Re: Dr Sam -- about Glucophage
From: =?iso-8859-2?q?Zalányi Sámuel?= (anonymous@obgyn.net)
Tue, 22 May 2001 04:37:30 +0100 (MET DST)
Hi Christa,
First of all, aren't you on Diane yet? If so why are you putting questions about pregnancy?
Secondly, please read the bottle again. I doubt your pills contain 400 mg! of folic acid.
Before asking for info, please provide exact info to the board
Sam
> Dr. Sam--
>
> But how much folic acid would suggest? I have a bottle of folic acid
> that says not too exceed 1000mg a day. I'm currently taking a Bcomplex
> that has 400mg of folic acid in it which is 100% of the daily
> recommended dosage. Would that be sufficient to prevent harm to the
> fetus? How can anyone tell how much folic acid is being absorbed or
> depleted? I'm just afraid that if I get pregnant before I'm actually
> trying to get pregnant, I won't have to worry about the baby getting
> spina bifida.
>
> Thanks for your help.
>
> At Sat, 19 May 2001, =?iso-8859-2?q?Zalányi wrote:
> >
> >Dear DOna,
> >
> >Surely this is a way to decrease the risks of metformin being continued
> during the first trimester.
> >For your help
> >
> >Sam
> >
> >> Dr sam,
> >> Could taking extra folic acid along with the metformin during the first
> >> trimester of preganacy lower the risk of spina bifida?Thus making
> >> metformin safer?
> >> thanks,Dona
> >>
> >> >At Fri, 18 May 2001, =?iso-8859-2?q?Zalányi wrote:
> >> >Hi Christa,
> >> >
> >> >There is a controversy about taking glucophage during pg. Drug
> >> manufacturers tend to minimize the risk of their drugs being taken during
> >> pg, thus they set up categories for them: A is absolutely safe, B is not
> >> harmful, C potentially harmful and D is dangerous during pg. As there is
> not
> >> enough experience with metformin during pg they have put it into category
> C.
> >> The truth is that therer is some basis for cat. C, because metformin
> reduces
> >> the absorption of folic acid thus increasing the risk of neural tube
> >> defects. But stoping it during pg increases the risk of spontaneuos
> >> abortion. Finally you have to make a painful decision which risk is
> greater
> >> (I think the sp.ab. is).
> >> >For your info
> >> >
> >> >Sam
> >> >
> >> >> Hi Dr. Sam--
> >> >>
> >> >> Do you know any PCOS women that have taken Glucophage during
> pregnancy?
> >> >> I'm not trying to get pregnant right now but I will be soon. My endo
> >> >> says I have to stop the Gluco as soon as I do become pregnant but I
> have
> >> >> many women say they chose to stay on it during pregnancy as it
> prevents
> >> >> miscarriages.
> >> >>
> >> >> Do you know if any harm can come to the fetus?
> >> >>
> >> >> Can't it be harmful to the fetus to have too much insulin racing
> around
> >> >> your blood and elevated androgens?
> >> >>
> >> >> Thanks for your time.
> >> >>
> >> >> --
> >> >> Christa :-)
> >>
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