One of the most popular medicines that most women take is a drug such as "No-shpa", it is able to effectively overcome various types of spasms. Ladies who are in an interesting position also resort to taking no-shpy, since this drug is completely harmless, without harming either the health of the mother or the baby.
Many women during pregnancy carry this remedy with them all the time, is this correct? This is what we will tell you about.
A medicine such as no-shpa is an excellent assistant in eliminating the increased tone of the uterus, and this condition poses a certain danger to the baby. This remedy helps to reduce the tension of the muscles of the muscles of the uterus, moreover, it is really very effective.
In general, you need to understand in more detail the concept of hypertonicity. When a pregnant woman, while performing a turn, perhaps suddenly felt something like a prick when trying to stand up suddenly, in this case, one should not worry. But if the expectant mother regularly feels painful sensations of a aching and pulling character, which occur along with bloody discharge, this is already talking about the presence of certain problems.
In such cases, the use of no-shpa is allowed. This drug, besides the fact that it promotes the expansion of blood vessels, a decrease in the uterine muscle tone, has a relaxing effect on the cervix, thereby prompting it to open. It should be borne in mind that during the period of bearing a baby, the use of this tool is performed only at the beginning of the term, including when there is a threat of miscarriage.
As an anesthetic, no-shpu is often used directly at the time of delivery. This is done very carefully so as not to provoke the appearance of postpartum hemorrhage. There is no need to worry about the effect of this remedy, since its use does not have any negative effect on the health of the baby.
During the period of bearing a baby, no more than six tablets are allowed per day. However, check with your doctor before taking this drug. This tool will be most effective if you adhere to a certain schedule - it is recommended to take two tablets in the morning, afternoon and evening.
When taking the drug, it should be borne in mind that women who have been diagnosed with isthmic-cervical insufficiency should not use no-shpu. In this case, the doctor will replace this remedy with something else.
Every pregnant woman can be sure that this drug will not harm the baby, which is confirmed by medical research. For example, in Hungary, thirty expectant mothers took part in the study, who took this medication during the period of bearing a baby, during the second and also the third trimester. Their children were carefully examined, and no deviations in health were found.
Studies have shown that effective therapeutic results were observed with this drug after only a couple of days of such treatment. A decrease in uterine tone and effective therapeutic results in reducing pain in the lower abdomen have been precisely identified. In addition, the use of the drug contributed to the normalization of the baby's cardiac activity.
Surprisingly, this drug will not adversely affect the fetus, as proven by experts. For example, a study was carried out in which women participated in the period of bearing a baby with tachycardia. Pregnant women received no-shpu intramuscularly, and as a result, tachycardia in these children stopped.
No-shpa while carrying a baby: instructions
The drug shows excellent results in the treatment of the gastrointestinal tract, as well as the genitourinary system. The main symptoms of increased uterine tone are pain, muscle contraction, hardness observed in the lower abdomen - all this can provoke a miscarriage in the early stages of pregnancy. And as a muscle relaxation, doctors prescribe to pregnant women to take a myotropic antispasmodic, that is, no-shpu.
Parenteral administration of this agent during labor is not used in all cases, so there is a certain risk of postpartum hemorrhage. In addition, this tool does not apply in such cases:
- in the presence of heart ailments;
- glaucoma;
- if there is hepatic or renal failure;
- with increased sensitivity to one of the components included in the composition.
When taking, special care must be taken for expectant mothers suffering from low blood pressure.
During pregnancy, no-shpa in ampoules is used as a preparation for the birth process to accelerate the passage of the cervical dilatation. During childbirth, 40 mg of the drug is injected intramuscularly, sometimes the injection is repeated a few hours later. This drug has an analgesic effect, thereby reducing the risk of tears.
Injections of this medication during pregnancy are recommended for expectant mothers who have lactose intolerance, which is part of the tablets. The introduction of no-shpy helps to achieve the fastest pain relief result. However, not the most pleasant phenomenon in the process of receiving this medication in injections is the creation of seals - infiltrates, they will be able to completely dissolve only after a few months.
Many consumers have trusted this drug for many years, about forty years. This is due to the fact that this drug is aimed precisely at eliminating the very cause of the appearance of pain syndromes, without masking them at all. The effectiveness, as well as a high level of safety and the content of a minimum number of side effects of the drug have been confirmed by clinical studies in many countries of the world.
At a plant in Hungary, high-quality raw materials for this drug are manufactured in strict adherence to the correct technological process, which helps to carry out the highest degree of purification from various foreign impurities, as well as ensure a clear content of the active agent in each tablet. Anti-counterfeiting medicine is carefully protected by packaging labeling that meets all modern standards.
Often, the use of no-shpy is prescribed by obstetricians-gynecologists to eliminate the regular tone of the uterus, and this medicine is also recommended at an early stage in order to preserve the pregnancy. Do not forget that you cannot perform self-medication in any way, you need to consult a doctor in a timely manner, it is he who will prescribe the exact dosage of the medicine.
"How to correctly determine the dosage of no-shpa during pregnancy?" - The answer to this question is: "Without fanaticism." In the event that a slight tension appears in the abdomen, you do not need to immediately resort to medicine, it should be performed only for medical reasons. During the period of bearing a baby, with the appearance of various pain sensations (dental, head and others), they need to be eliminated without the use of drugs, for example, with the help of massage.
If you ask your doctor what medicines you should keep in your home medicine cabinet, he will certainly mention No-shpa as well. Because this is one of the few drugs that doctors allow pregnant women to take, and they give such a recommendation quite often. But if you look at the instructions, you will find that such treatment during the period of gestation is undesirable, and it can be done with great care, weighing all the risks.
Let's find out whether or not it is possible to take No-shpa to pregnant women, whether it is harmful and how No-shpa helps during pregnancy.
Why do you need No-shpa during pregnancy
The active ingredient of the drug is drotaverine, a well-known antispasmodic. Its principle of action is based on relaxing the muscles of smooth muscles and the walls of blood vessels. Thus, the drug is used in cases where it is necessary to relieve the spasm of smooth muscle tissues lining the internal organs - the gastrointestinal tract, genitourinary and cardiovascular systems, biliary tract. In practice, it (both as an independent remedy and in combination with other medicines) is resorted to to improve the health of patients with conditions such as cystitis, pyelonephritis, stones in the ureter, kidneys or gallbladder, inflammation of the gallbladder, colitis, enteritis, gastritis , ulcer, tension headaches, hypertension, menstrual pain, etc.
Now you understand what No-shpa does and what it can be prescribed for. During pregnancy, they resort to taking drotaverine in such cases:
- For headache: relieves spasm of the cerebral vessels, relieves tension, relaxes the muscles of the neck and back (which often causes headaches).
- For stomach pain: relieves spasms of the stomach and intestines, relaxes their walls (due to which pregnant women have stomach pains), contributing to the resumption of the normal functioning of these organs.
- With the threat of pregnancy: removes the tone of the uterus, preventing its contractile activity.
The instruction for the drug warns that taking pills during gestation is possible only under the supervision and supervision of a doctor in cases where all potential risks are weighed. This warning is explained by the lack of clinical trials of the effect of drotaverine on pregnant women and intrauterine development of the fetus. Meanwhile, scientific tests were carried out on animals, and they showed the absence of a teratogenic (damaging the embryo) effect, in connection with which No-shpa is considered harmless and harmless to expectant mothers and babies. In addition, the long-term practice of using this medicine among women carrying pregnancy shows good results and the absence of negative consequences. There is also evidence that No-shpa has a positive effect on the cardiac activity of the fetus. But there are results of other studies: in the developed countries of the world, they refused to prescribe this drug to pregnant women, since a connection was noticed between such therapy and the occurrence of delays in the speech development of the unborn child. However, in the west, tonus in the first trimester is practically not treated (unlike our medical practice), and at a later date, this phenomenon is treated more calmly than in our country. At least, they are not reinsured by such a large number of drugs prescribed to the expectant mother.
Nevertheless, the need, scheme and method of using No-shpa during pregnancy is always determined by the doctor: it is undesirable to resort to taking antispasmodics on your own. This minimizes the potential harm to the treatment.
How to take No-shpa tablets during pregnancy: dosage
It is impossible to give a reliable answer to the question of how many No-shpa tablets can pregnant women drink. This is decided on an individual basis, depending on the indications and state of health of the woman. But the instruction gives general recommendations on how to drink No-shpa tablets, which must be guided by if there is no opportunity to seek medical help, and the need to remove muscle tone has arisen acutely:
- You can drink no more than 2 tablets at a time.
- During the day, No-shpa can be taken no more than 3 times.
- During the day, it is allowed to take a maximum of 6 tablets in three divided doses (which is 240 mg of drotaverine; 1 tablet contains 40 mg of the active substance).
- If you take No-shpa Forte during pregnancy, then you need to take into account that one such tablet contains a double dose of drotaverine - 80 mg, that is, you can drink only 1 tablet at a time, and no more than 3 during the day.
- No-shpa should not be taken for more than 2 days in a row without consulting a doctor.
Be sure to study the contraindications that are indicated in the instructions for the drug. This is severe heart failure, impaired kidney and liver function, hypersensitivity to the components of No-shpy. Since it contains lactose, special care should be taken in patients with lactase deficiency, galactose intolerance, malabsorption syndrome. The use of No-shpa during breastfeeding is not recommended. Children under 6 years old, pregnant women and patients with hypotension can take drotaverin only under the supervision of a doctor. No-shpu during pregnancy is not prescribed if a woman is diagnosed with isthmic-cervical insufficiency.
It should be noted that minor tingling in the lower abdomen, short-term uterine tone, which occurs sporadically (from time to time or as a reaction to overwork), is considered normal during pregnancy and does not always require an antispasmodic. Very often it is enough to calm down, take a few slow deep breaths or just lie down and rest - as the tone disappears.
Also note that in rare cases, No-shpa can cause side reactions: lower blood pressure, increased heart rate, constipation, headaches, nausea, dizziness, sleep disturbances, allergic reactions
No-shpa during pregnancy: reviews
Like many other topical issues, pregnant women often discuss on the forums whether it is possible to drink No-shpa, how much to drink, how it is dangerous and other "pros and cons".
If we summarize these reviews, then we can say that many expectant mothers resort to taking this medication: both on their own initiative and on the recommendations of doctors. Mostly they do not notice any negative consequences (neither during pregnancy, nor after it). But for many, according to reviews, No-shpa during pregnancy becomes the cause of weak labor.
Therefore, of course, in no case should it be abused.
Especially for - Margarita SOLOVIEVA
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 hypotonic 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 tablet 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 hypertonicity, 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 to relieve 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 trimesters 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 not more than 240 mg.
Contraindications
There are a number of contraindications in which drotaverin 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.
Analogues:
- ... 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.
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 drotaverine. 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, spasms and pains are eliminated. Additional components of the preparation are talc, magnesium stearate and corn starch.
The advantage of No-Shpa 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 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 for 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 early 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 at an early stage of gestation.
No-Shpa is produced in the form of tablets and solution for injection. What form of the substance will be most suitable for each woman, how many times a day to take the medicine, is determined by the doctor in accordance with the instructions for the medicine.
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-Shpy 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 medicine, 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 negative effects on the fetus at the stage of intrauterine development. No-Shpa is considered a completely safe drug, which provides 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 analogs 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 reflected 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 spasms of cerebral vessels. |
| 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 | It is 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.
Very often during pregnancy, especially at its beginning, the expectant mother is worried about minor abdominal pains. A doctor observing a woman prescribes a drug for her No-shpa.
But the pregnant woman has doubts: was the doctor mistaken, whether it is possible to take this drug in her position. After all, the expectant mother knows that medications are contraindicated for her!
She can be absolutely calm: No-shpa is not only a harmless drug, moreover, this drug is safely prescribed to most pregnant women.
Information about the drug
No-shpa developed by Hungarian pharmacists and available in the form of tablets and ampoules for intravenous and intramuscular injections... The active ingredient of the drug is drotaverin, the auxiliary components are: lactose, talc, magnesium stearate and corn starch.
Thanks to drotaverine, No-shpa relieves spasms and pain sensations of almost any organ, dilates blood vessels and promotes the flow of oxygen to all human organs.
Doctors prescribe No-shpa for diseases of the stomach and intestines, gallbladder, with renal colic.
No-shpa able to dilate blood vessels, therefore, with success used for heart diseases as an adjuvant that can relieve pain, for example, with angina pectoris, and ensure the normal circulation of blood through the vessels.
Also, No-shpa is very effective for small periods of pregnancy, but in this case it is prescribed only by the attending physician.
The drug is not prescribed men with prostate diseases and people with increased intraocular pressure.
After taking the drug inside, almost immediately there is a decrease in pain, the vessels dilate. In this case, there is no detrimental effect of the active substance on the peripheral and autonomic nervous system, no harm to the liver is caused.
No-shpa has a positive effect on the body without causing any harm.
Why is the drug dangerous (and is it dangerous?) For pregnant women?
As already mentioned, No-shpa is an absolutely harmless drug, and you can use it during pregnancy. But, like any other drug, it has its own side effects. And if in everyday life No-shpa is accepted by everyone and at any opportunity, then during pregnancy there is no need to rush to get it out of the first-aid kit without the permission of a doctor.
The drug is not prescribed pregnant women with cardiovascular diseases, renal and hepatic insufficiency, increased intraocular pressure, and if an undesirable reaction to any element of the drug has ever been observed.
No-shpa can cause an unexpected allergic reaction, with caution it should be taken by pregnant women with heart, kidney and liver problems.
Often women in an interesting position suffer - in this case, it is also not recommended to use No-shpu.
The drug can also aggravate toxicosis., lead to decreased appetite, weakness, increase the heartbeat.
Despite all its apparent harmlessness, No-shpa can harm a pregnant woman... But a competent doctor knows about all the features of this drug, therefore, the expectant mother needs to use it only with permission, and under the supervision of an experienced doctor.
Dosage and duration of taking the drug during pregnancy
It is generally accepted that No-shpa is prescribed for pregnant women in the first trimester of pregnancy.... The fact is that at a later date, this medicine can contribute to the opening of the cervix, because of this it is taken with caution.
No-shpa does not have a negative effect on the fetus and its development, and is prescribed by doctors without fear of the tone of the uterus and the threat of miscarriage in the first weeks of pregnancy, to relieve spasm of smooth muscles.
To lower the tone of the uterus, and the associated pain, appoint one to two tablets three times a day... Per day for a pregnant woman, you can take from 80 to 240 mg.
If a pregnant woman does not tolerate lactose, which is part of No-shpa, then she is prescribed this drug in the form of injections, since lactose is not part of the solution for injection.
With intramuscular injection of the drug, a pregnant woman should enter from 40 to 240 mg per day. A intravenous administration the drug will allow you to achieve a therapeutic effect instantly, because the drug immediately enters the bloodstream.
The duration of taking the drug will be determined by the doctor, usually three to five days are enough and the symptoms of uterine hypertonicity disappear. You should not get carried away with the use of No-shpa during pregnancy: of course, the medicine will bring relief, but you should not reach for it at the slightest discomfort.
Features of the drug
No-spa, like any other medicine, has its own specifics of use. And, despite the fact that it is not prohibited for use during pregnancy, at different stages of pregnancy, doctors approach its appointment in different ways.
Every mother-to-be worries about her unborn baby, a woman experiences special anxiety when the doctor says that her uterus is in an increased tone.
Do not worry: more than half of women face such a problem in the early stages. And in order to eradicate it, gynecologists prescribe No-shpa, which will help to relax the smooth muscles of the uterus, expand the vessels in it and improve blood circulation.
This will not harm the future little man, it will reassure mom. In this way, the first trimester will pass without complications, and this is very important, because right now a small person is being formed, and tone in tandem with mother's nerves is useless here.
When the second trimester of pregnancy comes, women boldly grab the No-shpy pill for any manifestation of discomfort. Out of habit: after all, in the first trimester, she helped a lot.
This is an irreparable mistake, because No-shpa, with all its good qualities, can contribute to the opening of the cervix and lead to. That is why No-shpa in the second and third trimesters of pregnancy is prescribed by doctors with extreme caution., and, most likely, in a hospital.
In the last weeks of pregnancy to prepare the cervix for childbirth, No-shpa can be prescribed. It will contribute to the softening of the cervix and its faster opening during childbirth. This will ease the course of labor, reduce pain and reduce the likelihood of vaginal discharge.
No-shpa will also become a kind of signal for childbirth: in case of unexpected abdominal pain in the last weeks of pregnancy, you should drink two tablets of the drug. If the pain has not subsided, it is time to get ready for the hospital, this is most likely the beginning of labor pains.
Effective analogues of No-shpy
The most common analogue of No-shpa is the Russian drug Drotaverinum... If you need to pay 180 rubles for 60 No-shpa tablets, then for the same amount of Drotaverin the patient will pay 30 rubles.
Also substitutes for No-shpy are Bioshpa, Spazmonet, Spazmol, Droverin, Vero-Drotaverin, Nosh-Bra.
In these preparations, the identical active ingredient is drotaverine. But you need to take them during pregnancy only with the permission of your doctor!
No-shpa is an excellent antispasmodic, which is not prohibited for use during pregnancy. However, a pregnant woman should not take this drug without first consulting a doctor: it has pronounced side effects and is not suitable for everyone.
So that the result of pregnancy is the birth of a healthy baby, No-shpu should not be taken late in pregnancy., most often it is prescribed by doctors in the first trimester, and in the future it is used if necessary, especially in preparation for childbirth, and in their process.
