PREGNANCY-BIRTH Messages for January, 2000: Re: Worried about a lot of meds.

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Re: Worried about a lot of meds.

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 30 Jan 2000 18:07:58 -0600 (CST)

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In reply to: Isabel: "Re: Worried about a lot of meds."
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At Sat, 29 Jan 2000, Isabel wrote: >
>At Thu, 27 Jan 2000, Harvey S. Marchbein, M.D. wrote:
>>
>>At Wed, 26 Jan 2000, Isabel wrote:
>>>
>>>At Wed, 26 Jan 2000, anonymous@obgyn.net wrote:
>>>>
>>>>At Wed, 26 Jan 2000, Isabel wrote:
>>>>>
>>>>>Hi,
>>>>>
>>>>>I just foun out I“m pregnant and have been taking quite a few meds for
>>>>>the last couple of weeks. Meds include: "Qual", "naramig", "sydollil",
>>>>>"tonopan", "virlix", "nasacort nose spray" and "cataflam".
>>>>>
>>>>>I“m not taking them any more but did "sydollil", "tonopan" and "cataflam
>>>>>for 2 or 3 days, "naramig" once and the others for 15 days.
>>>>>
>>>>>Can someone help me please, I“m worried sick that something might happen
>>>>>to my baby. This is my second baby.
>>>>>
>>>>>Any comments are welcome!!
>>>>>
>>>>>Thanks
>>>>
>>>>I am sorry, but I do not recognize most of those medications, with the
>>>>exception of nascort and cataflam. Neither of those should present any
>>>>concern for your pregnancy. As far as the others, "sydollil, tonopan,
>>>>naramig, virlix, and qual", they are not present in the PDR I have here
>>>>at home. I will try in the office tomorrow, but if you would check the
>>>>spelling, perhaps I can provide more assistance.
>>>>
>>>>--
>>>>William D. McIntosh, MD, FACOG
>>>>Clarksville, TN
>>>>
>>>>This is for educational purposes only, and is not intended to be replacement
>>>>or substitute for consultation and examination by an appropriate medical
>>>>professional. Due to time constraints, private e-mails cannot be answered.
>>>
>>I'll do what I can.
>>
>>>The spelling is correct but I live in Mexico city, maybe if I write down
>>>the "active substances" this can help. "Qual" has paracetamol,
>>>dextropropoxifeno and diazepam.
>>
>>Diazepam is Valium, not recommended in pregnancy.
>>
>>>"Virlix" has "cetirizina". "Sydolil"
>>>has ergotamina, caffeine and įcido acetilsalicķlico (aspirin).
>>
>>Ergotamine is used to contract the uterus after delivery so I'd be
>>concerned about it. Aspirin in small doses has been used in pregnancy
>>for various problems but the dosage may be excessive.
>>
>>>"Tonopan"
>>>has dihidroergotamina, caffeine and propifenazona.
>>
>>Dihydoergotamine is related to ergotrate and, as above ergotamina. It
>>is used to contract the uterus, not something one wants during
>>pregnancy.I would recommend discontinuing any medicatikons not
>>prescribed specifically for the pregnancy.
>>
>Hi! Thankyou for the info. I discontinued all the meds as soon as I
>found out I was pregnant. Diazepam I believe the dosage was low, 2 mg
>per day for 12 days. Ergotamine in sydolil is 1mg each (I had about 9
>tabs. in a period of 15 days). Dihydoergotamine in Tonopan is 0.5mg I
>only took 2 tabs. once.
>
>I stopped taking all meds when I reached my 31st day without period.
>
>Do you think I can still have a problem? Will this affect my pregnancy
>and my baby?
>
>Thanks very much! I“m really suffering over this.
>
>Best,
>Isabel

Since it was very early in the pregnancy if I understand you correctly, it is unlikely to be a problem as described in the past by the "all or none" phenomenon. Given this, no one can be sure 100%.

Good luck.

HSM

>>>The names are
>>>usually similar y spanish and english, hope you can help me.
>>>
>>>At least I know nasacort and cataflam have no problem.
>>>
>>>Thanks again!
>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>Great Neck, New York
>>
>>**Note: Opinions expressed here are for educational purposes only
>>and, as such, do not constitute a physician-patient relationship.
>>This information is not intended to supplant the need for you to
>>consult with your physician prior to choosing therapeutic options
>>and/or interventions.
>>
>>**Private emails cannot be entertained due to time constraints,
>>consequently no private emails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Hair dying during pregnancy"
Previous message: Harvey S. Marchbein, M.D.: "Re: 28 wks. pregnant with twins, fast pulse"
In reply to: Isabel: "Re: Worried about a lot of meds."
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