Unfortunately heart problems are diagnosed in 10% of women. Pathologies can adversely affect the health of the future mother and child, but not all drugs can be taken to normalize the arterial indices. Often experts appoint Nifedipine during pregnancy. How to properly take it? It is an antihypertensive drug that belongs to the group of calcium channel blockers. It is used to reduce blood pressure, prevent the onset of angina attacks, and improve the performance of the heart and blood vessels.
Therapeutic effect of Nifedipine during pregnancy:
• Improvement of the vascular wall condition;
• Normalization of the heart rate;
• Elimination of excess sodium and potassium.
How quickly does the drug work? Improvement occurs within 20 minutes after administration. Therapeutic effect lasts up to 6 hours. The instructions indicate that it is contraindicated in future and lactating mothers. Therefore, whether it is possible for pregnant women to take it – only the doctor decides. Do not self-medicate.
What is Nifedipine during pregnancy? Sometimes pregnant women are prescribed an antihypertensive drug even in the absence of hypertension. This medicine not only effectively reduces arterial indices, but also prevents uterine contraction, so it is often used in increased uterine tone to prevent premature birth. Among all the tocolytics, it is considered the safest, because it has a minimal amount of adverse reactions. After taking the drug, calcium is blocked by the smooth muscles, of which the myometrium is composed. After a week of treatment with the drug at a period of 18-24 weeks, with the tone of the uterus, the risk of premature delivery is significantly reduced. With a shortened neck, premature opening and softening of Nifedipine, the most effective medicine, according to the therapeutic effect, it has no analogues.
Why is recommended Nifedipine during pregnancy?
• for treating of vasospastic and chronic angina pectoris;
• at high pressure, for relief of hypertensive crisis;
• elimination of increased uterus tone;
• at risk of miscarriage and premature delivery;
• to reduce the manifestations of late gestosis.
This medication is well tolerated by pregnant women, after reception, there is no shortness of breath, nausea, excessive sweating, which is often the case with the treatment of hypotensive drugs and tocolytics. But it is appointed only if by means of safer drugs it was not possible to stop premature contractions.
Admission of Nifedipine during pregnancy may adversely affect the development of the fetus, if during treatment do not comply with the dosage. Pregnant women should take 1-2 tablets per day for 1-2 weeks. With more prolonged therapy, addiction to the drug develops. The maximum daily dose is 6 tablets. A solution for injection during pregnancy is not used. It is often prescribed for a period of 24-34 weeks, when it is required to prolong pregnancy for corticosteroids. Such therapy reduces the probability of a newborn having serious complications.
How to take Nifedipine during pregnancy? A gynecologist or a cardiologist can prescribe the drug sublingually, when the tablet should be placed under the tongue, wait for its complete dissolution – this method speeds up the action of the drug. You can take the pill in the usual way – drink plenty of clean water. It cannot be taken with calcium preparations, as they neutralize the therapeutic effect of each other. When combined with magnesium, you may experience severe muscle weakness, impaired coordination. The medicine cannot be stopped to be taken abruptly, since withdrawal can occur. Reduce the dose should be gradually over 3-5 days.
Dosage of Nifedipine during pregnancy can be taken only under the constant supervision of a doctor, most often the treatment performed in a hospital. The composition of the drug is lactose, wheat starch, yellow dyes – these components can trigger the appearance of allergic reactions, asthma attack, rash and swelling. To reduce the negative consequences for future mothers often prescribed Nifedipine of prolonged action, which is not so fast, but reduces pressure and tone for 12-24 hours.
Possible side effects of Nifedipine during pregnancy:
• glycerol can cause migraine and diarrhea;
• increased fatigue, weakness, deterioration in sleep quality;
• temporary deterioration of vision, bleeding in the eyeball, nosebleeds;
• tremor of limbs, convulsions, attacks of unreasonable panic;
• increased heart rate, tachycardia, fainting;
• enuresis, jaundice, fever.
Negative consequences are caused by a sharp expansion of the vessels. Usually they pass on their own in several days. Taking the drug may cause increased sweating, so you should definitely follow the drinking regimen. Nifedipine during pregnancy from pressure and hypertension cannot be taken if there is an infarction, unstable angina, a small volume of circulating blood in the anamnesis. It is contraindicated to take the drug in low pressure, aortic stenosis, during breastfeeding. It is dangerous to take medicine for diabetes, serious renal and hepatic pathologies. In the I trimester it is prescribed only if on the background of hypertension develops heart failure, oxygen starvation, impaired renal function. The drug is able to penetrate the placental barrier, which can cause the development of congenital abnormalities in the fetus, the fading of pregnancy.