"Papaverine" during pregnancy: reviews, instructions for use, contraindications

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

During pregnancy, many women try not to use any medication so that no harm is done to the baby. But the occurrence of uterine hypertonicity cannot be ignored, since the increased activity of its muscles at a certain point can lead to premature birth or even miscarriage. It is worth reading the reviews about "Papaverine" during pregnancy (injections and suppositories).

Medication description

Before you read the reviews, the instructions for "Papaverine" during pregnancy (candles and injections) are also important to study. A drug from the antispasmodic group, which effectively relieves spasmodic pain, reduces pressure, and also relaxes the smooth muscles of the internal organs. When taking a large dose of papaverine, a woman may feel a sedative effect, and the heart rate will be a little slower.

It is noteworthy that papaverine is active only forsmooth muscles, since it is she who is responsible for the contraction of internal organs and blood vessels.

Skeletal muscles and cardiac muscle have a completely different structure. These are striated muscles, on which the remedy has no effect. But still, papaverine has some effect on the heart.

Types of papaverine

Papaverine release is presented in the following types:

Pills. This form is used at a milder stage of ailments, when a slight anti-spasmodic effect is needed. As a rule, papaverine tablets are used by a pregnant woman for several weeks before meals. Excipients included in the tablet form are usually: sucrose, stearic acid, talc and starch

Candles. Most pregnant women at least once used this remedy in suppositories, for example, when uterine tone occurs, and also after heavy loads. Suppositories are administered rectally no more than 3 times a day, following a certain time interval

The drug, which consists of stearins, emulsifiers and fats, in this form gradually melts, being absorbed into the bloodstream, reaching various organs. Candles lower the tone of the uterine muscles, eliminating the unpleasant feeling of tension and pain, effectively lowering the pressure.

Injections. Injections in most cases are prescribed in case of more pronounced symptoms of painful manifestations and hypertonicity of the uterine muscles. Papaverine, which is administered in the form of injections, acts immediately after itentry into the body. Injections are usually performed intramuscularly or directly under the skin, and for injection into a vein, the substance is mixed with an isotonic solution. The intervals between uses should be at least 4 hours. With the preferred introduction of papaverine intravenously, this is absolutely not worth doing on your own

The fact is that intravenous injections will quickly reduce pressure, thereby significantly slowing down the heartbeat. Therefore, the drug must be administered intravenously in the clinic under the obligatory supervision of a medical officer.

Papaverine injections are the most effective, and immediately after use, pregnant women feel the normalization of the heartbeat, the stability of the central nervous system, and also the relaxing calmness.

Indications for use

So, why do gynecologists advise using papaverine when carrying a child? Doctors have determined that this medicine helps:

• lower blood pressure;
• reduce temperature;
• relax the smooth muscles of the uterus;
• relieve intestinal and renal colic;
• reduce the risk of miscarriage;
• improve blood circulation;
• relieve bronchospasm, improve breathing.

Papaverine, combined with analgin, which reduces fever and anesthetizes, is used to eliminate hypertonicity, in which unpleasant muscle spasms appear, as well as to quickly reduce temperature.

Progesterone is normalshould eliminate spasms in order to prevent miscarriage of the child or possible premature birth. It should be understood that the amount of hormone in each woman will be different.

Contraindications for use

Because doctors note the side effects and contraindications of this drug, some women can use it very carefully during pregnancy. Judging by the reviews of "Papaverine" during pregnancy (candles and injections), as well as the instructions, the following contraindications are described:

• Allergic reaction.
• Thyroid diseases.
• Lactation.
• Kidney failure.
• Glaucoma (increased intraocular pressure).
• Lung and liver diseases.
• Cranial, brain injuries.
• Tachycardia.

Adverse reactions

Numerous reviews on the use of papaverine during pregnancy indicate that there is no negative effect on the woman and the fetus. But still, in addition to a positive effect, papaverine can have certain side effects, so you should absolutely not use this remedy without consulting a gynecologist.

With frequent use of papaverine, a woman may experience the following side effects:

• renal, stomach or intestinal colic;
• heart failure;
• increased eosinophil count;
• emergence of gag reflex;
• violation of bowel movements;
• apathy and relaxation;
• temperature increase;
• skin redness;
• increased sleepiness;
• decrease in concentration;
• pressure reduction;
• excessive sweating;
• allergic reactions;
• dizziness attacks.

Recommendations

It is worth noting that side effects in practice are quite rare, and they do not cause much harm to the child. Basically, they appear due to an overdose of the drug, in the presence of contraindications, as well as improper use of papaverine.

Spasm often accompanies pain, which can occur due to compression of nerves and various tissues, as well as obstructed circulation of various types of substances. For example, the accumulation of gases in the intestinal area can cause excessive pressure on the walls of the organ, causing great pain.

It is worth noting that in certain situations, taking analgesics while carrying a child can be dangerous, because it does not solve the cause of the pain - a spasm, but only hides it. Because of this, the condition of the pregnant woman may worsen, and after the end of the analgesic, the pain may acquire new strength.

Trimester appointments

It is worth considering in more detail how to take the drug in trimesters:

1. First trimester: It is known that the list of safe drugs at this stage is very limited, due to an unformed placenta. But papaverine is still allowed to be used as effective.antispasmodic. Women may experience uterine hypertonicity as a result of insufficient and inadequate production of progesterone, so papaverine is combined with hormonal agents. Before taking it is necessary to study all the reviews about "Papaverine" during pregnancy (candles) in the early stages in order to know the likely consequences and side effects.
2. The second trimester is characterized by a more extended list of approved drugs. With the threat of miscarriage and hypertonicity, doctors can prescribe medications to pregnant women that inhibit uterine contraction - magnesia injections, Brikanil, and Ginipral. Candles containing papaverine are usually used to eliminate pain and reduce pressure.
3. Third trimester: at this stage, suppositories are prescribed for excessive tension of the muscles of the uterus, while the date of birth will not come soon. Additionally, a pregnant woman may be prescribed steroid hormones. Rectal suppositories before the birth process can serve as indicators of "false" contractions. At the very end of gestation, papaverine suppositories are used to prepare the cervix for the upcoming labor activity.

Reviews

It is worth studying in more detail the reviews of "Papaverine" during early pregnancy.

People say that even at the first appointment, the doctor says that from that moment papaverine suppositories become a constant friend. And this can really be a salvation when you feel fullness in your stomach, especially afteractive cleaning of the apartment or at the end of the day.

When the stomach begins to pull, women go to the hospital, where they are prescribed papaverine. The drug relaxes the uterus, as well as the intestines, resulting in constipation and abdominal pain. As the doctors explain, this phenomenon is quite likely, and therefore it is not recommended to use papaverine very often, and small sips early on can be considered normal.

Some women say that almost the entire first trimester they were worried about the tone of the uterus, and at a later date, doctors predicted premature birth. However, using suppositories with papaverine, they carried their child without any problems and gave birth at term. Therefore, if the gynecologist has prescribed the use of this remedy, it must still be used.

Instead of total

It is very important to understand that, although recent studies indicate the complete safety of papaverine, it is strictly forbidden to take it without first consulting a gynecologist! It is the doctor who must prescribe the optimal dose of the drug for each pregnant woman.

It is imperative to notify the doctor about the presence of problems with the thyroid gland, heart, liver, as well as intraocular pressure. Perhaps, in this state, papaverine will be contraindicated.