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Job title: Education |
Question: Good afternoon. At the moment, at the beginning of the cycle, I am finishing treatment for sinusitis with the drug Tsiprolet. Can I plan to get pregnant next cycle? Or should I wait a few months?
Doctor's answer: Hello! ZHelatel "no podozhdat" eshche mesyats.
Medical services in Moscow:
Question: Hello, I am 33 years old, second pregnancy, on the 13th day of the cycle cystitis worsened, I took Monural, on the 16th day of the cycle I fell ill with ARVI, took 7 tablets of Ingaverin, Polydex in the nose and Hexoral and antiangin in the throat, from the 21st day of the cycle cystitis again, drank Ciprolet 2 tables each 5 days and one dose of fluconazole for thrush. I found out about pregnancy after a delay on the 30th day of the cycle. Tell me, please, what is the risk of pathologies for a child? And what tests do you need to undergo? Have I really harmed the unborn baby? How big are these risks? What is the accuracy of ultrasound and HD in detecting congenital malformation?
Doctor's answer: Hello! Risks are possible. You need to wait for the first screening at 12-13 weeks.
Question: HELLO. ON DECEMBER 6 I WAS CONCEPTIVE, ON DEC 10 I HAD PLASTIC PLASTIC FROM 10-17 I TOOK ANTIBIOTICS (TRICHOPOL, TSIPROLET, MYCOMAX) HERPES WAS AWARE I DID ANTI-VIRAL DRUGS (ACYCLOVIR AND ALLAKIN ALPHA IN INJECTIONS AND VALTREX ) IT IS NOW 7 WEEKS, WE WANT TO KEEP THE PREGNANCY , AND THE DOCTOR DOESN’T RECOMMEND A WOMEN’S CONSULTATION, IT THREATENS WITH PATHOLOGY. WHAT TO DO?
Doctor's answer: Hello! Only you and your husband can make the decision. The doctor can only warn. In your case, fetal deformities of up to 50-60% are possible.
Question: Good afternoon I have been tormented for a long time by one question about the pregnancy I terminated. It turned out to be an unpredictable situation: I was 7 weeks pregnant. And two months later, that is, at the time of pregnancy, I became very ill with a sore throat and, out of ignorance, started taking Ciprolet for ~ a week. When I went to the gynecologist, she definitely told me to have an abortion. I said that I would. But the doctor answered whether I was in my right mind, that there could be anomalies. Out of fear of damage to the fetus, I decided to take this terrible step. Then, after the abortion, a month later, my sore throat worsened, I had to call an ambulance, they sent me to the hospital, it turned out to be an abscess, and I had to go through it for 2 months. During pregnancy, I had to have my tonsils removed due to an infection. And now, after a while, I worry all the time that maybe everything would be fine with the child? This was my first pregnancy. How serious would the effects of the antibiotic be?
Doctor's answer: Hello. It is not advisable to use Tsiprolet during pregnancy, especially in the first trimester. It is almost impossible to assess the likelihood of hereditary pathology. Decision is made. Pregnancy must be planned. Before doing this, it is important to consult a gynecologist. Get tested.
Question: Hello, Doctor! Please advise me on my situation: first pregnancy 9 weeks, 29 years old, the last 7 years - chronic inflammation of the appendages, but pregnancy is uterine (ultrasound). The pregnancy was unplanned and occurred during treatment with doxycycline (since before conception, menstruation was absent for 2 months and there were enlarged appendages, pain in the sides, suspicion of endometriosis, ectopic pregnancy - this was still before conception). Further, being already pregnant (neither I nor the doctors knew), I took Ciprolet during the 2,3,4 weeks of pregnancy, and had electrophoresis with zinc.
Help! What to do!? What could be the consequences of taking antibiotics and electrophoresis in early pregnancy? Is it necessary to have an abortion? I really want to give birth to a healthy baby! What if this is the only chance?! After all, I am in danger of obstruction of the pipes...
Doctor's answer: Hello. The use of antibacterial drugs is undesirable, especially in the first trimester of pregnancy. The child can certainly be born healthy. Modern diagnostic techniques allow careful monitoring of a developing pregnancy. You should consult a gynecologist, a specialist in medical genetics. The final decision always remains yours.
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Expectant mothers need increased caution and attention during pregnancy. The health of the pregnant child may depend on any decision made. In the event of an illness, an approach to the choice of medications in any trimester is considered a necessity. Many diseases may require the use of antibiotics. Considering their possible negative impact on the course of pregnancy, experts disagree. In any case, there are a number of medications, the effect of which on the developing child’s body any mother should have an idea.
Specialists prescribe antibiotics when necessary to treat infectious diseases. At the same time, it is necessary to have at least a minimum of information about these medications in order to eliminate negative consequences during pregnancy, both in the early and late stages. Antibiotics are products of the life processes of microorganisms. Synthetic production of such drugs is also possible. Antibiotics either kill bacteria or stop them from spreading. Thus, there are two basic types of drugs:
It must be remembered that such drugs do not help the body at all in the fight against viruses - influenza, colds, runny nose and other similar ailments. Pregnant women - and especially in the first trimester of pregnancy - should not forget that any drug is prescribed by a doctor. In addition to harmful bacteria, antibiotic drugs can also destroy natural microorganisms. There are certain rules for competently taking such medications:
Each disease has its own antibiotic, and manifestations of allergic reactions are not excluded. Women during pregnancy prefer to do without medications at all and therefore wonder how safe it is to take antibiotics in the early and late stages. Some physicians divide medications into those that are acceptable for use during pregnancy and those that are unacceptable and can harm the fetus. There are also drugs that occupy a position approximately in the middle of this list.
When a woman is expecting a child, she must clearly understand the extent of responsibility - both taking the pill and refusing it can cause harm to the baby. If only an antibiotic can help the mother's health, she needs to take it. It is important to evaluate everything: the dose of the substance taken, the duration of use, the duration of pregnancy, trimesters, and the individual sensitivity of the body. The danger of the influence of antibiotic substances on the embryo is especially great in the first trimester. Any toxin can negatively affect the developing organs of the fetus, disrupting or even stopping this process.
You cannot do without antibiotics in the case of pneumonia, pyelonephritis in pregnant women, purulent bronchitis, chlamydia, tonsillitis, tuberculosis. They are also mandatory prescribed for chronic kidney and urinary organs, acute intestinal infections and other similar infectious pathologies.
Doctors consider the most common drugs approved for use by women during pregnancy:
For use by women carrying a child, the following are prohibited:
Ciprofloxacin is used as a drug that acts against bacterial infections. However, its safe use in any trimester has not been confirmed. In this regard, the use of the drug is questionable in cases of the lactation period. If we consider its effect on the child’s body in more detail, then the use of the substance during feeding is even more contraindicated than during pregnancy.
What is the most important information about ciprofloxacin that women who are expecting a baby need to know? The effect of this antibiotic substance on the fetus is unfavorable. During lactation or preparation for upcoming breastfeeding, taking ciprofloxacin is unacceptable. The medicine causes the following side effects:
Nausea and vomiting are side effects of the drug
To date, there is no irrefutable evidence of the absolute danger of ciprofloxacin to the fetus. At the same time, there are results of testing the drug on animals. According to them, ciprofloxacin has a negative effect on the developing child. In addition, there is information about the possibility of its penetration into the amniotic environment. This fluid surrounds the fetus in the womb. Since the effect of this antibiotic has not been fully studied, it is advisable for women to avoid its use in early and late pregnancy. Exceptions are possible only in cases where the expected benefit of the drug outweighs its possible negative impact.
Ciprofloxacin can pass into breast milk. Moreover, depending on the duration of its use by the mother, during lactation and feeding, it enters the baby’s body. Accordingly, one should take into account the emerging possibility of the formation of pathologies in the child. As a rule, to eliminate this possibility, doctors recommend either stopping ciprofloxacin (if the mother’s condition allows it) or stopping breastfeeding.
Release form of ciprofloxacin:
When the attending physician prescribes the use of this drug, it is necessary not to violate the dosage established by the specialist. It is also prohibited to replace one type of antibiotic with another. In general, the side effects that occur are not critical, but there is a possibility of their aggravation. Particularly serious side effects include:
Expectant mothers should remember that during the process of bearing a baby, a situation may arise that requires taking certain medications. The fear of harming your child is natural, but refusing treatment can be disastrous for both the child and his mother. A good recommendation is to find a competent specialist during pregnancy and strictly adhere to his recommendations.
Tsiprolet is not allowed to be used during pregnancy, even though it is a fairly safe drug that rarely causes side effects. The reason for this ban is that clinical trials of Ciprolet were not conducted on pregnant women.
When and what antibiotics can be used in pregnant women
All medicinal substances that are allowed to be used during pregnancy must undergo laboratory and clinical trials. In fact, not all drugs undergo clinical trials on pregnant women. Therefore, according to the danger for pregnant women, all medications are divided into groups:
Particular care must be taken when using antibiotics during pregnancy. Antibiotics are dangerous in the first 12 weeks of pregnancy, when the formation of internal organs occurs. But since the final timing of organ development is unknown and in most cases they are individual for each woman, prescribing antibiotics after the twenty-second week of pregnancy is considered safe.
The most studied and safest use during this period is the antibiotics of the penicillin and cephalosporin group. But even these safest antibiotics should be used only after a doctor’s prescription.
How the effect of ciprolet on the body of pregnant women was studied
Tsiprolet passed only laboratory tests on animals. As a result of these studies, it was found that ciprolet does not have any negative effect on reproductive function (fertility) or teratogenic effects on the fetus (teratogenicity is the ability to cause developmental abnormalities in the fetus). At the same time, in an experiment on animals, they were prescribed doses of ciprolet that were six times higher than the usual daily dose for humans. But this is on animals. There is no data on how Ciprolet acts on pregnant women, since clinical studies have not been conducted.
Tsiprolet is not approved for use in pregnant women, children and adolescents also because in some cases it causes arthropathy - joint damage, which is accompanied by pain and sometimes even rupture of ligaments. This effect of ciprolet was revealed in laboratory studies on animals - arthropathy occurred mainly in young animals.
Side effects of Ciprolet also include such manifestations as pain in joints, muscles and ligament rupture. Therefore, Tsiprolet is not recommended for use in the treatment of growing organisms.
What to do for pregnant women who need to use antibiotics
Indeed, in some cases a pregnant woman requires such treatment. This is often necessary in order to prevent the occurrence of intrauterine infection in the fetus if the mother has some kind of genital infection. Antibiotics are also prescribed for infectious and inflammatory diseases of various organs, for example, pyelonephritis.
In this case, the use of antibiotics is necessary and there is no great risk in taking them as prescribed and under the supervision of a doctor. Obstetrician-gynecologists and antenatal clinic therapists know very well which antibiotics can be prescribed and at what stage of pregnancy. It’s another matter if a woman decides to treat herself with antibiotics - the risk of such treatment is too great, because you should not rely only on the instructions that drug manufacturers have developed. Firstly, they are written for doctors, and a person without a medical education cannot always understand them, and secondly, in addition to instructions, doctors have special manuals and guidelines that explain certain issues regarding the treatment of pregnant women.
A pregnant woman cannot take a single pill without a doctor's prescription!
Everyone knows that during pregnancy the use of any medications, especially antibiotics, is contraindicated, since they have the property of penetrating the fetus through the placenta and affecting its growth and development. However, it should be noted that the period of bearing a child itself provokes an exacerbation of diseases in a chronic form, and also increases the risk of developing new ones, because a woman’s immune defense during this period is greatly weakened. What to do if a pregnant woman needs treatment with antibiotics? In this case, the expectant mother has a lot of questions about taking antibacterial drugs, their dosage, side effects, etc.
Antibiotics are considered substances of biological origin that are synthesized by microorganisms and have a detrimental effect on the growth of bacteria and other microbes. Taking antibiotics can be a threat to the health of the unborn baby. Some representatives of these substances are generally contraindicated during pregnancy, since they can provoke various developmental anomalies and cause deafness and disability in the child.
And yet, almost every second pregnant woman is forced to take antibiotics in order to preserve the life of the fetus and her own health. For example, a future mother has been diagnosed with pyelonephritis; in this case, the entire pregnancy will be accompanied by taking antibiotic drugs, because this is a vital treatment.
The advisability of using antibacterial drugs can only be determined by a specialist. But still, every woman should know some things while pregnant. In particular:
If taking antibiotics is absolutely necessary during pregnancy, you need to understand some rules for taking them:
In the early stages of pregnancy, these drugs are strictly limited in use and are prescribed with great caution. The most preferred drugs for treatment are penicillin drugs (Amoxicillin, Oxacillin, Ampicillin, Amoxiclav, etc.). Even with prolonged use, they do not contribute to the development of abnormalities in fetal development. But they also have their drawbacks, including the resistance of some microorganisms to them. In other words, therapy with these drugs may be completely ineffective for some diseases.
If antibiotic therapy is necessary at an early stage of pregnancy, the doctor, having assessed the pros and cons, may prescribe antibiotics from the cefazolin group (Ceftriaxone, Cefazolin, etc.) to the expectant mother. They are usually prescribed for serious illnesses such as pneumonia. For ENT diseases, drugs in the early stages of pregnancy are prescribed for local use whenever possible. For example, the drug Bioparox can be used without fear at any time.
In the second half of gestation, there are significantly more options for antibiotics that can be used at this stage, however, they should only be prescribed by a leading specialist.
Antibiotics prohibited during pregnancy.
In the first case, there is only one way out: you need to stop taking the antibiotic and wait. If the drug has a negative effect, a miscarriage will occur, but if the fetus survives, then, in most cases, it will continue to develop without deviations.
To detect a frozen pregnancy, it is necessary to conduct a blood test for hCG, several times. The same results or low rates will be evidence of fetal development arrest. Another criterion is a vaginal ultrasound at less than four weeks.
There is no need to rush to have an abortion right away for fear of abnormalities in the baby’s development. After all, if there was a negative effect of the drug, the embryo in most cases dies. Malformations usually develop against the background of harmful exposure at later stages during the period of organ growth.
When planning a pregnancy, you should completely stop taking any medications, lead a healthy lifestyle, and engage in light sports.
During pregnancy, taking many medications is contraindicated, especially. This is due to the fact that antibacterial agents easily penetrate the fetus through the placenta and have an adverse effect on its development and growth.
During pregnancy, the protective functions of the female body decrease and often provoke an exacerbation of many chronic pathologies, so it is necessary to resort to the help of various medications. Tsiprolet is considered one of the effective antibacterial drugs, however, its use when carrying a child is prohibited. This is due to the fact that Tsiprolet during pregnancy has a damaging effect on the joints of the fetus.
Tsiprolet is an antibacterial drug that has antimicrobial properties
A drug such as Tsiprolet provokes a disruption of DNA synthesis, which disrupts the process of growth and division of bacteria. The attached instructions indicate that such a remedy is effective in the treatment of pathologies that are caused by the active activity of gram-negative bacteria.
In addition, some types of gram-positive bacteria, for example, streptococci, are particularly sensitive to such an antibacterial drug.
Medical practice shows that Tsiprolet is widely used to combat diseases caused by the progression of intracellular microorganisms in the human body.
This medicine helps to quickly and effectively get rid of pathologies, the development of which is provoked by Pseudomonas aeruginosa.
Tsiprolet does not have a positive effect in the treatment of infections of viral and fungal origin. In addition, it is characterized by low activity against mycoplasmas and anaerobic infections.
After entering the human body, Tsiprolet is well absorbed into the blood, and the maximum concentration of the active substance is observed within 1.5-2 hours after administration.
The antibacterial agent Tsiprolet is available in two forms:
The attached instructions say that for the product to be highly effective, it is recommended to take it in the morning and always on an empty stomach. In this situation, the maximum concentration of the active substance is observed within 1.5 hours after administration.
When the drug is administered by injection, the highest concentration of the drug is observed after 30 minutes, and most of it is excreted by the kidneys. Tsiprolet injections are used exclusively in hospital settings under the supervision of a specialist.
Tsiprolet eye drops are used to treat infectious and inflammatory processes on the organs of vision.
Treatment with this remedy for the following eye pathologies has a good effect:
Tsiprolet eye drops are prescribed as a prophylactic agent after eye surgery. This medicine helps prevent secondary infection in case of injuries to the eyeball of various types, as well as the penetration of foreign bodies into it.
Tsiprolet is available in tablet form, which can be taken by children over 15 years of age. The timing of taking the medicine does not affect its effectiveness, but it is best to take it before meals.
Tsiprolet is an antibacterial drug that is used to treat many diseases. Experts identify the following indications for prescribing this medicine:
Despite the effectiveness of this drug, in some cases treatment with Tsiprolet is contraindicated. ABOUT
You will have to refuse to use such an antibacterial drug in the following situations:
The attached instructions indicate that Tsiprolet should not be taken during pregnancy or while breastfeeding.
In addition, children under 18 years of age should not be treated with such an antibacterial agent, because during this period the process of active formation of the skeletal system is underway.
Only in severe cases can Tsiprolet be prescribed to children over 15 years of age, but under the close supervision of the attending physician.
With extreme caution, this drug is prescribed to patients suffering from the following pathologies:
Tsiprolet should be taken with special caution by those patients who have been diagnosed with chronic liver and kidney pathologies. In addition, it is not recommended to use the drug when treating elderly patients.
Laboratory studies on the effect of the drug on reproductive function were carried out on animals, and it was found that Tsiprolet does not have a negative effect on the fetus. Unfortunately, there is no data on the effect of such an antibacterial drug on the female body during pregnancy.
Medical practice shows that Tsiprolet is not prescribed for the treatment of women during pregnancy, children and adolescents. This is due to the fact that its use causes the development of a pathological condition such as arthropathy.
With such joint damage, the patient experiences severe pain and even ligament ruptures. This negative effect of the drug on joints was established during laboratory studies on animals.
Treatment with Tsiprolet is often accompanied by the development of side effects, which manifest themselves in disruption of the digestive tract. The patient experiences dyspepsia, which is accompanied by the development of pain and problems with defecation. In addition, diarrhea with attacks of nausea occurs.
Side effects also affect the functioning of the cardiovascular system and are expressed in the following symptoms:
Allergic reactions may develop, which are accompanied by itching and redness of the skin.
Studies have shown that antibacterial drugs do not affect the hereditary and genetic apparatus, and attacks do not cause the development of defects in the fetus. At the same time, treatment with certain types of antibiotics provokes an embryotoxic effect, which is expressed in disruption of the functioning of certain organs.
In the early stages of pregnancy, treatment with antibacterial drugs is carried out only in severe cases and with extreme caution. During this period, penicillin antibiotics are most often prescribed, which do not cause the development of abnormalities in the fetus even with long-term use.
Treatment during pregnancy can be carried out using:
In addition, if it is necessary to take antibacterial drugs in the early stages of pregnancy, a specialist can prescribe drugs from the cefazolin group, among which the following are considered the most effective and safe:
Antibiotics of this group are prescribed in the first months of pregnancy when complex pathologies, such as pneumonia, are diagnosed. When a woman has diseases of the ENT organs, they resort to topical medications. Often, when carrying out drug therapy, she prescribes a drug that can be used at any stage of pregnancy.
Useful video - Is it possible to take antibiotics during pregnancy:
It has a slowing effect on the growth and development of the fetus, and also increases the risk of developing congenital anomalies.
Often during pregnancy, a woman is diagnosed with diseases that require taking antibacterial drugs. In most cases, such a need arises when women are diagnosed with genital infections and inflammatory processes in various organs. Treatment of all diseases during pregnancy should be under the supervision of a doctor!