Pregnancy and breastfeeding are very important periods in a woman’s life. After all, how she monitors her health will affect both the fetus and the health of the newborn baby. And, of course, a woman should take special care when choosing the medications that she will use for her treatment.
Many women are interested in the question: is Nimesil suitable for nursing mothers? And this is no coincidence, because the drug market is saturated with many different drugs. And in this diversity, it is sometimes difficult even for a specialist to understand right away. After all, restrictions may be different.
Among a sufficient number of drugs that have contraindications during pregnancy and while breastfeeding, some are completely prohibited, while the use of others is limited. Therefore, only after consulting with a doctor, a woman can be sure that she will be able to choose the most appropriate medicine in terms of safety and effectiveness and get an answer to the question of whether Nimesil can be taken while breastfeeding.
When a nursing mother knows what medicine can be treated, she will not be taken by surprise by a headache or toothache. And this is very important, especially when you have a small child in your arms. After all, the pain can be so severe that emergency help is required. And if the medicine cabinet already contains the necessary medicine, the health of the mother and baby will become safer.
Therefore, you should not choose a medicine on your own, or rely solely on the advice of friends. Any self-medication is fraught with serious consequences for the health of the mother and her baby. And even those medications that you have always taken and tolerated quite well, in this case can be dangerous.
The danger may include serious complications. As a result, the mother, having taken such a medicine, will not achieve the desired effect, and the child will be harmed. And therefore, this article, which is for informational purposes only, will tell you whether or not to drink Nimesil for a nursing mother. You can find out more precisely from your doctor.
Nimesil - what is it for?
The drug is popular due to its ability not only to quickly eliminate pain, but also relieve fever. Has anti-inflammatory properties. A couple of hours after the patient takes the medicine, the blood will contain the maximum concentration of the active substance.
After this, the process of metabolization in the liver will begin. The drug will already be excreted into the intestines with the participation of bile. For this reason, patients with problems with the liver should refrain from taking the drug, since it will not only accumulate in the body, but also increase the time it takes to eliminate it.
The principle of action of the drug is that it is capable of suppressing prostaglandins and stopping foci of inflammation. In addition, it is well tolerated by the body even with long-term treatment. The duration of the pain-relieving effect of this medicine is another plus; it can last more than six hours.
With all this, it is advisable to use the drug only during the treatment period and try to shorten this period as much as possible. It should also be taken into account that Nimesil is indicated only for adult patients, therefore, the dose of its use is not regulated by age.
What are the contraindications?
Nimesulide has a number of contraindications and situations when it must be taken with caution. These instructions must be strictly followed to avoid complications. In what cases you should not drink Nimesulide, the list below will tell you:
- if the patient experiences hyperergic reactions that are provoked, for example, by aspirin and other drugs of a similar type, including this drug. They are expressed by bronchospasm, rhinitis and other reactions in the anamnesis;
- the patient should not take medications that are potentially hepatoxic at the same time as Nimesulide. These include analgesics, as well as non-steroidal drugs that are aimed at suppressing inflammatory processes. The most typical example is paracetamol;
- the patient suffers from an exacerbation of inflammatory processes in the intestines, in particular this can be colitis, Crohn's disease;
- there is intolerance to aspirin and similar NSAID drugs for bronchial asthma, nasal and sinus polyposis;
- it is forbidden to take after bypass surgery of the coronary vessels and aorta;
- Patients who have drug and alcohol addiction should not drink Nimesulide.
- contraindicated if you are allergic to medications that belong to a similar group;
- You cannot take medications belonging to this group of drugs at the same time;
- prohibited for patients suffering from poor blood clotting;
- not recommended for patients who have severe liver failure;
- elderly people and children under 12 years of age;
- when breastfeeding, pregnant women.
To avoid harming the child
Mother's milk - what can be the best food for a baby. But at the same time, the mother should not forget that when feeding her baby, she should refrain not only from bad habits, but also from medications. Remember that Nimesil is contraindicated during GV. And it should not be used under any circumstances.
Of course, it is not always possible to do without tablets and powders, but you can and should always find a replacement for a contraindicated drug.
After all, during feeding, the mother poisons her child through milk. Any pill taken by a nursing mother does not immediately affect the baby. The route of ingested medication is complex. This can be expressed schematically as follows:
- First, the substance enters the mother's stomach.
- Then the path goes to the intestines.
- Blood of a nursing woman.
- From the blood it enters the mammary gland.
- The next stage is the baby’s intestines.
- And finally, the final point is the blood of the child.
The drug is strictly prohibited both during pregnancy and breastfeeding. During pregnancy, Nimesil is contraindicated due to the possibility of a large number of side effects.
Suppressing prostaglandins, which are involved not only in inflammatory processes. They are active participants in the birth process, and taking medication can lead to their deficiency. Which, in turn, threatens to stop the birth process or lead to the fetus being post-term.
In some Western European countries, this drug is generally banned, while in others its prescription to patients is limited. Our country has not abandoned it, but there is undoubtedly a danger for an infant. This is also stated in the instructions for using the medicine.
If we talk about Nimesile as a pain reliever, then it should be said that it is not only contraindicated during breastfeeding. Here you should also look at other painkillers that are not recommended for a nursing mother to take.
The well-known anti-pain drugs promedol and tramadol are also poisonous for the baby.
Other popular non-narcotic medications are also unsafe, for example, analgin. This pain-relieving medicine also has no barriers to entry into milk.
Paracetamol is safer; it does not penetrate into mother's milk so freely, but another danger awaits the child, especially if the baby has a congenital deficiency of certain enzymes. This is aggravated by the fact that it is not always possible to find out about deficiency in a timely manner.
Acetylsalicylic acid is more suitable for one-time use. This medicine is almost ten times more difficult to pass into breast milk. Butadiene has the same property. It is strictly contraindicated for nursing mothers to use Pentalgin and Sedalgin tablets, which contain codeine.
For the same reason, certain antitussive medications should not be taken by a nursing woman. For example, neo-kadion. But freely sold synecode and libexin do not pose a threat to the baby; they contain codeine substitutes. Without fear of harming your child, you can take broncholithin, but not all the time.
This is interesting: a few years ago a guide for doctors was released. It contains a detailed description of medications that a mother should not take while breastfeeding. More than 400 drugs!
This list includes not only drugs that are completely prohibited due to their penetration into milk, but also those that are recommended not to be taken and those that have not yet been sufficiently researched
Is it possible to take
A woman during lactation should pay attention to her health, because her condition affects the condition of the baby. A nursing mother should give up junk food and also avoid uncontrolled use of medications.
Sometimes a woman during this period is overcome by severe toothache or headache. Is it possible to take Nimesil during breastfeeding? The article will discuss the peculiarities of taking the drug, its positive and negative effects on the body of a woman and a newborn.
How to combine the drug and breastfeeding
Is it possible to use Nimesil during breastfeeding? During lactation, the drug is prohibited for use, as indicated in the instructions for its use.
In situations where a nursing woman needs to get rid of a headache or reduce her temperature, you can use other drugs. These include Paracetamol, Ibuprofen, Drotaverine. These drugs are safer and will not harm the body of a newborn baby.
If the symptoms of the disease increase, and the approved medications do not provide the necessary help or they are not in the first aid kit, then you are allowed to take Nimesil 1 time. In this case, feeding must be stopped for a day.
Is it worth taking Nimesil during breastfeeding? The famous pediatrician Komarovsky argues that you should not endure pain and refuse treatment if you need to stop feeding the child just for a while. After all, a baby needs a healthy mother no less than breast milk.
"Nimesil" is a non-steroidal drug that can relieve pain, fever and inflammation. The drug is available in powder form. It has the following composition:
- nimesulide;
- ketamacrogol;
- cane sugar;
- lemon acid;
- aromatic additive "Orange".
"Nimesil" is available in the form of granules. A suspension is prepared from it by diluting the contents of the sachet with water. Each sachet contains 2 g of the drug. The medicine is sold in a package containing 30 sachets.
“Nimesil” helps with headaches, normalizes body temperature and eliminates the inflammatory process. The main active ingredient (nimesulide) quickly penetrates the bloodstream, is metabolized in the liver and enters the intestine along with bile. The analgesic effect of the drug lasts for 6 hours.
The drug is particularly useful in relieving pain:
- after sprains and dislocations;
- toothache and headache;
- painful periods;
- pain in the spine and muscles.
The drug eliminates the above symptoms only at the time of administration.
Admission rules
"Nimesil" is recommended for use immediately after meals, 1 packet 2 times a day. This is a general instruction for the use of the drug, which does not take into account the fact that the woman is breastfeeding.
Therefore, specific terms and rules for taking the drug should be discussed with your doctor.
To prepare the suspension, the contents of the sachet are diluted in 100 ml of water. The resulting solution is consumed immediately after preparation; it is prohibited to store it.
For any illness, taking Nimesil for more than 15 days is prohibited. This can lead to negative consequences.
Is it allowed to drink Nimesil during breastfeeding? The instructions for taking the drug recommend using it in a minimal amount for pain relief, so as not to cause side effects. During lactation it is completely prohibited for use.
Contraindications
Nimesil has a number of limitations, so the drug must be taken with caution. This prescription must be taken into account to avoid complications. When Nimesil is prohibited for use:
- If the patient experiences allergic reactions that are provoked by this drug. This is expressed in the form of bronchospasm and rhinitis.
- Individual intolerance to the components of the drug.
- Diseases of the heart and blood vessels.
- Exacerbation of diseases of the gastrointestinal tract.
- Postoperative period after coronary artery bypass surgery.
- Pregnancy and lactation period.
- Poor blood clotting.
- Age up to 12 years.
- Alcohol addiction.
- Liver and kidney diseases.
Is it possible to drink Nimesil during breastfeeding? In this case, experts say no. If it is necessary to use it, the child is transferred to artificial feeding.
Side effects
When Nimesil is used correctly, adverse reactions rarely occur. These include the following manifestations:
- Anemia and changes in blood composition.
- Dizziness and sleep disturbance.
- Blurred vision.
- High blood pressure.
- Rash, itching, or hives.
- Disturbance of the urinary system.
- Increased potassium concentration in the blood.
- Chronic fatigue syndrome and decreased body temperature.
To prevent side effects, women during lactation should not self-medicate.
Despite the fact that Nimesil poses potential harm to the child’s body, it is one of the popular medicines. This is due to the high degree of efficiency and low cost.
Unlike many drugs, the negative effect of nimesulide has been confirmed. It also negatively affects the course of pregnancy. Therefore, the drug is prohibited not only during pregnancy, but also during lactation.
To avoid harming the child
Breast milk is the best food for a newborn. At the same time, nursing women should not forget not only about bad habits, but also about taking medications. It must be remembered that Nimesil is contraindicated during lactation.
Sometimes situations arise that you cannot do without taking the drug, but a replacement for the prohibited drug must be found.
Harm to a child from Nimesil during breastfeeding? Negative effects on the baby’s body occur through breast milk. Schematically, harm can be expressed as follows:
- initially the active substance enters the stomach of the nursing mother;
- then goes to the intestines;
- then the components of the medicine enter the mother’s blood;
- the next stage is breast milk;
- then into the intestines of the baby;
- eventually - into the baby’s blood.
Therefore, you should not take Nimesil while breastfeeding, so as not to harm the newborn’s body.
It is best to use safer drugs such as Paracetamol.
Can “Nimesil” be used to reduce temperature during breastfeeding? If fever or pain takes a nursing woman by surprise, the medicine can be taken once. Lactation is temporarily stopped. To prevent the negative impact of the active substance on the baby’s body, he is transferred to artificial feeding for 24 hours. Then breastfeeding is resumed.
Interaction with other drugs
The simultaneous use of Nimesil with glucocorticosteroids leads to an increased risk of bleeding or gastric ulcers.
Selective inhibitors and agents that prevent the formation of blood clots have a similar effect on a woman’s body.
"Nimesil" is not recommended for use in combination with anticoagulants. If such a need arises, blood clotting indicators are regularly checked.
Nimesil temporarily inhibits the excretion of sodium from the body under the influence of Furosemide, as well as potassium, which weakens the diuretic effect.
Conclusion
"Nimesil" is an effective drug that helps with pain, high fever and inflammation. Due to the fact that the main active ingredient, nimesulide, has a negative effect on the child’s body, taking the drug during lactation is prohibited.
In case of unforeseen situations, the drug can be taken 1 time, but breastfeeding must be stopped for a day. A woman is not recommended to self-medicate, but it is best to seek advice from a specialist. In this case, he will be able to prescribe a completely safe drug that will not harm the newborn’s body.
Source: //FB.ru/article/425924/mojno-li-prinimat-nimesil-pri-gv
Do not resort to self-medication
During breastfeeding, a woman is not immune from illness; she may experience sudden acute pain, for example, an inflamed tooth. Do not panic and resort to self-medication. Then your child's health will be safe.
As we found out, Nimesil is strictly prohibited during breastfeeding. But situations are different, and pain cannot wait. What should a mother breastfeeding do in such a situation?
There can only be one way out: while taking the medicine, the baby should be weaned. This will help the tiny organism avoid the dangerous consequences that await it when toxic substances enter through breast milk.
Therefore, if the expectant mother cares about the health of her child, she should strictly adhere to the instructions for using Nimesil and not use this medicine. If there is at least some possibility, you need to go to the clinic, to a doctor, who will definitely find a replacement and prescribe you a safer medicine.
A woman during breastfeeding should be extremely attentive to everything she consumes. The vast majority of drugs have a negative effect on milk, and, accordingly, on the child. But is it possible to use Nimesil during breastfeeding?
It is important to maintain a healthy lifestyle, eat the right foods, do not drink alcoholic beverages and do not smoke. But what if you have a severe headache or toothache? Doctors often recommend this remedy as one of the best pain relievers. Let's tell you more about the drug.
Interaction with other drugs
The combination of the drug with the following groups of medications is not recommended:
- glucocorticosteroids;
- anticoagulants;
- antiplatelet agents;
- diuretics.
Parallel use of medications increases the risk of bleeding in the gastrointestinal tract and reduces the effectiveness of each. Combination therapy is possible only under the supervision of a physician.
Composition of the drug and indications
The medicine belongs to non-steroidal anti-inflammatory drugs. With its help you can quench heat, inflammation and pain of various types.
Nimesil contains:
- ketamocrogol;
- nimesulide;
- cane sugar;
- molasses;
- citric acid;
- additives.
Practice shows that the drug Nimesil quickly copes with any pain, relieves inflammation and reduces body temperature. The main active component of the drug penetrates into the blood almost immediately after use and is then metabolized in the liver. That is why doctors categorically do not recommend using the drug for people who have liver problems. The active substance can quickly accumulate in the body and is excreted for quite a long time.
The mechanism of action of the drug Nimesil is quite simple. Nimesulide reduces the rate of formation of new prostaglandins and reduces inflammation. The effect lasts for 6 hours. Practice shows that patients easily tolerate the effects of the drug.
A doctor may prescribe Nimesil in several cases:
- painful menstruation;
- severe pain after injury;
- pain due to inflammation;
- toothache;
- headache;
- osteoarthritis, etc.
Remember that the drug only fights symptoms, but is not able to cure a person from the disease. Therefore, use it, but do not neglect standard treatment methods. Consult your doctor. He will prescribe medications in accordance with the disease and individual parameters of your body.
What to replace when breastfeeding?
One of the most common options for replacing a drug, experts suggest using analgin. Its effect is much milder, and the drug itself is not absorbed into the blood in such quantities that could harm the baby. Analgin should be taken no more than once .
If the pain remains, then you need to consult a doctor to find out what medications can be used in this particular case. Paracetamol is considered to be the same less harmful drug, which is also almost not absorbed into the blood and, accordingly, into mother’s milk.
But it is completely unacceptable to replace Nimesil with Pentalgin or Sedalgin. These drugs are dangerous for young children because they contain codeine, an element that can destroy or damage the child's central nervous system.
If a woman exhibits symptoms that are not related to those for which Nimesil is used, she should limit herself to less strong medications.
Contraindications
There are several cases in which Nimesil should be replaced with alternative drugs:
- Hypersensitivity to one of the components of the drug;
- In case of an allergic reaction to acetylsalicylic acid (characterized by spasm of the respiratory tract, fever and runny nose);
- When taking analgesics and Paracetamol. Combination is strictly not recommended. This will not enhance the effect, but will only lead to unpleasant health consequences;
- Nimesil is incompatible with drugs and alcohol;
- Coronary bypass surgery;
- Inflammation of the digestive system;
- In case of liver dysfunction;
- With poor blood clotting;
- People under 12 years of age and the elderly.
The instructions for the drug Nimesil directly indicate another contraindication: under no circumstances should it be used by pregnant and lactating women.
Also, exclusively under the supervision of a specialist, you can take the drug Nimesil for:
- hypertension;
- diabetes mellitus;
- heart dysfunction.
Side effects
When treated with Nimesil, side effects may occur:
- various allergic reactions;
- hematopoietic disorder;
- headaches, dizziness, drowsiness or excessive nervousness, encephalopathy;
- abdominal pain, diarrhea or constipation, flatulence, bleeding from the digestive tract;
- increased blood pressure or sudden changes in it;
- increased heart rate;
- blurred vision;
- dyspnea;
- general malaise, etc.
Features of administration during lactation
Patients over 12 years of age are allowed to take the drug if indicated. The required dose is considered to be one packet of Nimesil 2 times a day. You can use it only after meals, dilute the powder in warm boiled water (100 ml). It is not allowed to store the medicine in a diluted state; you must drink it immediately. The course of treatment is no more than 2 weeks. The information presented here is for informational purposes only. Remember that the duration of treatment and dosage should only be prescribed by a qualified doctor.
Yes, Nimesil is indeed contraindicated for nursing mothers, but there are options. This is a strong remedy that can negatively affect the body of a newborn. The mechanics of its action in this case will look like this.
After administration, Nimesil penetrates the stomach. Then it enters the intestines, from where it enters the blood. Through the blood, the active components of the product enter the breasts and milk of a lactating woman. As a result, the baby takes the drug almost together with the nursing mother. If your doctor prescribes this drug, ask for alternative medications. A good alternative for such cases would be Paracetamol or Nise (read the instructions before use).
However, if severe pain takes you by surprise and does not want to let go, it is better not to endure it. This could lead to even more dire consequences. Nimesil during lactation may be a solution. It is worth remembering that the psyche of a lactating woman maintains relatively low stability and it is not worth loading it with additional stimuli.
When breastfeeding, Nimesil can be taken, but only once and in exceptional cases. In this case, the newborn must be transferred to artificial nutrition for a day, without forgetting to pump out his own milk. Breastfeeding can be resumed 24 hours after administration.
Nimesil during pregnancy and lactation: FDA decision, analogues
15.12.2019 | 3009
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Everyone knows that the best food for a newborn is mother's milk. When breastfeeding, a young mother is responsible for two people - herself and the child. The foods she eats, bad habits and lifestyle directly affect the newborn.
Therefore, the mother needs to be extremely careful with the food she eats, and especially with the medications used during breastfeeding.
If possible, you should do without medications, but what to do in a situation if acute pain takes you by surprise? Analgesics come to the rescue, one of which is Nimesil.
Usually a person can simply take this drug and get rid of the pain. But a completely different situation arises when it comes to a pregnant woman or a nursing mother. To understand whether a drug can be used in such situations, you need to know what it consists of, how it works and whether it can cause harm in any way.
Pharmacological action and composition
Nimesil is a drug that slows down the process of inflammation, eliminates it and reduces temperature. Most often, Nimesil is used to relieve and relieve headaches, toothaches and other pain.
A chemical substance that has a key effect on the body and is an integral part of the drug is Nimesulide. Absorbed into the wall of the small intestine, it suppresses biological substances that increase inflammation, and thereby reduces pain.
After the end of its action, Nimesulide is excreted in the urine through the kidneys. The drug is sold in granulated powder form.
In addition to the active ingredient, the drug also contains auxiliary components: ketomacrogol, citric acid, sucrose and aromatic compounds.
When is Nimesil used?
The most common use of Nimesil is to relieve various types of pain due to inflammation in a number of organs and tissues. Nimesil will be useful in the following situations:
- Acute headache or toothache.
- Pain in diseases of the musculoskeletal system.
- Tenosynovitis.
- Pain after a fracture, bruise, sprain.
- Menstrual pain.
In most situations, Nimesil does not affect the cause of the disease, but simply relieves symptoms for a certain period of time.
Rules for taking Nimesil
The contents of one Nimesil sachet must be dissolved in 100 milliliters of water at room temperature. You can take two sachets per day, each time after a meal. The drug should not be used for more than two weeks. If the condition does not improve, you should visit a doctor to change treatment.
Side effects when using Nimesil
When treated with Nimesil, patients rarely complain of side effects. Most often, this drug does not cause any discomfort and is easy to use. If the patient cannot tolerate any substance from Nimesil, allergies may occur in the form of rash, hives, and swelling.
Contraindications for use
Nimesil should absolutely not be used by patients with an allergy to Nimesulide or any other component of the drug. It is prohibited to take it for diseases:
- liver;
- enteritis;
- colitis;
- stomach and duodenal ulcers;
- aspirin asthma and nasal polyposis.
You should also not use Nimesil if you have a history of diseases with reduced blood clotting or bleeding.
If the patient has had cerebrovascular accidents, suffers from arterial hypertension or type 2 diabetes, smokes, or is over 65 years old, Nimesil should be used with extreme caution and always under the supervision of the attending physician.
There are also patients who must constantly use any drugs for therapy - anticoagulants, antiplatelet agents, glucocorticoids. Such people should consult a doctor before using Nimesil. Only he can tell whether certain medications are compatible with the drug.
Nimesil during pregnancy (according to FDA)
The American Food and Drug Administration, known as the Food and Drug Administration - FDA, allows the use of NSAIDs at various stages of pregnancy and during breastfeeding, but this does not apply to all drugs in this group [1].
Nimesil relieves pain well and reduces fever, but taking it during pregnancy can cause some problems. The active compound – Nimesulide – affects the division of cells in the child’s body and promotes premature overgrowth of the ductus Botallus.
This duct is a vessel through which the aorta and the pulmonary trunk are connected: through it blood is discharged into the aorta. In this case, the compressed lungs of the fetus are supplied with oxygenated blood, and the right ventricle of the heart is not overloaded.
The ductus botallus in healthy children closes within the first two weeks after birth, but taking Nimesil by a pregnant woman can contribute to its premature closure.
Thus, Nimesil is prohibited from use during pregnancy.
Nimesil during breastfeeding
After a nursing mother takes Nimesil orally, the drug is absorbed in the stomach and then passes into breast milk. When feeding, the baby receives a dose of medication that has an adverse effect on his body [2].
Nimesil can lead to impaired kidney function and edema. This may lead to kidney failure in the future.
In addition, the drug increases the likelihood of bleeding and reduces the ability of blood to clot.
Due to these effects, Nimesil is contraindicated during pregnancy and breastfeeding.
How to replace Nimesil: approved analogues for breastfeeding
Situations in which pain medication can help are not uncommon. This can be either toothache or stomach pain. If you need to use an anesthetic drug, you should give preference to Nimesil analogues [3]:
Ibuprofen is the drug of choice for pregnant and nursing mothers. It does not have a pronounced adverse effect like Nimesil and does not lead to disruption of the child’s development.
You can also use Paracetamol - this drug is in second place in recommendations for pregnant and lactating women. Not all of its components are fully absorbed, so there is no risk of changing the composition of the milk.
The choice of drugs for treating a nursing mother should be done very carefully and with great caution. The consequences of an incorrectly selected medication can affect both the woman’s body and the health of the child. Before using any medicine, you should consult a doctor who will confirm your choice or prescribe another, safe drug.
Bibliography:
Source: https://KormiGrudyu.ru/nimesil-pri-beremennosti-i-gv