doctor is not recommended.
If tablets are prescribed for the treatment of gastrointestinal diseases during pregnancy, the effect of systemic relaxation of smooth muscles should be taken into account. These include the muscles of the uterus. Therefore, the drug should not be taken in the absence of hypertonia, since excessive relaxation of the uterine muscles by the drug can lead to premature birth. This is especially risky in the later stages.
In the early stages
In the first trimester of pregnancy, all the main systems and organs of the embryo are laid. At this stage, it is especially important for a woman to control her well-being.
The appointment of No-shpa in the 1st trimester and the initial stage of the 2nd trimester is indicated for relieving spasm of the muscle tissue of the uterus, which is the main reason for spontaneous abortion.
The action of drotaverine is aimed at relaxing the cells of the myometrium, restoring normal uterine tone. This is necessary for the normal further development of the embryo.
At a later date
The situation with the appointment of No-Shpa at the end of the 2nd and 3rd trimester is different. Care should be taken here, since the drug can provoke the onset of premature birth, and the main task of the doctor is to maintain pregnancy until the very birth.
It is safe to take pills from 39 weeks of gestation.
Before childbirth
Taking the drug immediately before childbirth greatly facilitates labor, eliminating unnecessary hypertonicity of the uterus. For this purpose, women in labor are injected with a certain dose of No-Shpa in injections, which contributes to the opening of the uterus.
Instructions for use
Drotaverin is produced by various pharmaceutical companies. Accordingly, the trade name of the drugs is different with the same action:
- No-Shpa - made in Hungary;
- Spazmol, Spazmonet and Drotaverin are Russian-made drugs.
No-Shpa comes to the pharmaceutical market in two forms - tablets and ampoules for injection.
One tablet contains 40 mg of active ingredient. The maximum permissible single dosage is no more than 2 tablets (80 mg), which is enough to relieve pain symptoms.
The permissible daily dose is 120 - 240 mg, which is divided into 3 doses.
The daily dosage for pregnant women is no more than 240 mg.
Contraindications
There are a number of contraindications in which drotaverine is prohibited from taking due to its effect on the smooth muscles of organs:
- Heart failure and heart rhythm disturbances. The drug in large doses can have an adverse effect on the work of the cardiovascular system.
- Glaucoma. No-Shpa can provoke an increase in intraocular pressure. The consequence is an attack of glaucoma and temporary loss of vision.
On the video about the action of the drug
Side effects
Side effects after taking drotaverine during pregnancy are rare. However, the following possible undesirable manifestations are:
- Lowering blood pressure.
- Increased heart rate.
- Nausea and vomiting.
- Dizziness and headache.
- Constipation.
Such reactions are more likely to occur at high dosages.
Analogs
No-Shpa has analogs with another active substance that have analgesic and antispasmodic effects. Despite the similar activity, they can have different effects on the body of the mother and the fetus. Therefore, before taking any medications, a doctor's consultation is required.
Analogs:
- ... The active ingredient is papaverine. Most often used in surgical practice. Should not be taken in case of renal impairment.
- Duspatalin, Nispam. The active substance is mebeverine. Prescribed for bowel diseases.
There are other antispasmodics, but they are not recommended for use during pregnancy.
No-Shpa during pregnancy is effective for hypertonicity of the uterus. However, it can only be taken as directed by a doctor. The gestational age matters, depending on which the effect of the drug may be different.
