[리빙톡] If you are planning on having a 2-year-old… Be careful with ‘these drugs’

Delivery time2024-10-27 09:00

(Seoul = Yonhap News) Marriages and childbirths, which had decreased during the COVID-19 period, are increasing again.

The preparation process is as important as having a child.

In particular, medicines have a direct impact on the health of the mother and fetus.

What should I do to use medications safely during pregnancy?

It is generally thought that you only need to be careful about medications taken during pregnancy, but you should also be careful in advance if you are planning to have a second child.

Isotretinoin, an acne treatment, should be discontinued one month before pregnancy. This is because if it remains in the body during the early stages of implantation, it can cause serious deformities in the fetus or spontaneous miscarriage.

Valproic acid, a treatment for epilepsy, can cause neural tube abnormalities in the fetus. However, since seizures during pregnancy can be dangerous to the fetus, it is recommended that you consult your doctor to adjust your medication intake.

There are also medications that men should be careful about. You should consult a specialist about whether to continue taking the hair loss treatments ‘Finasteride’ and ‘Dutasteride’.

Many women do not take medicine during pregnancy because they believe it will be harmful to the fetus. It is not good to endure unconditionally. If it is not treated, it may cause problems for the mother or fetus.

If a fever above 38 degrees Celsius persists in early pregnancy, it may affect the fetus’s nervous system. If your symptoms are severe, you can take an acetaminophen pain reliever such as Tylenol.

Even if headaches or back pain persist during pregnancy, you can take it in doses not exceeding 4,000 mg.

However, it is said that it is not recommended to take non-steroidal anti-inflammatory drugs (NSAIDs), which have a pain-relieving effect.

Shin Joo-young, a professor at the Department of Pharmacy at Sungkyunkwan University, said, “Ibuprofen-type (NSAID) painkillers can cause kidney damage in the fetus in the second half of pregnancy and can also cause oligohydramnios, which is a decrease in the mother’s amniotic fluid.” He added, “In Korea, these drugs are not prescribed to pregnant women. “It’s taboo,” he explained.

He added, “It is specifically contraindicated after 30 weeks of pregnancy. Even between 20 and 30 weeks, the minimum dose must be taken for the shortest period of time, and it must be taken under the judgment of a specialist.”

When you become pregnant, your hormones change rapidly and various symptoms appear in your body. At this time, medication may be used depending on the symptoms.

During pregnancy, constipation commonly occurs due to decreased physical activity, intestinal pressure in the uterus, and hormonal changes. If symptoms persist, you can take laxatives containing ‘lactulose’, ‘psyllium husk’ or magnesium.

Allergies or itching may occur. If it continues to itch, you can use antihistamines, but ointments containing steroids should only be used after consulting a doctor or pharmacist.

What about diet supplements?

Professor Shin Joo-young said, “It is a rule for mothers to avoid taking diet drugs,” and added, “If the mother has diabetes or is pregnant and newly diagnosed with gestational diabetes, human insulin is recommended.”

He also said, “A lot of research is currently being done on whether (obesity treatment drugs) such as Wigobi and Saxenda are safe for pregnant women, but a little more monitoring is still needed.”

There is no need to unconditionally stop taking medications just because you are pregnant.

Kim Ui-hyeok, a professor of obstetrics and gynecology at CHA Ilsan Hospital, CHA University School of Medicine, said, “The side effects of the disease are greater than the side effects of the drug, so they must be well controlled. Those who may become pregnant can select and use a drug that can be used during pregnancy through consultation. And, pregnant women can use it. “In fact, there are not many medications that should never be used, so I hope that you can continue the pregnancy while consulting with your doctor.”

dklim@yna.co.kr

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2024/10/27 09:00 Sent