Pregnant women had urticaria, and he dared to use this medicine?

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Pregnant women’s medication is a very sensitive topic. Pregnant women and family members are worried about the impact of drugs on their children and dare not use it.The doctor was afraid that there would be an accident in the future and did not dare to use it.There is no way, sometimes only pregnant women suffer.This article discusses the medication of urticaria based on evidence -based medicine.I hope to give you the right concept and make the pregnant women with urticaria less pain.

A few months ago, a leader said that he had a relative who was pregnant and had urticaria. The treatment was almost a month. The effect was not satisfactory. It had seriously affected sleep because it was too itchy at night.Want to ask pregnant women to consult me.Of course, this is okay, I agreed happily.Later, through the phone and WeChat, I realized that she was not our city.So I can’t do it.So I asked her to use WeChat to show me the medical records, prescriptions, and rash photos.The disease was urticaria, and the local doctor did not give her special drugs.But this does not solve the problem at all.I learned that she had been pregnant for 6 and a half months, and it was more than a month to get the disease.Because this time period is relatively safe to use deretthe.So I asked her to use this medicine, the effect was very good, and it was not long.The patient also sent WeChat thanks to me.I am also very pleased.

You may have said that other doctors do not allow medication. Why do you let medicine?Your courage is big enough.In fact, because of the basis, I dare to use the medicine.Let’s take a look, welcome to discuss, write down yourself, and share them together.

What is urticaria?

Urticaria (URTICARIA) is commonly known as a sacral block, which is a limited edema response due to the expansion of the skin and mucosal vascular dilatation and increased permeability.The clinical manifestation is the damage of rubella with different sizes, which suddenly occurs, rapidly subsides, and itching is severe, leaving no traces after healing.Generally, it can be disappeared 24 hours. If it does not retreat, it means that she is another disease, not urticaria.

Does urticaria affect the fetus?

Under normal circumstances, urticaria has no effect on the fetus.Some information once said that in the first three months of pregnancy, urticaria may cause fetal malformation, congenital heart disease, and developmental inadequate development.But there is no exact medical record to explain.Generally, the placenta in the late pregnancy has been developed, and it has no effect on the fetus.

In addition, whether it has an impact on the fetus, it also needs to determine the degree of urticaria in pregnant women. Therefore, once the pregnant woman has urticaria, it is best to take the time to seek medical treatment. For their own health, they are also for their cute babies.

The specific impact is uncertain, but it is certain that the urticaria has not been used as a last resort during pregnancy.

In addition, pregnant women must pay attention to their diet, forbidden to eat hair products such as seafood, beef and mutton, and less spicy foods such as spicy spicy, so as not to aggravate the symptoms; eat more fresh fruits or alkaline foods that are rich in vitamin.It is also necessary to combine and rest, relax, maintain the laws of life, and exercise moderately to enhance your physique.

The effect of drugs on fetuses during pregnancy?

1. Early stage of embryo (0 to 14 days after pregnancy).This period is exposed to the teratogenic agent that may cause a "full or no" effect.Only damage to a small number of cells will be repaid and develops normally to the next stage.

2. Embryo period (3 to 8 weeks after pregnancy).In the early days, the development of the central nervous system may be more sensitive to teratogenic drugs.In the 8th week, the main organs have been established.

3. The fetus period (born to birth to the 9th week after pregnancy).In this period, teratogenic drugs will delay the organizational function of growth or interference.For example, heylene estradol can cause subtle changes in male and female reproductive tracts. Long -term exposure to these drugs in the uterus will increase the risk of female babies suffering from vaginal cancer in the future.For short -term doses in the first month, it may have side effects on newborns after childbirth.Drug teratogenic risk level

Please click here to enter the picture to describe the principle of pregnancy and medication

① To avoid using any drugs within 3 months of pregnancy, pregnant women should be particularly cautious during medication during pregnancy.

② The dose of all drugs should be the minimum effective amount;

③ Try to use more completely drugs during pregnancy;

④ Patients with chronic diseases should obtain a doctor’s consent during pregnancy;

⑤ You can use external medicines to try not to take medicine as much as possible.

How to choose antihistamine drugs?

How to safely apply anti -group amines during pregnancy during pregnancy. There is no clear guidance principle.It is generally believed that such drugs have no obvious effect on fetal teratogenic, but within 2 weeks before giving birth, newborns can form fibrous tissue formation after lens.

FDA B -class drug

(1) Triplennamine FDA classification B.It is also known as Min Ling or Pan Minning.Animal experiments were found to be abnormally found.According to research data from the National Perinity Period Collaboration Plan, 100 pregnant women applied this product and 490 applicants at any time of pregnancy within the first three months of pregnancy.

(2) Benzene, FDA classification B.The application of this product for pregnant women is still safe to the fetus.According to the research data of the National Perinificial Perinity Plan, the mother’s 595 newborn and mothers applied the 595 newborn and mothers to the 2948 newborn in this product at any stage of pregnancy within the first three months of pregnancy.EssenceHowever, there is a report that the incidence of deformity (toe) has a high rate of deformed neonatal, but it may be related to the disease of the mother, accompanied by other drugs and the accidentality.

(3) Cymine, FDA classification B.No terators were found in the experiments of rats.According to the monitoring and research of the U.S. Michelon Drugs, among the 285 newborns of this product within the first three months of pregnancy, the number of oral cracks, urethral cracks, and malformations are slightly higher, but this result may be withMother’s disease is associated with other drugs.Due to the insufficient research on pregnant women and fetal safety during pregnancy, this product is preferably for pregnant women who need special need.

(4) Clothery FDA classification B.For pregnant rats and rabbits 75 and 150 times the amount of people, no terators were found.Whether women are used in pregnancy during pregnancy are safe for the fetus, and there are currently no sufficient and contracted research reports.

(5) Sitrizine FDA classification B.Animal experiments were found to be abnormally found.Whether a pregnant woman’s application of this product is safe to the fetus, there is no sufficient and contracted research reports, so they should still be used with caution for early pregnancy women.

(6) Cyanic cymbal, FDA classification B.Animal experiments are not found to be teratogenic, but it has a weak anti -androgen effect.According to the monitoring and research of the U.S. Michelon Drugs, the mother applied the 460 newborns of this product within the first three months of pregnancy.

(7) Renitidine, FDA classification B.Animal experiments were found to be abnormally found.According to the monitoring and research of the U.S. Michelon Drugs, among the 516 newborns who applied this product within the first three months of pregnancy, the mother showed no terators in this product.

(8) Famotidine Hydrochloride (PEPCID) FDA classification B.Animal experiments were found to be abnormally found.According to the monitoring and research of the U.S. Michelon Drugs, 2 of the 33 newborn (6.1%) of the 33 newborn applied in the first three months of pregnancy have severe malformations (the expectation index is 1).Due to the small number of cases, it is difficult to make a precise evaluation.

FDA C -Class drug

(1) Pyrilamine (Mepyramine) FDA classification C.According to the research data of the National Perinity Plan Plan, the mother has not increased the deformed rate among 121 newborn newborn in the first three months of pregnancy.Applying this product within 2 weeks before giving birth may increase fibrous tissue formation after lens in the newborn.

(2) chlorophenamin, poker sensitivity, FDA classification C.According to research materials of the National Perinity Period Cooperation Plan, 1070 pregnant women applied this product within the first three months of pregnancy, and did not find the fetal teratogenic.It is reported that within 2 weeks before giving birth, anti -histamine drugs are applied, and fibrous tissue formation after lens occurs in newborns.

(3) Hydroxyzine [Vistaril) FDA Category C.Commonly used hydroxylidines are hydrochloride (Anto) and hydroxyzine Pamoate.There is a large dose of this product for the application of mice.But human beings have not confirmed teratogenicity.According to the monitoring and research of the U.S. Michelon Drugs, the number of split oral split occurred among the 828 newborns who applied this product within the first three months of pregnancy, but this may be accidental.The production factory believes that the research materials of fetal safety during the application of early pregnancy are not sufficient, so early pregnancy is avoided.

(4) Cromodibyl proprob propyri proprobifhamine, brompheniramine FDA classification C.According to research data from the National Perinity Period Collaboration Plan, 65 pregnant women applied this product within the first three months of pregnancy, and 10 of their newborns had deformities.Therefore, pregnant women should not be applied.

(5) Tetahid FDA classification C.Rodor tests were found to be abnormally found.Monitoring and research information of the U.S. Michelon Drugs. Among the 1034 newborns who applied this product within the first three months of pregnancy, the mother has more finger (toes).More research.

Can urticaria be used in Chinese medicine?

Urticaria can be treated with traditional Chinese medicine, but pregnant women have urticaria, and drugs have to consider that drugs affect the fetus. Traditional Chinese medicine is a complex, complicated, and there is no evidence -based medical evidence.Therefore, it is not recommended to use during pregnancy.If Western medicine is ineffective, you can find experienced Chinese medicine practitioners and obstetricians to jointly agreed the treatment plan to ensure that the side effects are minimized.

Summarize

After a pregnant woman has urticaria, they must first consult a doctor.Treatment according to the doctor’s order.

No drug is absolutely safe to the fetus. Only when the benefits of the drug to the mother are greater than the danger of the fetus, the medication should be considered. If possible, any drug should be avoided within 3 months before pregnancy.When you have to use it, you should choose a safe drug with long clinical use.When using the drug, choose the minimum effective dose, the shortest effective course.

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