What painkillers are possible during breastfeeding
What anesthetic for lactation can be taken when a headache, toothache or during menstruation? How safe are modern products for babies? Which can be used by nursing women, and which are strictly prohibited. List of approved drugs and rules for their administration.
The causes of sudden pain can be many, as well as its localization. Head, back, lower abdomen, tooth, ear ... Modern pharmacology offers dozens of products, but not all of them can be taken by a nursing mother. Despite a small part of the active substance that penetrates into breast milk (usually not more than 10%), sometimes even this is enough to cause irreparable harm to the baby.
According to the pharmacologist of the first degree, Candidate of Medical Sciences Oleg Romashov, it is important to follow the rules for taking painkillers, even if you use the safest of them. The fact is that the purpose of these drugs is the temporary elimination of the problem - the removal of pain. Whereas the disease, if it exists, does not disappear anywhere. And the situation will be repeated again and again.
- Find out the cause of the pain and eliminate it. Pain in the tooth requires immediate treatment to the dentist. With regular pain in the head, you should visit a therapist, as they can be a sign of vegetovascular dystonia, high or low pressure. Periodic pains during menstruation do not require special treatment, but if they are too pronounced and cause concern, it is worth it to visit a gynecologist.
- Use approved painkillers for breastfeeding. If a tooth ache or back ache, you can not rush for the first tool in your first aid kit. It is possible to specify how compatible it is with the lactation period in the annotation to the product. Pay attention to the section "Use during pregnancy and lactation." Safe means usually contain the wording: "The application requires an assessment of the degree of risk to the fetus or child and the expected benefit to the mother."
- Take the remedy once. Regular intake of pain medication poses a threat to the health of the child and woman. To use any analgesics is always unacceptable, since their action has been studied only in the case of a one-time and periodic use. The effects of regular use have not been studied even for a safe drug like Paracetamol.
- Use the recommended dosage. The use of the dosage “less so as not to harm the baby” does not make sense. You will not get relief from the pain, while the baby will still eat his “portion” of the breast milk preparation.
- Specify the period of absorption of the drug in the blood and its half-life. Usually painkillers quickly enter the blood within 30 minutes. At this time, they come in breast milk. Their half-life, that is, elimination from the body and milk, a little longer, is up to two hours. If necessary, drink the drug, calculate the safest time of his admission. A good moment for this is the end of feeding before bedtime baby. If you are sure that the breast does not ask for the crumb in the next couple of hours, you can take a pill without any worries.
How to choose a drug
To determine whether it is possible to drink this remedy during breastfeeding, carefully study the instructions and pay attention to the following factors:
- What amount of the drug enters the blood and breast milk,
- How quickly the drug is excreted from the body. The drug, which is displayed completely in less than four hours, is best suited for a nursing mother. Reception after breastfeeding will protect the baby as much as possible,
- How quickly the medicine starts to act,
- Side effects and contraindications
- Consequences of overdose
- Compatible with lactation, the effect on breast milk,
- The composition of the drug, often the mother already knows what components the infant is allergic to. Choose medicines with one active ingredient, this will reduce the risk of allergies,
- The method of taking the drug
- The duration of treatment and treatment.
Before the use of drugs during breastfeeding, consult with your doctor. Even if the drug can be taken with breastfeeding, only the doctor will select the correct dosage depending on the individual developmental characteristics of the baby. In addition, pain and cramps may indicate serious problems in the health of the mother, which will require a different treatment.
Some mothers think that when a dose is reduced, the anesthetic drug does not affect lactation or the baby. For example, if you drink not a pill, but only half, it will not cause harm. This is not true! In any case, if the drug is absorbed into the blood, it will pass into breast milk. In addition, a small dosage may not bring the desired effect and not relieve pain.
Nestodiny anti-inflammatory drugs (NSAIDs) are compatible with lactation, but require special care in the application. Without the negative effects of nursing mothers such tablets can be taken once. Among these drugs emit:
- Ibuprofen (nurofen) relieves muscle and joint, headache and toothache, relieves temperature. The dosage is 200-400 mg twice a day. When this is the daily rate should not exceed 800 mg. Milk gets up to 0.7% of the composition, which is safe for an infant,
- Ketanov relieves pain and heat. It is not recommended to take within 21 days during the postpartum period. The dosage is 10 mg three to four times a day,
- Diclofenac - safe for breastfeeding drug. However, it is not recommended to take a nursing mother with high blood pressure and with a stomach ulcer. Dosage - 25-50 mg up to three times a day.
- Paracetamol is the optimal drug during breastfeeding. However, first of all, tablets eliminate fever, take the temperature down and fight viruses. Paracetamol may not be effective for headaches that are not caused by a cold or flu. In addition, he will not save from toothache and pain in the stomach.
About 1% of Paracetamol composition gets into the milk, which does not have a negative effect on nursing mothers and babies while breastfeeding. This drug is great for colds and flu, acute respiratory viral infections and acute respiratory infections. After 20 minutes, he lowers the temperature. Two hours later, most of the components of the remedy are eliminated from the body, and after four hours, the drug leaves completely.
A suitable regimen for nursing mothers is 500 mg three times a day with an interval of at least four hours. You can drink pills after breastfeeding your baby and for no more than three days in a row! Analogs of Paracetamol are Panadol and Efferlagan.
- No-shpa is a popular remedy used for stomach cramps. Drotaverine in the composition of the drug dilates blood vessels, which relieves pain in the intestines, kidneys and liver. Also, No-shpa will help with headaches and pain during the menstrual period.
Among the drugs that relieve cramps, No-silo is considered the safest and most effective. The effect of the drug is noticeable after 15 minutes. During lactation, the single application of No-shpy will not affect the quality of milk and the condition of the nursing baby. A single dose is two tablets of 40 mg.
For the treatment of cystitis and gastric ulcer, gallstone and urolithiasis, a long course of treatment is necessary. In this case, a mandatory consultation with a doctor is necessary!
What other means can be taken for headaches, read the article “How and how to treat headaches during breastfeeding”.
For dental treatment and removal of toothache using Ultracain and Lidocaine. Such means are distinguished by a short action and rapid elimination from the body, so they are safe enough for mothers during lactation.
Citramon and aspirin are dangerous for the child, they lead to disruption in the liver. In addition, cofen is a part of citramon, which negatively affects nerve cells. Caffeine disrupts sleep and causes the newborn to become agitated. That is why during lactation is not recommended to drink coffee, at least the first six months. Coffee lovers can replace the drink with chicory.
Analgin is dangerous not only for kids, but also for adults. In dozens of countries around the world, this drug has long been banned, but tablets are still popular in Russia. Analgin effectively relieves pain, but has many side effects. This is a toxic agent that changes the composition of milk and reduces lactation. It worsens blood formation and negatively affects the kidneys.
Nimesulide belongs to the category of NSAIDs, but it is undesirable to take this drug during breastfeeding due to the lack of specific data on the effect of the drug on the newborn and milk.
In addition, the nursing mother can not take combined means, which include several active elements. This increases the risk of allergies. Often these drugs contain Codeine, which suppresses the activity and mental activity of the child.
Consider the fact that any substance can cause an allergic reaction. It depends on the genetics and individual development of the baby. If the child's condition has worsened after taking the medication, immediately stop taking it and consult a doctor!
Why do some doctors categorically prohibit the use of painkillers for HB?
The active substances contained in medical preparations can penetrate into breast milk and be transferred with it to the baby, and this can adversely affect the state of the baby, cause a toxic reaction. This may be jaundice, excessive drowsiness, chest rejection.
Do not forget that the medicinal substances can accumulate in the body. However, adults have a supply of adipose tissue, which serves as a barrier, and harmful substances do not immediately enter into metabolic processes. And the newborn child has no fatty layer, therefore the substances that got into its organism immediately react.
There is a misconception that it is possible to drink painkillers during breastfeeding, but the dosage should be divided in half. The pain does not recede if you take a small dose of the medicine, and the child in this case will receive harmful substances, which can cause a negative reaction of his body.
How to choose a painkiller when breastfeeding?
When choosing an anesthetic medication in a pharmacy, a nursing mother should pay attention to its toxicity and the degree of exposure to the child, preferring the least toxic. The safety of each drug should be discussed not only with your doctor, but also with a pediatrician who will help assess the degree of risk to the child.
Rules for taking painkillers for HB:
- strictly prescribed by a doctor
- compliance with the prescribed dosage,
- closely monitor the reaction of the child.
If a child becomes suspicious, the drug should be withdrawn.
During treatment, it is necessary to distribute the time of taking the drug and the time of breastfeeding so that the moment of the greatest concentration of the drug in the breast does not coincide with the time of feeding.
Drugs that are potentially dangerous for the baby require the temporary cancellation of breastfeeding. It is possible to save lactation by decanting the entire period of treatment, and then, after completing the course of taking the drugs, resume feeding in the same mode.
What is anesthetic for breastfeeding allowed?
There are situations that require nursing mothers to take medicine. If breastfeeding, after consulting with the pediatrician, decided not to stop, then you need to take medications from the list of approved drugs for HB:
- Non-steroidal anti-inflammatory drugs (Ibuprofen, Ketoprofen). A single use of these funds does not pose a threat to the health of the child.
- Paracetamol - the best remedy for headaches. The effect of this drug can be enhanced if you drink a tablet of green tea.
- Lidocaine, Ultracain - drugs that affect toothache, rather quickly removed from the body.
Prohibited pain relievers for HB
There are drugs that are prohibited to receive nursing mothers, as the harmful effects of their use exceed the therapeutic effect. These drugs include:
- Citramon Contains aspirin that destroys the liver.
- Analgin. It has a negative effect on the blood-forming organs, kidneys, causes allergic manifestations. Analgin in large quantities is present in the preparations Sedalgin, Pentalgin, Tempalgin.
- Combined drugs. Codeine, often used in such medicines, suppresses the nervous system of a child.
Based on the above, we conclude that anesthetic for breastfeeding helps to quickly alleviate the health of the young mother, but does not solve the problem. Therefore, any medication requires an appeal to a specialist.
Painkillers for breastfeeding
The question is whether a nursing mother can be anesthetic, rather rhetorical. Of course, if there is an alternative from traditional medicine or if pain is possible to endure, then it is better to refuse pills. But if you do not have the strength to endure the pain, you suffer, then medications are allowed, but their list is clearly limited.
Surely you noticed on the instructions to medications contraindications during pregnancy and breastfeeding, you should definitely refuse from these drugs:
- Analgin and its analogues (Tempalgin, Sedalgin),
- Aspirin and acetylsacilic acid, there is a current article on this topic: Aspirin when breastfeeding >>>
- Citramon and analogues (Askofen, Citropack).
Drugs in this group can cause allergic reactions in the newborn, negatively affect almost all the internal organs of the infant.
Medications permissible when breastfeeding
If the newborn is allowed to take these medicines, then you, if necessary, You can resort to these therapeutic drugs, only in the form of tablets or injections. Your rescuers:
- Paracetamol and its analogue Panadol.
- Ibuprofen and analogues Nurofen, Ibupreks, Ivalgin.
Note! Preparations have the most various forms of release. The same active ingredient can be presented in preparations in the form of suppositories, ointments or tablets, the most optimal variant is chosen, depending on the location of the pain.
Painkillers for toothache
Toothache is one of the few conditions that is simply impossible to endure. Of course, at the initial stage you can resort to popular recipes or look for the cherished points on your wrists on the advice of Thai medicine, but the night is so long, and you will go to the dentist only in the morning. Can a nursing mother anesthetize her teeth? Do not worry, of course, you can, but not any means for this is suitable.
Painkillers after cesarean
Half of the women who gave birth to the baby by caesarean section, have pain in the groin area. It is permissible to take painkillers after cesarean during breastfeeding.
- It is not systematic to use No-shpu, by the way, this drug is also in the form of injections,
- In gynecology, Ultracain is widely used, which is excellent for pain relief for a long time, while being absolutely safe for infants.
If the pains are of a prolonged nature, there is a discharge or the seam does not heal for a long time, then you need to contact a specialist.
A headache in a nursing mother - how to numb?
The problem to which we have now moved, is familiar to many not by hearsay. Happy motherhood without sleepless nights and a crying newborn does not happen (Cope with the problems of poor sleep at night will help you article Why a newborn sleeping poorly? >>>).
You are constantly in a stressful situation, worry about the baby, milk, sleep a little, often forget to eat, by the way, to worry less about breastfeeding, take a look at our course Happy Motherhood: How to breastfeed and care for your baby? All this affects your condition, and migraines often occur.
Headaches can occur due to hormonal changes in the postpartum period, as well as precursors of critical days.
Migraine tolerance is not necessary, and simply impossible, there are permitted painkillers when breastfeeding for headaches:
- Preparations with the active ingredient Paracetamol (Panadol, Strymol, Paracetamol in the form of children's syrup),
- Tablets on the basis of Ibuprofen (Nurofen, Advil, Ibufen).
Do not forget that the use of painkillers during breastfeeding is a necessary measure and, if possible, a one-time use. For migraines, you just need to sleep and relax, as an option - go for a walk in the park, calmly walk in the fresh air.
Еще один нюанс: чтобы лекарственные препараты не принесли вред грудничку, их необходимо выпить сразу же после кормления малыша. Так у вас в запасе будет небольшое количество времени, чтобы действующее вещество усвоилось и вывелось из организма.
To clarify what kind of painkillers can be with breastfeeding, allow several sources. In the international medical practice, the reference book of Thomas Hale "Drugs and Mother's Milk" in the 2010 edition is used. Another proven source of information can be considered the electronic directory E-LACTANCIA, developed by the specialists of the Marina Alta Hospital in Spain.
According to these sources, the list of safe painkillers includes several products.
On sale is represented under the same name, as well as under the commercial "Panadol", "Acetaminophen", "Efferalgan". Recommended for use by pregnant and lactating women by the World Health Organization. Safety and efficacy were tested during the testing of the international ALSPAC center. 12 thousand pregnant women took part in the test, according to the results of the negative impact on the health of women and babies were not identified.
Acknowledged to be fully breastfed compatible. Milk gets up to 20% of the volume of the active substance taken by the mother. There is no evidence of a toxic or other negative effect of this amount on the child’s body. In addition, this volume is less than recommended for admission by the infant in case of a rise in temperature or to relieve pain in case of pain in the throat, ear, or teething.
To reduce the level of the active substance in breast milk, take "Paracetamol" immediately after feeding. The drug is concentrated in the blood for 30 minutes, displayed in two hours. Safe dosage for a nursing mother is up to 650 mg of the drug every 6 hours. Take "Paracetamol" should, if necessary, without making adjustments to the mode of breastfeeding.
The drug group NSAIDs or nonsteroidal anti-inflammatory drugs. Provides a pronounced analgesic effect, further reduces the intensity of inflammation. On sale is presented under the trademarks "Ibuprofen", "Nurofen", "Ibuprom", "Ibufen". Recognized to be fully breastfed compatible.
Helps to relieve pain syndrome of moderate intensity, with the possible correction of the dosage depending on the expected effect. The minimum dosage is 200 mg every 6-8 hours. For rapid relief of pain, 400 mg of the drug can be taken, after the dosage is reduced to 200 mg. A safe volume of active ingredient 400 mg every 6-8 hours is considered as long as it is necessary.
An insignificant amount of the active substance penetrates into milk - no more than 0.7% of that taken by the mother. In such an amount, the drug has no effect on the child's body. "Ibuprofen" is allowed to receive infants aged from three months in the appropriate dosage as an anesthetic, febrifuge. Therefore, nursing mothers can take it without worry.
The drug is a group of nonsteroidal anti-inflammatory drugs. On sale is represented under the trademarks "Ketanov", "Ketarolak", "Ketalgin". Based on data from the international directory of medicines E-LACTANCIA is fully compatible with breastfeeding, has an analgesic and moderate antipyretic effect. In this case, the instruction to the drug itself indicates a ban on use during pregnancy, lactation.
Recognized as safe by the American Academy of Pediatrics, recommended for women during breastfeeding to eliminate pain. The degree of penetration into breast milk is negligible. At maximum dosage, it is not recommended to be taken within twenty one days after delivery because of the risk of bleeding.
The maximum concentration in plasma is reached within 40-50 minutes after administration, the half-life is 4-6 hours. The dosage is 10 mg 3-4 times a day, for pain of high intensity, it can be taken in a dosage of 20 mg every 4-6 hours.
The drug group NSAIDs, in international practice, recognized as a safe tool that is compatible with breastfeeding. On sale is presented in the form of tablets, ointments, in ampoules. Analogs "Voltaren", "Ortofen", "Diklak". The instructions to the tool indicated that during lactation, it is necessary to resolve the issue of suspending breastfeeding. At the same time, the E-LACTANCIA medical reference book indicates that there is no risk of its admission when breastfeeding due to the high intensity of binding to plasma proteins and minimal secretion into breast milk.
Contraindications to the drug: high blood pressure, gastric ulcer. The dosage is 25-50 mg up to three times per day. The milk is concentrated for one hour from the time of admission.
Some popular pain drugs cannot be used during lactation. Let us dwell on common means.
The active substance "Metamizol" is part of "Analgin", as well as a number of other drugs "Dipirone", "Ronalgin", "Baralgin", "Tempalgig", "Spazmalgon". These painkillers for nursing mothers are not suitable. They are dangerous for the baby, pose a threat of serious diseases in adults, even with a single dose. Therefore, in some countries of the world, drugs based on Metamizol are prohibited for sale (UK, USA), but in Russia and other CIS countries remain available in the pharmacy chain.
According to the directory of medicines E-LACTANCIA "Metamizol" has the first risk group for breastfeeding, that is, taking it by a nursing mother is possible with extreme caution. However, this risk is unjustified, since, penetrating in minimal amounts into breast milk (about 1.2% of the maternal dosage), the drug is able to inhibit kidney function and disrupt the functioning of the hematopoietic system of the child. If it is impossible to use a safe alternative to the remedy, the daily dosage should not exceed 1 mg. The maximum concentration of the drug in the blood and milk is achieved within an hour, so it is necessary to plan the feeding after two, three-hour period after administration.
The drug belongs to the group of NSAIDs, which allows it to be considered potentially safe. However, this tool, as well as its analogues "Nimesil", "Nise", "Nimid" in the international classification of drugs belong to the second risk group for breastfeeding. That is, their use is prohibited due to the lack of data on safety during lactation and pregnancy.
Nimesulide has been used in the United States since 2002 to treat pain in the joints. But studies conducted by the European Medicines Agency prompted the US National Commission (FDA) to impose restrictions on its admission by narrowing the profile of patients, age limits (at least twelve years), and reducing the duration of the course. Adopted recommendations to avoid taking the drug during pregnancy and lactation, despite the fact that the active substance is actively associated with blood proteins and milk comes in very small quantities.
What painkillers can be during lactation, you can not decide on their own. It is important to use the means approved by the international community in the recommended dosage in order to prevent negative consequences for the baby. At the same time, there is no need to endure pain, as a sufficient amount of safe medications is on sale.
Is it possible to relieve anesthesia with HB?
This question asks almost every woman who is breastfeeding.
Some continue to breastfeed up to three years old baby, and someone else longer. It is simply impossible that for such a long period of time nothing will get absolutely sick. Many try to endure for the health of the baby, which is not always safe. Therefore, in some cases, pain pills for HBs are simply necessary. Not all drugs have a detrimental effect. But each of them is absorbed into the milk and will definitely fall into the infant body, which is not strong enough. It is much easier when milk is no longer the only child’s food. After six months, complementary foods are actively introduced into the baby’s diet, and therefore some feeds can be replaced with a mixture or the milk should be drained before taking the pills. But what if the baby was recently born? In this matter, of course, it is better to consult a doctor. However, there is a list of funds, a single use of which does not cause much damage. We will tell about it further.
Probably the most unbearable pain can be called toothache. Young mommy has no time to run to the doctor. There are situations that simply do not have anyone to leave the child, so you have to solve the issue with painkillers yourself. Before you decide to take any medicine, be sure to read the instructions. It is possible that the selected tool is strictly contraindicated in breastfeeding. The medication that will help alleviate the pain in the tooth is "Ibuprofen". In addition, it is a good antipyretic drug.
In each first-aid kit of a young mother there are means of temperature for the baby. The most common is Nurofen syrup. It is made on the basis of "Ibuprofen", only in a dose adapted for the child. A nursing mother can drink this medicine. But this only temporarily relieves pain. In the near future should be resolved the question of going to the dentist. What kind of painkillers for HBV can still be taken for toothache? To there can be attributed, for example, "Ketorol." It is practically harmless. However, taking this medicine should not be systematic.
What if anesthesia is required at the dentist's appointment? After all, treatment, especially removal, is almost impossible to suffer without local anesthesia. Then the doctor will offer mommy to do an anesthetic injection. GW allows the use of Lidocaine or the more advanced Ultracain. Usually, the dosage of the medicine is so small that it does not harm the child.
Anesthetic ointment for HB
What to do if back pain is not gone after pregnancy? In this case, it is not necessary to swallow pills. You can use ointments that are not contraindicated in lactation. Those are "Dolobene" or "Fastum." These gels help relieve tension in the back and heal muscle pain. For varicose veins and other problems with the veins, it is possible to use Troxerutin or Troxevasin. They dissolve hematomas, positively affect the veins, removing blood clots.
Receiving an effective remedy for muscle and joint pain called "Diclofenac" is highly undesirable. This is a very strong medicine that is instantly absorbed into the milk.
If the child was born by caesarean section, then mummy can be disturbed for some time by pains in the area of the scar. It is undesirable to lubricate any gels. The main thing is to rinse well so that the suppuration does not begin. And the pain will soon pass itself, as soon as the upper layers of the epithelium grow together.
List of prohibited funds
There are drugs that in no case can not be used as painkillers for HB. These include:
- Tempalgin. Many are accustomed to drink these pills for pain of any origin. However, they contain analgin, which is strictly contraindicated during lactation.
- Pentalgin. It can not be used for the same reason as described above. All medicines where there is analgin in the composition can not be taken. It has a negative effect on the nervous system of the baby, is an allergic provocateur.
- "Citramon". It is often taken from the head. But with HB - in any case. It adversely affects the functioning of the internal organs, especially the liver.
- "Phenobarbital" and similar drugs will be dangerous not only for the baby, but also for the mother. It should be drunk according to the strict prescription of the doctor.
The names of such drugs mass. Each manufacturer may call the same medicine differently. For this reason, it is necessary to read the instructions in order to know the main active ingredient. And the most important thing is not to take such medicines by yourself. Be sure to contact your doctor if you have constant pain, from which you have to get rid of only potent means.
If taking painkillers can not be avoided, then such drugs should be taken with extreme caution. Here are some simple tips:
- Do not take pills that were advised by a friend, sister, mother and so on, on the grounds that they took the drugs and nothing bad happened. If your acquaintances had a positive experience of taking harmful drugs, this does not mean that you will be blown away. Health of the baby is not worth the risk.
- Immediately contact your doctor, especially if it is a toothache. Inflammation of the nerve will not cure any anesthetic.
- Do not abuse pills when resuming menstruation. This pain can be tolerated. Try to walk more. At first it will seem impossible, but soon you will feel relief.
- In the case when you are not sure how dangerous the medicine you have taken to the infant is, it is better to decant the milk and skip the feeding that contains the disintegration products of the medication.
All painkillers for HB somehow have a negative impact on the child during lactation. Some means more, another - less. There are also medicines that have not been tested for breastfeeding. Take this issue seriously and remember: only a doctor can help you get rid of unbearable pain.
The main culprit of headaches after childbirth is hormonal adjustment (progesterone and estrogen jumps), which is intensively occurring in nursing mothers for the first time. It is noteworthy that mothers who do not breastfeed often suffer from headaches. The second common cause of pain in the head is contraceptives that cause an excess of estrogen in the blood.
Other reasons identified by dentistry in toothache after childbirth. The fetus that forms during pregnancy needs large amounts of vitamins, micro- and macronutrients and amino acids. Especially noticeable damage it causes calcium reserves in the mother's body - one of the main building materials of the teeth, which is involved in their mineralization and recovery. Maximum calcium loss begins with the second trimester of pregnancy, when the formation of the child's skeleton occurs. With a lack of this element coming from food (a very common problem), it can be removed from the teeth, which contributes to their partial destruction.
Among the common causes of toothache for all people, dentistry refers to caries, a pathological destructive process affecting enamel and dentin (the hard main part of a tooth), and its two main complications:
- Periodontitis is an inflammatory process in the periodontal tissue (tissues that fill the gap between the tooth root and the alveoli).
- Pulpitis is an inflammatory process in the pulp (loose connective tissue that makes up the inside of a tooth).
Both complications, according to dentistry, can also cause headaches, as well as increase body temperature.
Pain in the groin
Most often, inguinal pains are observed in women who have undergone a cesarean section, although they are a normal symptom of absolutely all expectant mothers during gestation. The discrepancy of the pelvic bones and the increase in the volume of the uterus provoke pain. After cesarean section, discomfort in the groin area, according to statistics, is observed in almost 45% of women.
Among the pathological causes are stones in the ureter and kidneys and postpartum endometritis (an inflammatory process in the mucous membrane of the body of the uterus). The development of endometritis is indicated by uterine bleeding, purulent discharges and fever added to the pain. In such a situation, pain medication is not an option, and the mother should immediately contact a gynecologist.
The places of their localization are different: chest, back, waist, pelvis, legs, etc. Such pains are a temporary and absolutely normal phenomenon after natural childbirth, and its cause lies in the short-term, but extremely strong tension of the muscles during the birth of the child. Muscle pains do not need any therapy, but if necessary, they can be eliminated or relieved with painkillers.
Forbidden for nursing women painkillers
Before talking about allowed analgesics, it is necessary to mention the well-known and strictly contraindicated during lactation "Analgin".
In addition to metamizol sodium, many analgesics contain codeine, which can disrupt the nervous system of the child, and mothers reduce milk production. Caffeine is often found among the active ingredients, which causes insomnia and regurgitation in infants.
What analgesics are compatible with breastfeeding?
Two pain relievers approved for nursing mothers are: paracetamol and ibuprofen. They are distinguished by their versatility, successfully eliminating headaches, muscular, inguinal, dental and other pains.
On the basis of paracetamol produced more than a dozen painkillers:
Разнообразием отличаются и формы выпуска этого популярного анальгетика: от таблеток и порошков до суппозиториев и раствора для уколов. Воздействие этого препарата на детский организм тщательно изучено: влияние на печень малыша сводится к минимуму, а негативные реакции встречаются крайне редко. Тем не менее кормящим мамам не следует пить парацетамол чаще трёх раз за сутки.
Ibuprofen as an active substance is also included in a rather large list of painkillers:
Despite the other mechanism of action, according to indications, dosage and effectiveness, it can be equated to paracetamol.
Whatever anesthetic is used during lactation, it should be done immediately after feeding the child so that the maximum amount of the drug can be released before the next feeding act.
In case of pain from menstruation, a single dose of “No-shpy” is also suitable. With a long course of taking this drug for HB is better not to risk it.
Among the methods recognized by dentistry as effective, tooth rinsing with chlorhexidine, furacilin, hydrogen peroxide and a weak solution of potassium permanganate can help relieve toothache to a nursing mother.
Hemorrhoids - one of the few ailments that plague nursing mothers after giving birth, which can not be simply endured. With no treatment, he will continue to progress. Therefore, pain relievers (local anesthetics) used to eliminate the symptoms of hemorrhoids are both anti-inflammatory and wound-healing drugs. They are made in the form of rectal suppositories, ointments, creams and sprays.
Among all their diversity, the following are suitable specifically for nursing mothers:
You can place an order or get advice on spray Gemoderm by filling out the form below.
The breastfeeding period can be associated with many painful sensations resulting from either a natural restructuring of the body and the recovery period (headaches and muscle pains), or disorders caused by pregnancy and childbirth (dental problems). However, only a few analgesics are suitable for nursing mothers: ibuprofen and paracetamol. For the treatment and relief of symptoms of hemorrhoids apply spray "Gemoderm", suppositories and ointment "Relief Advance", "Procto-Glevenol", "Hepatrombin G", "Posterizan", "Propolis-DN" and cream "Zdorov".
The effect of painkillers on the body of the baby
Many doctors believe that without a good reason, during lactation, it is forbidden to take any drugs with chemical components, in particular, painkillers. If the problem is too strong, then it is advisable to contact a professional doctor so that he can write out the most humane remedy in a particular case.
In the composition of the tablets there are always negative substances that the body must quickly remove. Immediately after taking the pill, they spread throughout the body, enter the blood, which automatically leads them to the composition of milk. Acceptance of painkillers, especially with a strong effect and in large quantities can cause the baby to have significant poisoning, manifested as a reaction to toxins. Signs of such reactions are: rejection of the chest, an increase in hours of sleep, general lethargy and a change in the skin, their color in a yellow tint.
Some drugs can accumulate in body tissues. Usually, both in children and adults, drugs are deposited in the same organs, but there are some differences between them. In adults, there is an optimal store of fat in which these substances can be placed and slowly removed from there. Small children do not have this advantage, especially when it comes to a newly born child. If as many toxins enter the body as it is impossible to remove quickly, negative reactions occur very quickly.
Many people believe that it is possible to use painkillers during lactation, if you take half the optimal dose, breaking the tablet into two halves. This is a wrong opinion. If you use a small amount of the active substance, the pain may not go away or the effect of the medication will not be strong enough. For a child, such a dose of medication will also be harmful, and may cause negative effects of the same nature as taking the full dose. In this way, you can only reduce their intensity slightly.
How to choose a painkiller?
When choosing a suitable painkiller, you need to pay attention to its composition. It should not contain substances that are prohibited for use by children, as well as heavy to transfer poisons. It is advisable to choose those drugs that contain the minimum amount of toxins, as well as in the smallest quantity, are able to join breast milk. If possible, before taking the drug, you should consult with your doctor. You can simply come to the reception to the pediatrician, to whom the plot of the place of residence is assigned.
There is a list of drugs that can be used during lactation, however, they also contain toxins that have the ability to quickly get into breast milk. Their use should be carried out only when absolutely necessary and under such conditions:
- upon receipt of appointment from a specialist,
- taking into account the exact dosage.
After taking it is necessary to closely monitor the condition of the child. It is necessary to evaluate not only possible external signs of poisoning, but also behavior, since it indicates the true state of the child. It is necessary to prepare at any time to stop the use of an anesthetic drug, since refusing this fact, the mother may lose the ability to breastfeed temporarily or permanently.
If breastfeeding is carried out in parallel with the use of painkillers, you should constantly make sure that feeding does not coincide with the moments of the highest concentration of the active substance in the blood. When painkillers are used with a strong dose or are officially banned during lactation, breast-feeding should be discontinued before their use. When taking such medications is a forced and short-term measure, we should not forget about breastfeeding. Milk should be decanted regularly, without giving the child that it does not fall, and at the first opportunity it is necessary to resume feeding if it is appropriate for the age of the child.
How to get rid of pain faster?
You should take painkillers that do not contain substances that are strictly prohibited during lactation. Special attention should be paid to Ibuprofen. It has many forms of release, including gel, candles and suspensions. Ketanol can also be found in various forms, including in the form of a solution.
When breastfeeding, you can use Ultracain or Novocain, as they can be purchased as solutions for injection. Injections will help to relieve pain quickly, but it is not always possible to continue breastfeeding. When the effect is needed for a long time, the best option is rectal suppositories.
If a nursing mother needs painkillers one time, tablets will do. In this case, even if it is necessary to interrupt lactation, this negative measure can be used for one or several days, and then you can start feeding again. When an anesthetic is taken, you should not limit or deliberately reduce the dose, since regardless of the number of components, they are eliminated from the body almost simultaneously.
What if you need strong painkillers?
When a strong pain syndrome appears, do not immediately take strong painkillers. The exceptions are cases when, simultaneously with the use of pills, the mother temporarily refuses breastfeeding. Sometimes it is possible to temper pain with safer drugs. You need to consult with your doctor about the relevance and timing of receiving strong painkillers. Should at the earliest opportunity to apply all measures to prevent the disease, causing pain. It is advisable to try to find a drug that can relieve pain without having a strong effect on breast milk.
Ways to solve the problems associated with the use of strong painkillers during breastfeeding:
- Sometimes it is only necessary to take a potent remedy once in order to pacify a sharp pain. Do not neglect the opportunity to relieve pain, as the stress due to the discomfort of the mother can also adversely affect the psyche of the child. In this case, skipping several feedings, during which the child eats the mixture. The mother’s task is to get rid of the pathological process and carry out further breastfeeding.
- When a toothache takes place, prolonged use of potent painkillers is unjustified. You should contact your dentist as soon as possible and eliminate the problem. Because of the initial use of painkillers and the injection of Ultracain or Lidocaine, it is not necessary to interrupt breast-feeding at a specialist’s appointment.
- When a serious illness does not allow you to remain without painkillers even for a period of treatment, it is impermissible to refuse them. It is necessary to spend all forces on treatment and maintenance of normal vital activity. At this time, the baby is completely transferred to artificial feeding. Mental and physical health of the mother for the child is more important than breastfeeding to the detriment of treatment.
When a child eats mother's milk, harmful substances get into his body along with useful substances. To save the baby from the action of negative elements, it is necessary to refuse to take certain painkillers. It should be remembered that there are medicines that are allowed when breastfeeding.