General Practice 2022

Remédios that grálife não must take (classificationção risk)

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Remédios that grálife não must take (classificationção risk)
Remédios that grálife não must take (classificationção risk)

Practically all medicines are contraindicated in pregnancy and should only be used under medical supervision. To evaluate the risk/benefit that the drug can bring during pregnancy, the FDA (Food and Drug Administration) created a risk classification.

According to the FDA, drugs classified as risk D or X are prohibited during pregnancy because they can cause fetal malformation or miscarriage, and drugs not recommended for use during pregnancy are risk B and C because of the absence of studies carried out in pregnant women. Thus, only drugs with risk A can be used during pregnancy, but always under the guidance of the obstetrician.

Information about the risk that the drug has is present in its package insert and therefore the pregnant woman should only take the medicines prescribed by the doctor during pregnancy, but she should also read the package insert to check if there is a risk or what they are the side effects that may occur.

Medicines with a doctor's prescription only

Medicines only with medical prescription

Classification of drugs according to their risk

The classification of drugs indicates that:

Risk A - There is no evidence of risk in women. Well-controlled studies reveal no problems in the first trimester of pregnancy and there is no evidence of problems in the second and third trimesters.

  • Examples: Folic Acid, Retinol A, Pyridoxine, Vitamin D3, Liothyronine.

Risk B - There are no adequate studies in women. In animal experiments, no risks were found, but side effects were found that were not confirmed in women, especially during the last trimester of pregnancy.

  • Examples: Benzatron, Gamax, Keforal, Simvastatin, Busonid.

Risk C - There are no adequate studies in women. In animal experiments there were some side effects on the fetus, but the benefit of the product may justify the potential risk during pregnancy.

  • Examples: Hepatilon, Gamaline V, Pravacol, Desonida, Tolrest.

Risk D - There is evidence of risk in human fetuses. Only use if the benefit justifies the potential risk. In a life-threatening situation or in case of serious illnesses for which safer remedies cannot be used.

  • Examples: Apirine (Acetylsalicylic Acid); Amitriptyline; Spironolactone, Azathioprine, Streptomycin, Primidone, Benzodiazepines, Phenytoin, Bleomycin, Phenobarbital, Propylthiouracil, Cyclophosphamide, Cisplatin, Hydrochlorothiazide, Cytarabine, Imipramine, Clobazam, Chlorambucil, Valproate, Chlorazepate, Cortisone, Mercaptopurine, Vincristine, Daunorubicin, Methadone, Doxorubicin.

Risk X - Studies have revealed fetal malformation or miscarriage. The risks during pregnancy outweigh the potential benefits. Do not use under any circumstances during pregnancy.

  • Examples: Tetracyclines, Methotrexate, Penicillamine.

Precautions that pregnant women should take before taking medication

The precautions that a pregnant woman should take before taking any medication include:

1. Only take medication under medical supervision

To avoid complications every pregnant woman should only take medication under medical supervision. Even commonly used medications such as Paracetamol to relieve a simple headache should be avoided during pregnancy.

Although its use is approved, taking more than 500 mg of Paracetamol during pregnancy can damage the liver, bringing more complications than benefits.In addition, some medications are prohibited at different stages of pregnancy. For example, Voltaren is contraindicated after 36 weeks of pregnancy with serious risk to the baby's life.

2. Always read the leaflet

Even if the drug has been prescribed by the doctor, you should read the package insert to check the risk of using it during pregnancy and what side effects may occur. If in doubt, consult your doctor.

Whoever took any medication without knowing that they were pregnant should not worry, but should stop using the medication and undergo prenatal exams to check for any changes in the baby.

Natural remedies contraindicated in pregnancy

Some examples of natural remedies contraindicated in pregnancy are those composed of the following medicinal plants:

Aloe vera Kill pasture Coarse Grass Jaborandi
Catuaba Erva de Santa Maria Swallow herb Petweed
Angelica Canela Hera Purslane
Jarrinha Lágrima de Nossa Senhora Erva de Macaé Cascara sagrada
Arnica Mirra Sourdish Rhubarb
Artemísia Copaíba Guaco Jurubeba
Sene Carnation of the gardens Breaking stone Ipê

How to cure disease without medicine

What is recommended to do to recover faster during pregnancy is:

  • Rest as much as possible so that the body invests energy in curing the disease;
  • Invest in a light diet and
  • Drink plenty of water so that the body is properly hydrated.

In case of fever what you can do is take a bath with a tepid temperature, not too warm, not too cold and wear light clothes. Dipyrone and paracetamol can be used during pregnancy, but only under medical advice, and it is important to keep the doctor informed of any changes.

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