For pregnant women, many medications are contraindicated to avoid negative effects on the child. However, no-spa during pregnancy not only does not harm, but also helps preserve the fetus. If the gynecologist prescribed you this antispasmodic, feel free to take it according to the instructions.
In what cases is no-shpa prescribed?
The uterus consists of inner and outer mucous membranes, between which there is a muscular layer. During pregnancy, this large muscle should be at rest, and only during childbirth is it actively used, pushing the baby out. If it begins to contract earlier, uterine tone occurs. That's when no-spa comes to the rescue.
It should be remembered that tone is not always dangerous. If uterine contractions are short-term and do not cause pain, then this condition does not pose a threat to the fetus. Another thing is when hypertonicity occurs. Prolonged and strong contraction of the muscular layer of the uterus leads to the threat of miscarriage, especially in the first trimester.
The cause of hypertonicity can be nervous shock, pathology or infectious diseases. Only a doctor can figure it out, sometimes after a long examination. But whatever the origin of the uterine contractions, it is first necessary to remove the symptom. Drotaverine, which is the main active ingredient of no-shpa, copes well with this.
However, pregnant women are prescribed no-shpa for other reasons:
- muscle spasms internal organs- cholecystitis, biliary dyskinesia, renal and intestinal colic
- intestinal diseases - constipation, colitis, proctitis
- problems with the gastrointestinal tract - stomach ulcers, gastroduodenitis
- vascular diseases - spasm of the coronary or cerebral arteries, endarteritis
Nevertheless, uterine tone remains the most common reason for prescribing no-spa during pregnancy. Remember that when taking no-shpa together with another antispasmodic, their effect is enhanced.
Features of the use of no-shpa at different stages of pregnancy
In the first trimester, when the organs of the future baby are formed, nosh-pa helps to avoid miscarriage. If on early stages If you feel a persistent nagging pain in the lower abdomen, follow the instructions:
- Call your healthcare provider or contact an antenatal clinic. If trouble happens at night, call an ambulance.
- Take 2 tablets of no-shpa to relieve spasm. Drotaverine also dilates blood vessels, improving the supply of oxygen and nutrients to the fetus.
- Remember that taking pills does not prevent a visit to the gynecologist. Even if the symptoms have passed and nothing else bothers you, you should be examined. Symptoms don't just happen. This is usually how the body tells us that it has problems.
In the second trimester, no-shpa should be taken only as prescribed by a doctor. After 12 weeks, there is a threat of premature birth, but the baby wants to be born so early for a reason. Therefore, a visit to the antenatal clinic to clarify the circumstances is mandatory. Drotaverine does not harm the baby, but an unauthorized increase in the dose is unacceptable, as with any other medication.
In the third trimester, the possibility of training contractions arises. Sometimes they are very painful, but they do not pose any threat to the fetus. Of course, the doctor must confirm that uterine contractions are just training. No-spa will help relieve spasms without affecting the baby.
However, drotaverine should be discontinued after 38 weeks of pregnancy. No-spa, by dilating blood vessels, increases the possibility of bleeding during childbirth. In addition, the medicine reduces labor, reducing contractions to nothing.
At any stage of pregnancy, no-spa does not harm the fetus and improves well-being expectant mother.
The safety of no-shpa during pregnancy has been confirmed by research. However, drotaverine enters the fetal circulatory system through the umbilical cord. Hungarian scientists gave no-shpa to pregnant women whose pregnant babies suffered from tachycardia. After intramuscular injections, no heartbeat disturbances were observed in the children.
No-shpa tablets or injections
Often, no-shpa is prescribed in tablets for uterine tone. This way the medicine is always at hand and you don’t need to look for a nurse to give an injection. Almost all pregnant women carry these pills in their purse “just in case.” After all, the tone of the uterus creates not only the threat of miscarriage or premature birth, but can also lead to hypoxia - oxygen starvation of the fetus. It occurs when the muscle layer of the uterus contracts and the blood vessels are compressed, impairing blood circulation.
Injections help to cope in cases where tablets are powerless or contraindicated:
- lactose intolerance, which is present in tablets
- to accelerate the dilation of the cervix during childbirth
- serious risk of miscarriage or premature birth
- fetal hypoxia
Injections are prescribed only in a hospital so that it is possible to monitor the patient. In rare cases, drotaverine causes side effects or allergies, and it is better to be in the hospital at this time. Also, when an injection is administered, an infiltrate may form - a compaction consisting of lymph, blood and cellular organisms. Such bumps are painful and only resolve after a few months.
No-spa in any form acts quickly. The effect of the tablet begins 8-12 minutes after taking it, intramuscular injection - 4-6 minutes after administration, intravenous injection - 2-4 minutes. Maximum effect in all cases it is observed after half an hour.
No-shpa dosage during pregnancy
The dosage of no-shpa varies depending on the form of release:
Tablets 40 mg. Gynecologists prescribe taking 1-2 tablets 2-3 times a day. The maximum daily dose is 240 mg.
Forte tablets 80 mg. You should not take more than one tablet at a time, 2-3 tablets per day. The maximum daily dose is the same - 240 mg.
Suppositories 40 mg. It is prescribed extremely rarely due to the inconvenience of use. It is allowed to place no more than 6 candles per day.
Ampoules 40 mg (2 ml). To avoid overdose, it is allowed to use no more than 6 ampoules per day, i.e. 240 mg.
Only the doctor decides whether to administer the injection intramuscularly or intravenously, and he also prescribes the number of injections.
For pain in the lower abdomen that is not accompanied by discharge, it is permissible to take no-shpa without permission, but not more than one day. If the pain does not stop or intensifies, you should definitely go to the hospital or call an ambulance. Having understood the situation, the doctor may prescribe medications based on drotaverine. In this case, strictly follow the instructions of your treating gynecologist.
Contraindications for taking no-shpa during pregnancy
Despite its apparent safety, remember that no-spa is a medical product. This means that it has contraindications, like any other medicine. So in what cases should you not drink no-shpa?
- hypersensitivity to drotaverine
- renal-liver failure
- closed glaucoma
- narrowing of the lumen of the coronary arteries
- isthmic-cervical insufficiency of the cervix in pregnant women
No-spa is also prescribed with caution in the first eight weeks of pregnancy due to the risk of disrupting embryonic development. At this time, any medications are contraindicated, except in cases of threat to the mother's health.
In case of vegetative-vascular dystonia of the hypotonic type, no-shpu should be taken only under the supervision of a doctor. By dilating blood vessels, drotaverine can sharply lower blood pressure to a critical level, causing collapse.
Side effects
As with any medication, when taking no-shpa you may experience side effects. They are rare, but you need to familiarize yourself with them in order to recognize them in time:
If any symptom appears, you should stop taking the drug and inform your doctor about it so that a replacement can be selected.
No-spa is an old and proven remedy for relieving spasms, which helps maintain pregnancy or improve well-being. However, it cannot be used uncontrollably. Be sure to follow your doctor's instructions and strictly follow the prescribed dosage without exceeding it. If side effects occur, you will have to stop taking the drug and ask your doctor to prescribe another antispasmodic.
When a woman is expecting a child, she should be especially careful about taking any medications, since many drugs have a negative effect on the development of the baby and the course of pregnancy.
And therefore, if any ailments occur, self-medication while carrying a baby is unacceptable. It is up to the doctor to decide whether a pregnant woman needs to take any medications.
If the use of medications is unavoidable, the expectant mother will be prescribed medications that are safe for the fetus, for example, No-shpu. Such a remedy will not harm the development of the baby, but, on the contrary, will allow you to carry the baby to term normally and give birth to him on time without complications.
Features of the drug
“No-spa” is a Hungarian medicine from the group of antispasmodics, the name of which comes from the words “no spasm” and can be literally translated “without spasms.” It is available in pharmacies in two different forms. The most popular version of “No-shpy” are tablets, because they are an easy-to-use over-the-counter product. They are sold in boxes of 6 to 100 pieces packed in blisters or plastic jars.
The medicine has a round convex shape, yellow with a greenish or orange tint, and the inscription “spa” is visible on one side of the tablet. These tablets should be stored at home during the entire shelf life (3 years) in a dry place at temperatures up to +25 degrees. The average cost of a small pack of 6 tablets is 60 rubles, a pack of 24 tablets is 120 rubles.
The second form of “No-shpa” is a solution for injections, which are given intravenously or intramuscularly. It is transparent and yellow-greenish in color, sold in packs of 5 and 25 ampoules containing 2 ml of liquid. The shelf life of such a drug is 5 years, and the average price of five ampoules is 100 rubles, but unlike tablets, to purchase this form of “No-shpa” you need a prescription from a doctor.
In addition to these two drugs, you can also find in the pharmacy “No-shpu forte.” These are oblong tablets with the inscription “NOSPA” on one side. The main difference from the usual tableted “No-shpa” is This is a double dosage of the active ingredient. Otherwise, the drug “Forte” is identical, that is, the composition, indications and precautions for such a medicine are the same as for “No-shpa” in tablets.
The active substance of all types of “No-shpa” is called drotaverine hydrochloride. Its dosage in one tablet is 40 mg (in the drug “Forte” - 80 mg), and in one milliliter of injection solution - 20 mg. The tablets additionally contain starch, lactose, povidone and some other substances for a dense structure. In the solution for injections, drotaverine is supplemented with sodium disulfite, sterile water and 96% alcohol.
When purchasing No-shpa at a pharmacy, it is important not to confuse this medicine with the drug No-shpalgin.
The composition of such tablets from Sanofi also includes drotaverine in a dose of 40 mg, but it is supplemented with 500 mg of paracetamol and 8 mg of codeine. This remedy is classified as an antispasmodic, as it relieves pain well and eliminates spasms. However, these tablets are contraindicated during pregnancy.
How does it work?
Drotaverine in any of the forms of No-shpa can affect smooth muscle tissue, which is present in the walls of blood vessels and many internal organs - the gallbladder, bronchi, uterus, intestines and others. When this active compound enters the patient's blood, it travels to the muscle cells and causes them to relax. Thanks to this, spasms, which cause colic and nagging pain, disappear, and the normal functioning of the organ is restored.
Due to the effect of drotaverine on vascular walls they expand, causing blood pressure to drop slightly, which is important to consider if you are prone to hypotension. Unlike drugs from the group of muscle relaxants, “No-spa” does not have a significant effect on the state of the nervous system, therefore it is less harmful and can be used both for small children and for expectant mothers.
The tablet taken orally is absorbed quite quickly and The therapeutic effect is observed after about half an hour.
If you need No-Spa to act faster, you choose injection administration, since after the injection the effect occurs in about 3-5 minutes.
Metabolic changes of drotaverine take place in the liver, and complete elimination of the drug occurs within 72 hours - with bile and through the kidneys.
In what situations is it prescribed for pregnant women?
The main indication for the use of No-shpa in pregnant women is increased tone of the uterine walls. This condition is dangerous for both the expectant mother and the fetus. If it occurs in the first weeks of pregnancy, it can disrupt the attachment process ovum and cause a miscarriage. And therefore, the use of No-shpa in the 1st trimester is completely justified, as it helps to avoid spontaneous abortion and maintain pregnancy.
In the 2nd trimester, “No-shpu” is also used for hypertension, because contraction of the muscular lining of the uterus interferes with normal blood flow, which is why the baby does not receive enough nutrients important for development. However, starting from the end of the second trimester (from 26-30 weeks), the drug is used with caution so as not to cause relaxation of the cervix, due to which labor may begin earlier than it should occur in accordance with the timing.
Obstetricians-gynecologists also use “No-shpu” during childbirth if there is a risk of premature placental abruption and uterine rupture, and excessively contracted muscle tissue compresses the fetus, which can lead to injury to its internal organs. In such situations, a dropper with an antispasmodic allows you to restore normal labor and avoid complications.
When else is it used?
The antispasmodic effect of “No-shpa” allows you to use this medication for almost any spasm that causes discomfort and pain. The remedy is prescribed:
- for cholecystitis, pericholecystitis, cholangitis and cholelithiasis, if the patient has pain or biliary colic;
- for gastritis, enteritis, spastic colitis, functional digestive disorders with abdominal cramps;
- for pyelitis, cystitis and other inflammatory processes in the excretory organs;
- with a dry cough, if it is caused by bronchospasm;
- with an increase in body temperature with simultaneous pallor of the skin, when spasm of peripheral vessels occurs;
- for headaches.
The question of the possibility of taking No-shpa during pregnancy for all these indications should be decided individually. As a rule, in the early stages the drug can be used without fear, and at the end of pregnancy, for urological, gastroenterological and other diseases, other drugs are selected that will not affect the condition of the cervix.
Contraindications
It is worth recalling that while No-shpa is safe for the fetus, it is prohibited to use this medicine uncontrollably, because treatment with such a drug has its own limitations. For example, “No-shpu” is not prescribed for kidney disease, as this will affect the rate of elimination of the medication.
This drug is also contraindicated:
- for heart failure, as it can disturb the heart rhythm, especially in high doses;
- for glaucoma, since “No-spa” can cause an increase in intraocular pressure;
- in case of severe liver dysfunction, because this will affect the metabolism of drotaverine;
- in case of hypersensitivity to any component in the composition, so as not to provoke an allergic reaction.
In addition, the drug in tablets is contraindicated for women with hereditary diseases in which the absorption of carbohydrates is impaired, for example, if a pregnant woman has been diagnosed with glucose-galactose malabsorption or lactase deficiency.
If the expectant mother has low blood pressure, it is also advisable to refuse treatment with No-shpa, since the drug can worsen the condition.
In case of abdominal pain, you first need to be examined by a doctor, because such pain syndrome can occur not only due to spasms and functional disorders, but with many dangerous pathologies, for example, appendicitis.
Side effects
Occasionally, in expectant mothers, "No-shpa" can cause various side effects, including dizziness, nausea, constipation, headache, drop in blood pressure, allergic reaction and other negative symptoms. If at least one of them occurs after taking a tablet or injecting a solution, it is better to refuse further use of such an antispasmodic, replacing it with a doctor with an analogue that will not provoke unwanted reactions.
Instructions for use
The drug in tablets should be swallowed with a small amount of water. The average single dose of such “No-shpa” is 40 mg (one standard tablet), but can be increased to 80 mg (two regular tablets or one tablet of the “forte” drug). This amount of drotaverine is often enough to eliminate all discomfort symptoms.
The drug is prescribed per day in a dosage of 120-240 mg, which is divided into 2-3 doses during the day. You cannot exceed the dose of 240 mg per day, that is, taking more than six regular tablets or three pieces of No-shpa Forte is unsafe.
If pain and other symptoms persist within an hour after taking it, you need to inform your doctor so that he can select another treatment.
When prescribing No-shpa for injection, the specialist individually determines both the method of administering the solution and the required dosage. A woman can be prescribed from 40 to 240 mg of the active substance per day, which is administered using 1-3 intramuscular injections. If the patient has acute colic, the medicine can be administered slowly into a vein, at a dose of 40-80 mg. As a rule, No-shpu injections are supplemented with other medications that help eliminate hypertension or another cause of spasms.
It is very important to correctly follow the dose prescribed by a specialist, since exceeding it leads to a deterioration in heart function. Therefore, there is no need to try to get a faster effect by increasing the dosage of No-shpa on your own. Such actions will not speed up relief from pain, but can only cause harm.
How long to take No-shpa tablets or injections depends on the clinical situation and many other factors. In many cases, the drug is used for only 1-2 days and is immediately discontinued after the condition improves. but sometimes the medicine is prescribed for a longer period.
During pregnancy, women quite often experience spasmodic pain, in particular with uterine tone. When this condition becomes uncomfortable or dangerous for a pregnant woman, she is prescribed antispasmodics. The most popular and accessible of them is “No-Shpa”. This drug stops muscle spasms and relieves pain.
General cases in which the drug “No-Shpa” is prescribed to pregnant women
If the tone of the uterus prevents a pregnant woman from living normally (sleeping, doing her usual household chores, etc.), then the antispasmodic “No-Shpa” or its analogues: “Buscopan”, “Drotaverine” or “Magnesium B6” is prescribed. These drugs stop the tone. If these medications do not help, the doctor prescribes more serious therapy. For example, the administration of intravenous drugs, which will require hospitalization rather than outpatient treatment.
The attending physician may prescribe the drug "No-Shpa" during pregnancy (including in the early stages) also:
"No-Shpa" during pregnancy: release form, method of application and warnings
The active ingredient is drotaverine. By acting on smooth muscle tissue and dilating blood vessels, drotaverine relieves spasms and relieves pain.
Forms of release of the drug
"No-Shpa" is available in different dosage forms:
Directions for use and standard dosages
Individual dosages and course of treatment are prescribed by the attending physician. The instructions for the drug contain standard dosages and methods of use:
Pills. One or two tablets at a time, two to three times a day. One tablet contains 40 mg of drotaverine. The maximum daily dose for an adult is 240 mg. The course and dosage can be changed by your doctor.
Candles. One suppository is administered twice a day. One suppository contains 40 mg of drotaverine. The suppositories are inserted into the anus with clean hands, lying down or standing. After administration, you must refrain from bowel movements for half an hour. This is necessary for complete absorption of the active substance. The duration of the appointment is determined by the doctor.
Injections. The daily dose is 40–240 mg of drotaverine. The dose is divided into one to three parts per day and administered intramuscularly. For acute pain (colic), 40–80 mg of the drug is administered intravenously. This form of medication is used in severe cases, when the effect of the drug should occur as quickly as possible. Injections for pregnant women are used only during inpatient treatment and under the strict supervision of the attending physician.
Cautions
Uterine tone: answers to the most frequently asked questions
Why does uterine hypertonicity occur?
The uterus is a muscular organ that can become tense during pregnancy, starting in the early stages. But as a rule, the tone of the uterus is more noticeable, according to subjective assessment, from 17–20 weeks of pregnancy. Before this period, the tone of the uterus (if any) is manifested by nagging pain in the lower abdomen of the pregnant woman, and it can also be determined using ultrasound diagnostics.
After 20 weeks, the tone is felt as tension in the uterus, which lasts for several seconds, after which the uterus relaxes. As a rule, this tone does not cause significant pain to a pregnant woman. The uterus can become toned when the body position changes or during physical activity. The main thing is the number of cuts. Up to 10 contractions throughout the day is the absolute norm.
When should you see a doctor to treat uterine tone?
Tone needs to be treated:
Most often, doctors prescribe the drug “No-Shpa” for uterine tone.
Why is pronounced uterine tone harmful to the baby?
Pathological tone can lead to premature rupture amniotic fluid, to shortening of the cervix or to premature birth(until 37–38 weeks). When the uterus is in constant tone for a long time, this leads to short-term disruption of blood flow. If uterine hypertonicity is accompanied by oligohydramnios, this leads to intrauterine hypoxia (oxygen starvation) of the fetus. Sign oxygen starvation leaks are green.
Finally
A pregnant woman, faced with spasmodic pain that causes her discomfort, First of all, you should consult a doctor. The specialist will competently select a treatment package and also prescribe a suitable antispasmodic, if necessary. Antispasmodics are widely used by obstetricians and gynecologists, and the effects of this kind of drugs on the pregnant woman and the fetus have been quite well studied. Under no circumstances should you prescribe medication for yourself during pregnancy, as this can lead to irreparable consequences. If the pain is sharp or taken by surprise, then you need to call the antenatal clinic or an ambulance. They will tell you the correct procedure.
"No-shpa" is medicinal product, which is produced in Hungary, which makes it accessible to many social strata of the population.
The product is very popular among women - “No-spa” effectively relieves muscle spasms, helping to relieve pain during menstruation.
In addition, the tablets quite quickly help eliminate headaches, toothaches, as well as pain in the bones and joints.
Very often, "No-shpa" is used to treat pregnant women diagnosed with "". The use of the drug in this case is completely justified, since this pathology can lead to spontaneous abortion. Before using the medicine, pregnant women should carefully study the instructions and obtain a doctor’s opinion on their state of health, since the drug has contraindications and can cause Negative consequences if used incorrectly.
The active component of the drug is drotaverine (1 tablet contains 40 mg of this substance), which has a pronounced antispasmodic effect on smooth muscles. Maximum effectiveness is observed in relation to the organs of the genitourinary system, gastrointestinal tract, and bile ducts.
The active substance of the drug is actively absorbed, quickly distributed throughout organs and tissues. The maximum concentration of drotaverine is achieved 45-60 minutes after taking the medicine.
For this reason, “No-spa” is the drug of choice (that is, the one that is prescribed first) when increased tone occurs in pregnant women.
The product is available in three dosage forms: tablets, injection solution and suppositories.
Application of No-shpa
Conducted studies, as well as many years of experience of Russian and foreign doctors, indicate that the use of No-shpa during pregnancy did not have a negative effect on the developing fetus, therefore the manufacturer does not declare pregnancy as a contraindication for therapy with this drug.
However, it is worth considering the fact that this antispasmodic has a relaxing effect on all smooth muscles, including the cervix. Therefore, taking No-shpa in the third trimester is not recommended due to the danger.
In the early stages, treatment with No-Spa does not cause any consequences, but effectively relieves spasms and tension of the uterus and helps maintain pregnancy.
Drotaverine in very small quantities can penetrate the placental barrier, so uncontrolled use of the drug should be avoided (especially in the first three months of pregnancy).
Indications during early and late pregnancy
- Uterine tone.
The main indication for prescribing this medication is uterine hypertonicity. With this condition, a woman feels strong tension in the abdominal area, the uterus becomes stone, and may appear.
All these symptoms are an indication for the immediate initiation of drug therapy aimed at relieving muscle tone and reduction of pain.
- Pain syndrome.
In the 2nd and 3rd trimester, No-Spa can be used for headaches, toothaches, and also for periodic pain in the abdominal area. Other types of pain syndrome can also be relieved with the help of this medicine (in this case, treatment is carried out until the symptoms are completely eliminated). In the first trimester, No-Spa can be used.
- Preparing the cervix for childbirth.
On later, if a woman is expecting the birth of a baby in a maternity hospital, she may be prescribed “No-shpu” as an auxiliary component before childbirth. The drug will help relax the cervix and prepare it for dilation, as well as relieve pain and avoid perineal ruptures.
Most often, expectant mothers are prescribed the drug in the form of oral tablets and suppositories.
If a woman suffers from milk sugar (lactose) intolerance, the choice is made in favor of an injection solution that does not contain this substance.
Injections are also indicated for pregnant women in serious condition, since with intravenous and intramuscular administration the effect occurs almost instantly.
How to take No-shpa? Medicine dosage
If the drug is administered by injection, then it should be taken into account that the recommended daily dosage is from 40 to 240 mg (depending on the severity of the pathology and concomitant symptoms).
To obtain an immediate result, the medicine should be administered intravenously, since the active substance will immediately enter the blood.
The drug treatment regimen is very individual and depends on many factors, including the severity of the diagnosis, the presence of complications, the health status of the pregnant woman and many others.
For each patient, the dosage is selected taking into account the listed factors.
Standard schemes look like this:
- if there is a threat of miscarriage - 2 tablets 3 times a day;
- for uterine tone – 1-2 tablets 3 times a day;
- to relieve pain (toothache, abdominal pain, etc.) – 1 tablet 3 times a day (until the symptom disappears);
- during contractions at the beginning of labor - 2 tablets at a time.
The daily dosage of No-shpa should not exceed 6 tablets!
The duration of treatment is usually from 3 to 5 days, but can be increased as prescribed by the observing specialist.
Possible side effects
During treatment with the drug, negative reactions may occur, which usually disappear after discontinuation of the drug. These include:
- heart rhythm disturbances;
- migraine;
- digestive system disorders (,);
- urticaria, rash, itching;
- angioedema (extremely rare).
The occurrence of any of these symptoms during pregnancy requires stopping the medication and contacting a healthcare professional.
Contraindications
Not all pregnant women can use this medicine, as there are contraindications for its use.
Among them:
- disturbances (severe) in the functioning of the liver and kidneys;
- severe heart pathologies;
- arterial hypotension;
- lactose intolerance (for tablets).
A relative contraindication for the use of No-shpa is the second and third trimester - the use of the drug during this period is allowed only when absolutely necessary and subject to constant monitoring of the woman’s condition in a hospital setting.
What can replace No-shpa during pregnancy?
If for some reason therapy with this drug is not possible, the woman is prescribed No-shpa analogues containing drotaverine and having identical pharmacological properties. These include:
- "Drotaverine";
- "Droverin";
- "Spazmol";
- "Biospa";
- "Spazmonet";
- "Vero-Drotaverine";
- "Nosh-Bra".
Changing the medicine without consulting a doctor during pregnancy is not allowed!
“No-spa” is an effective medicine for relieving muscle spasms and eliminating pain. The drug does not have a toxic effect on the fetus, therefore it is widely used in medical practice for treating pregnant women.
In the absence of contraindications, No-Spa can be safely used in the first trimester as part of therapy aimed at maintaining pregnancy. Further use of the drug (starting from the second trimester) should be carried out only in hospital settings.
During this time, in addition to the bright and warming thought of the imminent birth of a baby, there is also a large number of problems that cause discomfort. One of the most common problems is muscle spasms and increased pain, causing a woman to feel body pain, fatigue and, as a result, severe irritation. Such a scenario will have a negative impact on. Therefore, such problems should be eliminated and done immediately. One of the counteractions is “No-shpa”. Many expectant mothers are concerned about the question of whether it is possible to drink “No-shpa” when they are pregnant, because it is a medicine, and pregnant women are not recommended to take this. Let's figure out what it is and how it works when it gets inside our body.
Spectrum of action
With this drug you can relieve muscle spasms. The product acts exclusively on smooth muscles, relaxing them and relieving tension. In addition, this effect extends to blood vessels, relaxing them. This way you can get rid of high blood pressure. 
The result of this effect on the muscles is not only their relaxation, but also a decrease in the speed of work and movement of organs, due to which the effect that we feel is removed. This can include frequent lower pain with; in addition, “No-shpa” effectively relieves headaches.
Did you know?“No-spa” was invented in the Hungarian scientific laboratory of the pharmaceutical plant “Hinoin” in 1961, after which it was developed and improved for several more years to the state in which it is still sold in pharmacies.
Numerous advantages include the properties of the drug itself. "No-shpa" is available in the form tablets and can be entered as injection. Its effect will not take long: from 5 to 10 minutes is necessary to understand that No-Spa has relieved the pain and spasm. This is due to the fact that the tablet is very quickly absorbed by the body, unlike any other analogues.
All the pros and cons of taking it during pregnancy
I wonder how often you can drink No-shpa during pregnancy and whether it will have any negative effects? Many pregnant women do not let go of these pills. In fact, their effect on the muscles ends there. Neither the central nervous system nor other human organs will suffer from No-shpa. It is important that the baby himself will also not be under the influence of this medicine. 
It would seem that if it is not harmful to the baby, then why endure the pain? Many women really think so and, even with the slightest cramps, begin to take No-shpu. For some it will be convenient and safe, but for others it will come out sideways. Therefore, before acting so recklessly, you should consult a doctor who, after a thorough examination, will advise you on what to do in such situations.
Throughout pregnancy, a woman may suffer from sharp pain in the lower abdomen. This is a muscle contraction, and the reason for this can be anything: stress, haste, fatigue, a sharp rise or the absence of any reason. This is an absolutely natural phenomenon, because this is how the body can prepare for the birth of a baby.
Important! Uterine tone is considered normal when it occurs several times a day and lasts several minutes. And the tone, which can pose any threat to the baby, differs in the nature of the pain: it is aching and prolonged, the stomach is constantly tense, and it becomes...
Use at different stages of pregnancy
Instructions for using No-shpa during pregnancy at different periods are different. When you can take pills, when you need to inject and in what doses - we will tell you further.
First trimester
During this period, there may be excessive activity of the uterus. It is she who will become a real threat to the developing fetus.
Often, it is in the first 12 weeks that the doctor prescribes No-shpu for the purpose of:
- improve blood circulation in the uterus;
- reduce its tone;
- relax the muscles;
- relieve the uterus from excessive activity.
After taking it, rapid contractions of the uterus stop, which immediately reduces the risk of miscarriage, the pregnant woman no longer endures severe and prolonged pain, and her mood improves. Equally important is that the blood vessels dilate. thus, more nutrients and oxygen begin to flow into the area of the uterus, and therefore the fetus, which helps normalize its development. Did you know? Some scientists, after conducting research and experiments, came to the conclusion that “No-shpa» still affects the health of the fetus. Excessive consumption of it stops the normal development of the baby’s speech apparatus in the womb.
Second trimester
If after the first trimester your doctor has established an individual norm for you to take No-shpa, then under no circumstances should you violate it. During this period, drinking more than normal does not mean doing anything better for yourself and your baby. This behavior has consequences. The result can be various complications or even miscarriage. 
If you begin to feel like you want to increase your dose, you should not do this without instructions and consultation from your doctor.
Did you know? In many European countries reception« No-shpy» during pregnancy it is generally prohibited, since the drug can harm the development of the fetus, as well as worsen the mother’s condition in the future by reducing the activity of the uterus.
Third trimester
In the last trimester, No-Spa does not harm either you or the fetus, but, again, at the first urge of mild pain or tingling, you should not take the pills.
"No-shpa" on last weeks pregnancy is accepted only under medical supervision. More often than not, they refuse it altogether. If the muscles relax too much, bleeding may begin. If, with severe cramps, the doctor allowed you to take a pill, but 60 minutes after taking it, the pain did not subside and the cramps did not stop, then you went into labor, and this was the first. 
Directly during childbirth, “No-shpa” also actively saves the situation. Women in labor are given it in the form of injections. Thanks to this, the drug begins to work within 2-3 minutes. It helps normalize uterine contractions, relax and thereby help the cervix open. As a result, many are able to reduce their labor time.
Dosage and course of treatment
The standard dosage, which is prohibited from being exceeded, is 80 mg (or two tablets of regular “No-shpa”). This technique can be performed no more than three times a day, which means daily norm"No-shpy" is 240 mg.
Important! « No-shpa Forte» contains twice as much active substance (80 mg) as regular “No-spa” (40 mg). Therefore, the dosage must be halved if you choose Forte.
Without consulting a doctor, in order to get rid of pain in the lower abdomen, you can take No-shpa for no longer than three days in a row. If you do not observe any changes, and the pain does not go away after taking the pill, you should immediately consult a doctor.;
Such manifestations of the action of No-shpa are extremely rare, but possible. Therefore, it is important to consult your doctor first before self-medicating.
Important!Exceeding the dose can result in rapid heartbeat, or worse, cardiac arrest. If it so happens that you take more than two tablets at one time, then you must immediately do a gastric lavage and induce vomiting.
Contraindications
The use of "No-shpa" during pregnancy at or later stages is limited a number of contraindications:
- The presence of vegetative-vascular dystonia, constant low blood pressure. In this case, it is important to get the exact dosage, inject while lying down, and measure your blood pressure regularly after taking the pills.
- Lactose intolerance, which is contained in No-shpa. The result will be permanent disorders of the gastrointestinal tract.
- Heart failure.
- Kidney and liver diseases.
- Bronchial asthma.
- Intolerance to the components of the drug.
Expectant mothers must clearly understand that the condition of their babies both in the womb and after birth will depend on how they interpret their own state of health, sensations and severity of pain. Self-medicating or panicking at the slightest disturbance is fraught with many negative consequences. Therefore, take care of yourself and don’t be afraid to consult a doctor!
