What can you take for a cough during pregnancy without a doctor’s prescription?

Cough during pregnancy is a serious reason to see a doctor. The symptom occurs against the background of inflammatory diseases of the respiratory system.

A sharp contraction of the respiratory muscles leads to an increase in the tone of the pelvic floor muscles and can cause miscarriage. And untimely treatment of the infection is fraught with intrauterine infection of the fetus.

Therefore, at the first signs of acute respiratory infections, the doctor will prescribe treatment with medications that do not exhibit teratogenic activity, that is, do not interfere with fetal development.

What is the danger of coughing for a pregnant woman and fetus?

A dry cough during pregnancy leads to an increase in intra-abdominal pressure. As a result, the tone of the uterus increases, which leads to serious complications.

Coughing in the early stages of pregnancy threatens spontaneous abortion, and in later stages - premature rupture of amniotic fluid.

Possible consequences of cough during pregnancy (gestation):

• placental abruption;
• fetal hypoxia;
• fetoplacental insufficiency;
• weak labor activity;
• fading of pregnancy.

Intrauterine infection of the fetus in the 2nd and 3rd trimesters is fraught with serious diseases of the child - meningitis, developmental delay, pneumonia.

How to cure cough during pregnancy

Cough in the first weeks of pregnancy occurs due to a natural decrease in immune defense. Due to infectious inflammation of the ENT organs, signs of intoxication increase, and therefore the course of early toxicosis worsens. To make the expectant mother feel better, the doctor selects medications taking into account:

• infectious agent;
• gestational age;
• severity of the clinical picture.

Cough medications during pregnancy must be taken for 7-10 days. But in the first trimester, the neural tube is formed and the vital organs of the unborn child are formed. Therefore, you should avoid taking any medications for the first three months.

In the 1st trimester, medications are prescribed in cases where an acute respiratory infection poses a greater danger to the fetus than the teratogenic effect of the drugs themselves.

Approved medications

Only a doctor can say exactly what a cough can be for pregnant women. The first trimester is the period of greatest vulnerability of the fetus. Therefore, medications are selected with special care. If the cough is unproductive (dry), it can be stopped with antitussives. When separating sputum, medications are used that reduce its viscosity.

Effective cough syrups and tablets

Drug name	Release form	Moist cough	Dry cough	Active Ingredients	Operating principle	In what trimester can it be used?
Broncho-gran	granules	+	+	extract of bryonia, verbascum, Greek sponge	stimulates immune cells to fight infection	1-3
Mukaltin	pills	+	+	marshmallow herb extract	thins tracheobronchial mucus, facilitating its passage	1, 2
Bronchicum	drops	+	+	tincture of soap root and thyme	reduces the viscosity of sputum, relieves swelling from the bronchi, relieves a painful cough, normalizes breathing	1-3
Akodin	pills	+	—	dextromethorphan	suppresses the activity of the cough center, thereby eliminating cough	2
Libexin	pills	+	—	prenoxdiazine	inhibits the activity of the cough center and reduces the sensitivity of the nerves in the throat	1-3 (strictly according to the recommendation of the ENT specialist)
Gedelix	syrup	+	+	ivy extract	cough syrup relieves inflammation, thins mucus, facilitates its separation from the walls of the mucous membranes	1-3(strictly as prescribed by the doctor)
Stodal	syrup	+	+	medicinal plant extracts	increases the lumen of the bronchi, thins and removes mucus, eliminates inflammation in the throat	2, 3
Bronchipret	syrup	+	+	thyme, ivy extract	relieves spasms and inflammation, facilitates the removal of mucus from the bronchi, inhibits the growth of bacteria	2 (only on doctor's recommendation)
overslept	syrup	+	+	ivy extract	eliminates inflammation, bronchospasms, suppresses cough and destroys microbial flora	2
Stoptussin	pills	+	—	guaifenesin, butamirate citrate	relieves cough and reduces the viscosity of mucus in the bronchi, eliminates sore throat	1-3
Ambroxol	pills	+	+	ambroxol hydrochloride	Increases the content of pulmonary surfactant in sputum, stimulates the work of the ciliated epithelium, so cough productivity increases	2, 3
Syrup with marshmallow root	syrup	+	+	plantain extract	destroys microbial flora, relieves inflammation, stimulates expectoration of sputum	2 (in agreement with the doctor)

Features of therapy largely depend on the course of pregnancy. Therefore, before taking any antitussive and expectorant medications, you should consult your doctor.

If your throat hurts badly, cough lozenges will help a pregnant woman:

• Doctor Mom;
• Faringosept;
• Dr. Theiss;
• Strepsils;
• Anti-Angin;
• Falimint;
• Agisept.

Lollipops disinfect the mucous membrane, accelerate its healing and increase local immunity. As a result, the sensitivity of cough receptors decreases, so cold symptoms disappear.

Aerosol cough medications are no less effective. When choosing an effective throat spray, the doctor takes into account its safety. During pregnancy, they use Orasept, Ingalipt and Miramistin.

The main cause of cough is infection of the respiratory system. If it is caused by bacteria, antibacterial agents are prescribed.

During pregnancy, two groups of drugs are allowed - penicillins and cephalosporins:

• Ceftazidime;
• Carbenicillin;
• Cefradine;
• Amoxicillin;
• Cefsulodin;
• Augmentin;
• Azlocillin;
• Ceftibuten.

Regardless of the trimester, certain cephalosporin antibiotics - Cefoperazone, Cefamandole, Cefotetan - are not used during pregnancy.

Rubs and compresses

Compresses and warming ointments for coughs during pregnancy are used with caution. To prevent increased uterine tone, do not warm up:

• stomach;
• middle back;
• lower back.

For difficult to separate sputum, warming ointments and balms are useful.

They increase blood circulation in the lungs, which leads to:

• acceleration of metabolism;
• thinning mucus;
• strengthening local immunity;
• easy discharge of sputum.

To get rid of coughing attacks during pregnancy, use:

• Dr. Theiss eucalyptus - warming ointment with pine needle and eucalyptus oil. It has warming and anti-inflammatory properties.
• Doctor Mom Cold Rab is a locally irritating ointment with camphor, levomenthol, and eucalyptus oil. It has a distracting, mucus-thinning, anti-inflammatory effect.
• Vicks Active is a balm with eucalyptus extract and menthol. Strengthens local blood circulation, improves the drainage function of the lungs.
• Roztiran - ointment with thymol, camphor, nutmeg oil. Dilates blood vessels, increasing blood circulation in the lungs.

Ointments and balms are applied to the upper chest and back twice a day. Heat therapy is carried out in the 1st and 2nd trimesters of pregnancy. In case of toxicosis, rubbing is prohibited.

Local therapy is one of the safest methods of combating cough attacks during pregnancy. The active components of the drugs are not absorbed into the blood, so they do not harm the fetus.

To warm up the back and chest during pregnancy, use traditional medicine recipes:

• St. John's wort herb compress. St. John's wort is mixed with dandelion and burdock roots in a 2:1:1 ratio. 3 tbsp. l. the mixture is poured with 300 ml of water and boiled over low heat for 20 minutes. A cotton-gauze pad is moistened in the broth and applied to the chest. Cover with film and a woolen scarf. Leave for 25-30 minutes.
• Potato compress. 3-4 jacket potatoes are boiled for 20 minutes. Knead with a fork and mix with 100 ml of melted honey. Wrap the mixture in cheesecloth and form a cake. Place it on your back or upper chest for half an hour.

During pregnancy, compresses are applied no more than 2 times a day - morning and evening.

Inhalations for severe cough during pregnancy

Treatment of cough during pregnancy should be comprehensive. In the 1st trimester, many mucolytics and bronchodilators are prohibited. Therefore, to quickly cure a cough, try inhalations.

Folk remedies:

• Boiled potatoes. 3-5 potatoes are boiled in 1 liter of water for 15-20 minutes. Half of the broth is poured out, and the root vegetables are mashed with a fork. If desired, add 2-3 drops of fir or rosemary essential oil.
• Chamomile decoction. 2 tbsp. l. herbs are boiled in ½ liter of water for 10 minutes. Cool to 40°C, mix with 1 tsp. soda
• Borjomi with eucalyptus. 500 ml Borjomi is heated to 40-45°C, 2 drops of eucalyptus oil are added.

Features of inhalation therapy during pregnancy:

• the procedure is planned 1.5 hours after eating;
• the liquid temperature should not exceed 40°C;
• vapors are inhaled through the mouth and exhaled through the nose;
• perform the procedure for 7-10 minutes;
• After the session, do not eat food for at least 30 minutes.

To eliminate a wet cough, nebulizer therapy is effective. It is safe in any trimester.

Unlike steam inhalers, nebulizers are used even at high body temperatures. Alkaline mineral water is used as an expectorant:

• Svalyava;
• Dilijan;
• Luzhanskaya;
• Borjomi;
• Smirnovskaya;
• Narzan;
• Lipetsk pump room 1;
• Essentuki No. 4.

Inhalations are prohibited for abscesses in the lungs, uncontrolled hypertension, and pathologies of the inner ear.

Home Remedies

When you have a cold, you can drink decoctions and infusions that have an expectorant, antiseptic and immunostimulating effect. To alleviate the condition, they are taken at the first manifestations of acute respiratory infections.

Folk remedies for cough during pregnancy:

• Radish juice with honey. The top part of the radish is cut off and the contents are removed with a spoon. Pour melted honey inside. After 2-3 hours, pour the honey and juice into a glass container. Eat 1 tsp. up to 4 times a day.
• Milk with honey and butter. 250 ml of milk is heated to 50°C. Add ½ tbsp. l. honey and 2 tsp. melted butter. Take a glass half an hour before meals three times a day.
• Onions with honey. A large onion is chopped on a grater. Squeeze out the juice through cheesecloth. Mix with 50 ml of melted honey. Eat 1 tsp. every 1.5 hours for 5 days.

Before using traditional medicine recipes, you should consult with an ENT specialist or obstetrician-gynecologist.

Radish with honey often causes allergies - swelling of the mucous membranes, itching of the skin.

other methods

During gestation, the immune system is not able to cope with rhino- and adenoviruses, which causes a runny nose and cough. To relieve a wet cough during pregnancy, rinsing is useful. Helps relieve sore throat:

• Chamomile. 10 g of raw material is steamed with 300 ml of boiling water. Leave with the lid closed for half an hour, then strain.
• Plantain. 1 tbsp. l. pour into a thermos and add 250 ml of water. After 1 hour, filter.

Rinses are done every 1.5 hours. Do not drink or eat for half an hour. Therapy takes from 5 to 10 days.

When treating at home, you need to monitor your well-being. If a white or cheesy coating appears on your throat, consult an ENT specialist.

Before treating a cough, it is necessary to determine the primary source of infection. If symptoms are caused by inflammation of the nasal cavity or the back of the throat, nasal douche (rinsing) is useful. In any trimester of pregnancy the following can be used as a drug:

• Aqualor;
• Miramistin;
• No-Sol;
• Physiometer;
• Dolphin;
• Humer;
• Marimer.

The procedure is performed up to 5 times a day.

To prevent local hypothermia, do not go for a walk for 2 hours after irrigating your nose.

What is prohibited to treat cough in pregnant women

There is a list of medications that cannot be used to relieve coughing attacks during pregnancy:

• Codterpin;
• Joset;
• Codelac;
• Ascoril;
• Thermopsis;
• Tussin Plus;
• Travisil;
• Alex plus;
• Pertussin.

Cough during pregnancy in the 3rd trimester is dangerous for premature birth. To prevent uterine hypertonicity, do not use during this period:

• medical banks;
• foot baths;
• mustard packets.

Regardless of the trimester of pregnancy, you should refrain from using folk remedies with coltsfoot, comfrey, yarrow, oregano, and primrose.

Cough threatens the health of not only the mother, but also the fetus. To eliminate it, use safe expectorants or antitussives. Additionally, they resort to physiotherapy - inhalations, gargling, nasal rinsing, rubbing.

Source: https://tden.ru/health/kashel-pri-beremennosti

What medicines can pregnant women use for cough?

The cough that accompanies the inflammatory process negatively affects the fetus, its formation and development, and if it is excessively intense, it can easily provoke a miscarriage.

Choosing a cough medicine during pregnancy is not an easy task even for an experienced doctor, since there is a high risk of harm to a developing child, especially at the very beginning, when the main organs and systems are being formed. Therefore, cough medicines for pregnant women are selected with special care and only after assessing the expected benefits for the mother and the risk to the fetus. Despite the difficult choice, treatment cannot be delayed.

Cough medicines during pregnancy

What pregnant women can take for cough is up to the doctor to decide. It would seem difficult to disagree with such a statement, but many women, due to their “interesting” situation, find it difficult to visit a doctor, and they choose treatment at home.

Doing this, especially using “grandmother’s” recipes, is extremely dangerous - medicinal herbs often have a pronounced teratogenic effect.

Many cough medications are not used during pregnancy precisely because of the medicinal plants they contain.

For wet coughs, especially those accompanied by viscous and difficult to separate sputum, mucolytic agents are prescribed to make the sputum less thick and facilitate its evacuation from the bronchi. For a dry, painful cough, it is advisable to use cough suppressants.

They can be combined with inhalations, for which it is better to use a nebulizer. Of the dosage forms, the doctor will most likely give preference to tablets or lozenges, since syrups often contain ethanol.

Cough medications during pregnancy: what are possible

For dry cough, cough medications for pregnant women can be as follows:

All cough medications that can be used by pregnant women are prescribed only after the necessary diagnostic measures have been carried out, since the symptom in question may be the result of severe infections that can disrupt the normal process of fetal formation.

It is unacceptable to independently use various folk recipes - many herbs have a pronounced teratogenic effect, which manifests itself even when inhalations are carried out.

In addition, you should not use honey thoughtlessly - it is a strong allergen that can easily harm a woman. Essential oils should not be used by expectant mothers, even in highly diluted form.

Antiseptic preparations for topical use

Antiseptic or antibacterial drugs complement cough medications that pregnant women can take. The administration of systemic drugs at this time is contraindicated, therefore only local antiseptics are used, which act only in the oropharynx.

Lysobacter

The active substance is lysozyme, which can be taken for cough during pregnancy. Prescribed 2 tablets. 4 times a day

The tablets should be kept in the mouth until they are completely dissolved, without chewing or swallowing.

Gramicidin

A drug that has a bacteriostatic effect and practically no general effect.

However, its independent use is unwise - the medicine is contraindicated during lactation, and is prescribed to expectant mothers with caution. Take 2 tablets 4 times a day.

This drug complements other cough medications well during pregnancy, i.e. it is used as part of complex therapy.

Cough tablets

For an unproductive, dry and painful cough, medications that reduce the cough reflex are required. Any cough medicine for pregnant women, especially in the 1st trimester, is recommended with great caution.

Libexin

A drug containing prenoxdiazine hydrochloride as the active substance. This is one of those medicines that can be taken for coughs during pregnancy, but with a certain degree of caution. Indicated for non-productive cough symptoms caused by inflammation of the upper respiratory tract, pneumonia, and chronic bronchitis. Take 100 mg 3 times a day.

Stoptussin

Other pills are either not prescribed to expectant mothers, or are used as a last resort, when the benefit significantly outweighs the possible risk to the unborn baby.

Expectorant tablets

With a wet cough, there is often difficulty in sputum discharge due to its excessive viscosity. In this case, the question of what is allowed to be taken for coughing during pregnancy is especially relevant. It is impossible to block the cough reflex, so the drugs should dilute the mucus, which will facilitate its evacuation.

Bromhexine

It has a pronounced mucolytic and expectorant effect. Effectively reduces the viscosity of sputum, which speeds up and facilitates its evacuation from the respiratory tract. Alkaline inhalations should not be used during therapy. Prescribed 8 mg 3 times a day, regardless of meals.

Mukaltin

The active ingredient is marshmallow. Take 1-2 tablets 3 times a day before meals. If a woman independently decides which cough medicine is appropriate during pregnancy, you should know that Mucaltin is contraindicated in case of a threat of miscarriage or other complications.

Ambroxol

A drug with secretomotor, expectorant and secretolytic effects. Stimulates the activity of the ciliated epithelium. Ambroxol can be prescribed in late pregnancy, but with great caution - it is better to entrust the choice to a doctor. Prescribed 1 tablet 3 times a day, after meals.

Syrups and potions

The doctor determines what medicine pregnant women can take for cough. This applies to syrups no less than to tablets. Many believe that this dosage form is less dangerous than tablets, since syrups are often prescribed in childhood. This is wrong.

Syrups may contain codeine or ethanol, which are contraindicated for expectant mothers.

Cough medications during pregnancy that can be used relatively safely are few in number.

Doctor Mom

A herbal preparation used for dry cough attacks caused by inflammation of the upper respiratory tract. It has an expectorant, broncho- and mucolytic effect. The medicine contains herbs such as:

• licorice;
• ginger;
• aloe;
• elecampane;
• basil.

Gedelix

Gedelix has an expectorant and mucolytic effect, relieves spasms in the bronchi, and helps moisturize the mucous membrane of the upper respiratory tract.

Marshmallow syrup

The indication for prescribing this drug is a wet cough caused by bronchitis, tracheitis and other inflammations of the upper respiratory tract. This is a cough medicine for pregnant women that can be carefully prescribed in any trimester. The dosage and duration of therapy is determined differently for each patient.

Other drugs should not be taken by expectant mothers, since clinical studies have not been conducted regarding their teratogenic effects, and the risk of serious side effects is quite high.

What is the danger of coughing during pregnancy if it is not treated?

If cough treatment is delayed and its attacks are prolonged, placental circulation is disrupted. A sharply reduced supply of oxygen and nutrients to the fetus is fraught with developmental abnormalities.

Coughing in expectant mothers often provokes vomiting. This reflex can become a habitual reaction, which will lead to rapid dehydration of the body, as well as the loss of large amounts of vitamins and microelements.

Late deadlines are not a reason to relax. Cough in the second trimester can provoke fetoplacental insufficiency and the birth of an underweight child. There are frequent cases of disturbances in the formation of the nervous system.

In the later stages, coughing attacks of the mother are the least dangerous for the child, however, it is likely that they will lead to disruption of breast milk production, placental abruption and premature birth.

About taking medications during pregnancy and breastfeeding - the following video with Dr. Komarovsky.

Conclusion

As a result, every woman should understand that any cough can cause some harm to the unborn child. Curing it during pregnancy is somewhat more difficult than in a normal situation, but it is quite possible.

To do this, it is important to “collaborate” with your doctor, remembering that self-medication is dangerous, especially for women expecting a child.

It is easy to harm the fetus, and it often becomes impossible to get rid of the consequences of taking a number of medications.

Source: https://pulmonologiya.com/preparaty/kashel/lekarstva-beremennym.html

Cough tablets for pregnant women - which ones are available and in what trimester

Pregnancy changes the activity of the immune system. These changes can lead to an increased incidence of colds, especially during cold weather.

The good news is that symptoms of a respiratory infection do not affect the baby in any trimester of pregnancy. But any respiratory disease can become more complicated if it is treated.

That is why it is so important to take the necessary measures at the initial stage of a cold. To do this, you should choose effective cough tablets during pregnancy and know how to take them.

What you need to know when choosing cough tablets during pregnancy

When choosing a treatment, a woman and her relatives should be guided by the following rules:

• Expectant mothers need to remember that not all pills they took before pregnancy can be used during pregnancy. This also applies to seemingly safe folk recipes, herbal preparations, heating, etc.
• Many people believe that in the first trimester the child is still too small and medications cannot affect him, but this is wrong. In the first 12-13 weeks, all organ systems of the future person are formed, so the first trimester is the most important. From this follows the rule: do not take any medications or herbal preparations unless necessary, especially in the first 12 and after 28 weeks.

• You cannot prescribe medicine yourself without a doctor's advice. But you can only trust a proven, competent specialist, because some doctors may not be well versed in the treatment of pregnant women. It is better to consult an obstetrician-gynecologist about medications.
• Treatment must be effective. This means that the medications prescribed must be appropriate to the severity of the symptoms.
• Cough tablets during pregnancy have different indications, so first it is important to determine the cause of the symptom, its nature (dry or wet), and then begin therapy.

Important! When choosing medications, you should be guided by the doctor’s prescription and the information specified in the instructions. You should not take medications recommended by friends or pharmacy employees.

What cough tablets can pregnant women use?

The choice of medications for treating pregnant women is quite large. At first, it is better to use lozenges for resorption, which have minimal absorption into the systemic circulation and have a greater effect locally. In the second trimester, you can take mucolytics to more effectively expectorate sputum. At the end of pregnancy, most medications are allowed.

The presented cough tablets are suitable for pregnant women who do not suffer from complications during pregnancy. If there is a pathology accompanying cough, therapy can change dramatically, taking into account drug interactions.

Cough tablets for pregnant women in the 1st trimester

For a short period of time, you can take lozenges that contain eucalyptus, mint, and anise. The tablets reduce a sore throat, irritation of the mucous membrane of the respiratory tract, and have an antiseptic effect, which prevents the spread of the pathogen down the respiratory tract. Medicines are indicated for dry cough, sore throat, and sore throat.

Lozenges need to be dissolved in the mouth until completely dissolved after 3-4 hours several times a day. Be sure to use the medicine after meals and do not drink or eat for 30-40 minutes after the tablet has completely dissolved.

Approved cough lozenges during pregnancy:

1. Adjisept consists of 2,4-dichlorobenzyl alcohol, amylmetacresol. At the pharmacy, the medicine is sold in various flavors. The product eliminates sore throat, sore throat, and has an antiseptic effect. Analogs: Vokasept, Hexoral Lorsept, Gorpils, Gripcold, Rinza Lorsept, Strepsils, Suprima-Lor, Trisils.
2. Faringosept contains ambazone monohydrate. The medication causes the death of streptococci and staphylococci, which prevents the spread of infection through the respiratory tract. Analogs of the drug: Efizol, Farisil, Teraflu Lar.
3. Sage in lozenges has an antiseptic, antioxidant effect and promotes rapid healing of inflamed mucous membranes. Analogues: Dr. Theiss with sage.
4. Lyzobact contains lysozyme hydrochloride, pyridoxine hydrochloride. The antiseptic in the composition eliminates viruses, bacteria and fungi, and pyridoxine restores the mucous membrane of the upper respiratory tract. Analogues: Lizak.

The following tablets will help with wet cough in the early stages:

• Mucaltin consists of marshmallow root, which can be taken during pregnancy at any stage. The drug has a bronchosecretory and expectorant effect. Thick and viscous mucus becomes liquid and is easier to cough up. In addition, Mucaltin activates the movement of the cilia of the ciliated epithelium and promotes the regeneration of the mucous membrane. The drug should be taken 3-4 times a day, after diluting 1 tablet in a small amount of water. Analogs: Alteyka (chewable tablets), Mucaltin with vitamin C, Muko-Vert.
• Dr. Theiss Anise Oil Capsules contain essential anise oil. The plant extract has an expectorant, antispasmodic, and antiseptic effect. Take 1 capsule three times a day with 250 ml of clean water.
• Prospan contains ivy extract. Pharmacies have regular and effervescent tablets. The product has mucolytic, antispasmodic and expectorant effects. Take 1 tablet in the morning and half in the evening. Effervescent ones are pre-dissolved in water. Analogues: Pluforkaf capsules, Prospan lozenges, Bronchostop.

Important! All of the listed drugs are allowed to be taken throughout pregnancy, but only with the permission of the attending physician.

In the 2nd trimester

This period of pregnancy is considered the calmest. In addition to lozenges, coughs can be treated with expectorant tablets and mucolytics.

The following drugs are allowed:

1. Doctor Mom contains menthol, licorice, ginger. There are lollipops with different flavors: lemon, pineapple, fruit, raspberry, orange. The medication relieves inflammation and causes expectoration of sputum. Used for dry and wet cough. Analogues: Dr. Theiss.
2. Pectusin with menthol and eucalyptus oil. The product has an irritating effect, reduces dry cough, relieves inflammation, and eliminates pathogenic microorganisms. The medicine is used 1 tablet up to 4 times a day, dissolving under the tongue. Analogues: Eucalyptus-M.
3. Ambroxol causes an increase in the synthesis of the liquid part of sputum, stimulates the secretion of surfactant in the lungs, restores the mucous membrane, and activates the flickering of cilia. The drug is taken for difficult to cough up sputum, 1 tablet three times a day. Analogs: Lazolvan, Ambrol Sr, Ambrobene, Ambronol, Ambrosan, Ambrotard, Bronchoval, Mukoangin, Mukolvan, Flavamed.

Important! Pregnant women should take cough tablets strictly according to the instructions, without exceeding the dosage.

In the 3rd trimester

The last period of pregnancy is no less important than the first, but the child is already fully formed, so the list of approved drugs is increasing.

You can treat with the following means:

• Acetylcysteine ​​is a mucolytic, expectorant drug. The substance thins mucus and stimulates its complete clearance from the respiratory tract. The drug also protects cells from free radicals, which has an antioxidant effect. You need to take the drug 200 mg three times a day. Analogues: Asibrox, Atsestad, ACC, Acetal, Fluimucil.

• In addition to all the effects of acetylcysteine, carbocysteine ​​reduces the number of goblet secretory cells, which accordingly reduces the amount of sputum synthesized. It is recommended to take the product 2 capsules three times a day. Analogues: Bronchomucin, Mucolic, Rinatiol.
• Bromhexine is also a mucolytic. The drug is prescribed 1 tablet three times a day. Analogues: Solvin, Bronchohex.
• Erdomed contains erdosteine, which is a mucolytic. The drug is used at a dose of 150 mg twice a day. Analogues: Mucitus, Ermucin.

What pills are strictly prohibited?

There are medications that are not allowed to be taken during pregnancy. They can be found in the FDA classification of medications. All products containing codeine are strictly prohibited. The drug is used for dry cough with an antitussive effect. Examples of drugs: Codepsin, Kodarin, Codeterp, Tercodin, Codesan, Tedein.

You should also not be treated with combination drugs that contain three medications: salbutamol, bromhexine, guaifenesin. Names: Askoril, Joset, Rinzakoff.

You cannot use tablets with thermopsis, such as Antitusin, Codesan, cough tablets.

Important! Whether pregnant women can take cough tablets of a certain pharmacological group or not is decided by the doctor based on his experience and knowledge.

Why is it necessary to treat a cough and not just make it worse?

Many expectant mothers are afraid to take medications because they think they will harm the baby. In fact, the unreasonable use of medications, as well as the complete lack of treatment for severe symptoms of a respiratory infection, can lead to undesirable consequences. Therefore, it is better to find a “golden mean” and treat symptoms as soon as they appear.

Often, cough does not go away on its own in pregnant women with physiological suppression of the immune system. At best, a woman will be tormented by a long, dry cough of moderate intensity.

At worst, the infection, along with inflammation, can spread lower down the respiratory tract, causing severe tracheobronchitis, pneumonia.

These diseases occur with severe intoxication, elevated body temperature, and impaired external respiration.

Unlike the common cold, severe respiratory infections have consequences for the fetus.

Their treatment requires antibiotics, mucolytics, and anti-inflammatory drugs, which are prescribed for a course of 7 to 14 days.

Therefore, it is best to cure an incipient cough as effectively as possible without consequences than to cope with a severe infection during pregnancy.

Conclusion

Treatment of pregnant women must be under medical supervision. In case of a mild cold, appointments from a gynecologist or therapist will be sufficient. If the disease is severe, with complications, then the participation of several specialists is required. In order not to provoke the development of bronchitis, pneumonia must be treated for colds from the appearance of the first symptoms.

Cough tablets for pregnant women - which ones you can take and in what trimester Link to main publication

Source: https://MyKashel.ru/beremennost/tabletki-ot-kashlya-pri-beremennosti.html

How and what to treat cough during pregnancy

A cough during pregnancy should be a reason to visit a medical facility. Often, this symptom of the disease goes away on its own, but under certain conditions (weak immunity, hormonal changes), complications are possible that will negatively affect the overall health of the expectant mother and the development of the fetus.  

Why do health problems occur?

In order to understand how to treat and what pregnant women can do for a cough, it is necessary to find out the source of this pathological condition.

Reflex contractions of the muscles of the chest and larynx occur when it is necessary to remove phlegm (pathogenic microorganisms) from the body.

Most often, spasms are the result of irritation of the receptors of the nervous system, less often they are complications of negative external influences.

The main problem in treating cough in pregnant women is the need for strict control of medications taken. It is not difficult to suppress an acute respiratory infection, virus or fungus if you take antibiotics or antibacterial agents, but pharmacotherapy during pregnancy is not recommended, to put it mildly.

Many specialized specialists (therapists) advise considering the possibilities of traditional medicine. The use of natural medicines is less effective, but less likely to cause side effects. Also, with the help of natural syrups and mixtures, you can safely relieve swelling of the larynx without risk to the child.

Cough during pregnancy - dangers and risks

Chest spasms need to be treated. The main thing is to choose the safest means possible and correctly assess the risks to general health. Cough itself rarely causes serious consequences. The exception is a sharp contraction of the abdominal muscles, which causes bleeding and increased tone of the uterus.

The primary sources of such a symptom are a great threat - ARVI, acute respiratory infections, fungal infections of the respiratory tract. The expectant mother's immunity decreases sharply, and any disease can cause irreversible changes. It is especially important to avoid infection in the 1st trimester. At this time, the fetus is being formed, and the pathological condition of the woman in labor will affect the future health of the baby.

How to Safely Treat Reflex Chest Spasms

You can eliminate cough during pregnancy by studying the possibilities of alternative, folk therapy, taking a course of inhalations, and physiotherapy. It is very important to create optimal conditions for recovery.

First of all, you need to monitor the room temperature and humidity. Dry air often becomes the main irritant.

What can be done? It is useful to ventilate the room more often, periodically carry out wet cleaning, and use household steam generators and air conditioning units.

Balanced diet for cough during pregnancy

The importance of your daily diet cannot be underestimated. You can get rid of dry, unproductive cramps by adding a large number of healthy drinks to your menu. Green tea, milk, fruit drinks, juices moisturize the mucous membrane, relieving irritation.

In the early stages (1-2 trimester) it is not recommended to take cough medicines, so it would be useful to naturally strengthen the immune system.

Another way to strengthen overall resistance to negative external factors is to saturate the daily menu with a large amount of vitamins and minerals (fruits, vegetables, berries). Any irritants – sour, smoked, spicy foods – should be eliminated from the diet. Such changes will have a beneficial effect on the state of the respiratory system and will help get rid of a dry barking cough.

Gargling and inhalation

Often, when visiting a therapist, you may be asked how to safely treat a cough during pregnancy? The answer may be the use of natural ingredients in the manufacture of solutions for throat disinfection.

Such procedures can be performed at any time (1-3 trimester), the main thing is to make sure that the effect is safe. Rinsing can be done with infusions and herbal decoctions. Most often there are recipes with the addition of chamomile, mint, rose hips, and linden.

The therapy helps to liquefy and remove mucus.

An excellent solution is to use a nebulizer. If there is no such device, then you can breathe in the vapors of potatoes and eucalyptus the old fashioned way, using a saucepan, a basin and an ordinary towel. We must not forget that hot air can burn, so before treating a cough, you need to check the temperature of the evaporated liquid.

Physiotherapy for cough during pregnancy

In some thematic articles, there is advice to expectant mothers that chest spasms can be treated with the help of physiotherapy.

Most of the manipulations that are offered in clinics are prohibited during pregnancy (especially in the early stages). It is not recommended to carry out heat therapy, UHF, drainage massage.

Local ultraviolet irradiation and electrophoresis using calcium chloride are allowed (under the strict supervision of the attending physician).

Folk remedies

There is a popular belief that natural medicines cannot harm the body. In fact, this is not true. During pregnancy, hormonal changes occur, and many herbs fall into the category of prohibited.

How to treat a cough while pregnant:

• St. John's wort reduces the effectiveness of painkillers, which may negatively affect the use of anesthesia during childbirth;
• Echinacea (ginseng) is not recommended due to a sharp increase in blood pressure;
• coltsfoot has a mutagenic and carcinogenic effect on the fetus;
• sage, thyme provoke uterine bleeding;
• elecampane and tansy increase the tone of the myometrium and can provoke an unplanned termination of pregnancy (miscarriage).

The list of prohibited folk remedies also includes barberry, raspberry, string, calamus, and pine buds.

What can pregnant women do for a cough? Treatment with decoctions of blackberries, linden, mint, lingonberries, chamomile, birch, and rose hips is considered relatively safe. These plants have disinfecting and anti-inflammatory properties.

Cough medications during pregnancy

Most medications have a large list of contraindications and side effects. Therefore, the use of pharmacological agents must be approved by the attending physician.

The therapist assesses health risks and prescribes the safest treatment. Tablets, syrups, lozenges and mixtures can be divided into 2 groups: expectorants and antitussives.

The former reduce the viscosity of sputum, facilitating its removal, the latter directly affect the receptors (nervous system).

The list of prohibited drugs for the treatment of cough during pregnancy includes: “ACC”, “Bronholitin”, “Pertussin”, “Ascoril”, “Tussin”. Under the strict supervision of a physician, therapy with Mucaltin, Gedelix, Doctor Theiss, and Bronchipret is permitted. It is important to understand that any doctor’s recommendations should be followed. Often, inaction greatly complicates therapy, “driving” the disease into a chronic form.

How to protect yourself from diseases

There is no need to treat a cough during pregnancy if you follow simple rules of a healthy lifestyle. Expectant mothers need to walk more in the fresh air and engage in gentle physical activity.

It is recommended to avoid crowded places (public transport, supermarkets).

During seasonal epidemics (flu), you can preventively gargle with safe herbal decoctions, a solution of salt, soda, and apply Vaseline or oxolinic ointment to the skin near the nose.

Source: https://stop-kashel.ru/kashel-pri-beremennosti-chem-lechit/

Cough tablets during pregnancy: which drugs are safe / Mama66.ru

Cough is one of the symptoms of a respiratory viral infection. During pregnancy, colds are more severe because the immune system is weakened and cannot fully resist viruses.

Cough tablets during pregnancy are chosen taking into account their safety, reliability and lack of side effects. Women who are expecting a child are faced with the question of the possibility of using certain antitussives.

Let's try to understand the question of what cough tablets and mixtures are available during pregnancy.

Features of choosing cough tablets during pregnancy

When choosing a medicine to treat a pregnant woman, you should be guided by the following principles:

• Safety . Medicines must be equally harmless to mother and fetus. They should not be embryotoxic or have teratogenic or fetotoxic effects. In addition, medications should not increase the tone of the uterus, so as not to provoke premature birth or termination of pregnancy. Also excluded are drugs that exhibit cardio-, hepato- and nephrotoxicity. The instructions for cough drops should indicate that they are safe for use during pregnancy.
• Efficiency . The number of drugs that can be used by expectant mothers is limited. This confuses the doctor when prescribing treatment - it is necessary to choose 1-2 remedies that are most suitable in this case. Therefore, cough medicine should be as effective as possible.
• No side effects . Cough tablets should not cause adverse reactions such as bronchospasm, provoke allergic reactions, affect hormonal levels or cause contractions of the smooth muscles of the uterus.
• Inability to penetrate the blood-placental barrier . That is, the active substance should not enter the bloodstream of the fetus through the placenta, so as not to have a negative effect on it.

Treatment of acute respiratory viral infection begins with choosing a drug that best fits the description given above.

What drugs are allowed

Let's look at which cough tablets are allowed during pregnancy, depending on the trimester.

In 1st trimester

In the first trimester of pregnancy, hormonal changes occur in the woman's body. During this period, the main organs of the embryo are formed, so it is important that the drug chosen for treatment does not have an embryotoxic effect.

Allowed cough tablets in the first trimester:

• Mukaltin . Has an expectorant effect. It is safe at any stage of pregnancy because it is of plant origin. Increases mucus secretion. Due to this, sputum discharge improves, so the drug can be prescribed for dry cough. In addition, Mucaltin has an anti-inflammatory effect. Improves mucociliary clearance and accelerates the passage of sputum through the respiratory tract, thereby improving coughing. The only contraindication to taking Mucaltin is individual intolerance. Read more about the use of Mucaltin during pregnancy →
• Cough tablets Doctor Theiss with sage extract and vitamin C. Due to the essential oils of sage, which has an anti-inflammatory and disinfectant effect, sputum thins and its viscosity decreases. The presence of vitamin C additionally stimulates antiviral immunity. Contraindications for use are individual sensitivity and diabetes. The instructions for Dr. Theiss cough lozenges contain no contraindications for use during pregnancy.
• Sinupret is a homeopathic drug. The composition includes several medicines that exhibit a complex effect - gentian root, primrose flowers with calyxes, sorrel herb, elderberry flowers and verbena herb. Together they exhibit secretolytic, anti-inflammatory and anti-edematous effects. Herbal extracts suppress the proliferation of viruses, including influenza, parainfluenza and other respiratory pathogens. While taking the drug, sputum becomes more liquid and its discharge improves. Like other cough remedies, Sinupret tablets, although safe for pregnant women, require a doctor's prescription.

Taking any other drugs that are not included in this list is possible after consultation with a specialist.

In the 2nd trimester

During this period, the list of approved drugs is expanding. Many medications that could not be used in the 1st trimester are allowed in the 2nd.

List of approved medications:

• Ambroxol . Shows mucolytic effect. Stimulates the synthesis of surfactant and regulates bronchopulmonary secretion. Due to this, the mucus becomes less thick, which facilitates its better removal during coughing. The drug is well tolerated and approved for use in the 2nd trimester of pregnancy. Available in the form of tablets and syrup. Prescribed 1 tablet/tablespoon 3 times a day.
• Fluditek . Mucolytic and mucoregulating drug. Regulates the ratio of sialomucin and fucomucin, which helps normalize the viscosity of sputum for its better discharge. Approved for use in the 2nd and 3rd trimesters.
• Bromhexine belongs to the group of mucolytics. Increases the volume of sputum, makes it less viscous and improves coughing. Bromhexine is a precursor to the active form of Ambroxol. Therefore, the indications and contraindications for its use are identical.

In the 3rd trimester

The list of cough tablets in the 3rd trimester of pregnancy is wider. The tablets should not have a fetotoxic effect and cause uterine contractions.

In the 3rd trimester, it is allowed to use any drugs that are indicated in the 1st and 2nd trimester.

Special instructions for certain drugs

Next, we will consider cough medications that are prescribed if the benefit to the mother is higher than the potential risk to the fetus. These medications are prescribed only by the attending physician, after weighing all the pros and cons. They do not have a toxic effect on the fetus or the mother, but the lack of research limits their use.

These are the drugs:

• Acetylcysteine ​​(ACC) or medications based on it. Prescribed for coughs with mucous sputum that is difficult to clear. Used only as prescribed by a doctor if the benefit to the mother is higher than the potential risk to the fetus.
• Linkas . Complex drug for the treatment of cough. It is not recommended to use during pregnancy due to possible adverse reactions, but may be used as directed by a doctor.
• Mucitus (erdostein) . The studies did not reveal any pathological effects on the development of the embryo or fetus, however, it is not recommended to prescribe in the 1st trimester of pregnancy, and from the 2nd trimester - only as prescribed by a doctor.
• Milistan . A combined cough medicine containing ambroxol and acetylcysteine. It is strictly contraindicated in the 1st trimester of pregnancy; in the 2nd or 3rd trimester it can be used strictly as prescribed by a doctor.
• Overslept . Available in the form of effervescent tablets and lozenges. The drug contains dry extract of ivy leaves, which has anti-inflammatory, secretolytic and mucolytic effects. Due to the content of glycosidic saponins, it has an antispasmodic effect on the bronchial tree. There are no contraindications to the use of this drug during pregnancy, but it should be used only as prescribed by a doctor, after weighing the risk/benefit relationship.

What pills are strictly prohibited?

The use of the following drugs is completely contraindicated for use at any stage of pregnancy:

• Tablets based on licorice root. Liquorice (licorice root) is contraindicated at any stage of pregnancy. It changes hormonal levels and increases the amount of estrogen. This can cause miscarriage or premature birth. Any combination cough medicine that contains even a small amount of licorice is also contraindicated.
• Tablets containing anise oil.
• Bronchipret, which contains thyme and ivy extract. Not recommended for use in any trimester of pregnancy due to lack of clinical studies.
• Prospan, made on the basis of liquid ivy extract. It has antispasmodic, antitussive and mucolytic effects. Used for coughs with sputum that is difficult to clear.
• Codeine and drugs based on it. Depresses the respiratory center in the medulla oblongata.
• Erespal or Inspiron. Not recommended for use at any time. However, if pregnancy occurs already during treatment, this is not a reason to terminate it.
• Antitussin. The composition contains thermopsis grass and sodium bicarbonate. It has a good mucolytic effect, but is contraindicated during pregnancy.
• Cough tablets during pregnancy with thermopsis are strictly contraindicated, since pachycarpine contained in the herb causes contraction of the uterine muscles.

Treatment of ARVI and its complications during pregnancy is a difficult task. On the one hand, it is necessary to choose an effective remedy that will help cope with the disease, on the other hand, not to harm the fetus. The drugs should not negatively affect the formation of the embryo, placenta, or growth of fetal organs.

It should be remembered that self-medication can harm the health of the mother and fetus; only an examination by a doctor can prevent the development of complications.

Evgenia Khilko, doctor, specially for Mama66.ru

Source: https://mama66.ru/pregn/tabletki-ot-kashlya-pri-beremennosti