In medical practice Acetylsalicylic acid is used as antipyretic, anti-inflammatory, analgesic, thrombolytic drug. According to the instruction, Aspirin use is prohibited when breastfeeding, since the drug is able to fall into the human milk.
The shape and properties of the preparation, reception, reading
Acetylsalicylic acid (ASA), a part of aspirin, refers to the group of nonsteroidal anti-inflammatory drugs (NSAID), is available in tablet form. Standard release doses are 100, 300, 500 mg.
Properties of Aspirin:
- eliminates the inflammation;
- reduces the sensitivity of pain receptors;
- reduces the temperature;
- It affects the condition of the joints;
- reducing platelet aggregation, reducing the chance of thrombosis.
The daily dose of the drug is 3 g A single dose is 500-1000 mg. Aspirin is necessary to drink with a break at 4:00.
Indications for use:
- various types of pain (toothache, joint, headache);
- hyperthermia;
- state after a heart attack and stroke;
- thrombophlebitis.
Effect on Children
How does the ASA to a child? According to the instructions the drug is prohibited for children under 15 years, because it can cause bleeding of the digestive tract and other systems. The medicine can cause Reye's syndrome if the child is sick by a viral infection, and allergy.
Reye's syndrome
It is a pathological condition in children from 4-16 years, develops as a result of dysfunction of the mitochondrial apparatus because of the wrong fatty acid oxidation. The syndrome is provoked by nonsteroidal anti-inflammatory agents containing ASA, occurs against a background of hyperthermia caused by a viral infection (influenza, measles virus, herpes virus).
The clinical picture of the disease characterized by damage to the brain (encephalitis), and accumulation of lipids in the liver (fatty liver). After receiving the exchange rate (3-5 days) Aspirin as an antipyretic agent, a child is disturbed liver function: increased level of ALT, AST (liver enzymes).
Jaundice syndrome occurs only occasionally. Children under 3 years may develop hydrocephalus syndrome (increased intracranial pressure), which is accompanied by vomiting, not bringing simplification. If aspirin has been used in children under 1 year, encephalitis appears bulging fontanelle. The lack of timely assistance to the patient leads to the development of coma, seizures and respiratory arrest.
In many European countries banned the use of aspirin in children under 16 years. In our country, a drug sometimes used as part of lytic cocktail for single use only 4 years old. Official statement aspirin allows the medication to 15 years.
Reduced blood clotting
ASA reduces platelet adhesion. It is used in adult practice tromboliziruyuschey for the treatment and prevention of thrombosis. In children, the drug causes various types of bleeding due to decreased blood coagulation ability. On a background of aspirin in children under 15 years are revealed gastric and intestinal bleeding, bleeding in the subcutaneous fat, which is accompanied by the appearance of bruises on the skin.
Allergic status and aspirin asthma
Aspirin is an NSAID, is able to cause the child severe allergies, asthma and aspirin. Aspirin asthma - a disease in which there is intolerance to nonsteroidal anti-inflammatory drugs. It is manifested by spasm of the bronchial tree. Bronchial mucosa swells and makes breathing difficult. The patient becomes more frequent breathing, difficult breathing out (becomes longer).
In the event of a child aspirin asthma urgently need to stop taking aspirin and call an ambulance. Attack cropped using bronchodilators (bronchodilators). Allergy symptoms (runny nose, watery eyes, hives, swelling, redness of the skin), anti-allergic drugs are eliminated (Suprastin, Tavegil, loratadine, Claritin).
The use of aspirin during breastfeeding
Take aspirin during breastfeeding (GW) of instruction is prohibited. This drug is able to fall into human milk through the blood plasma. Upon receiving the ACK active substance is absorbed through the mucosa of the duodenum. Maximum blood concentration recorded after 10-20 minutes. In the same period of time ASA appears already in a woman's milk.
If the mother takes aspirin when feeding your baby (course dose), then the baby may have the same effects as the direct reception of medicines. The most common manifestation is an allergic reaction. The child observed punctulate rash accompanied by itching and hyperemia. It can cover the face, the hands and the whole body. In severe forms of allergy clinic possible stenosis of the larynx.
Aspirin breastfeeding at high concentrations or prolonged admission causes bleeding in different locations, bruises and bruises on the skin. The drug stimulates gastric bleeding that requires immediate hospitalization. Child pale, blood vomits, liquid stool, painted black. In the absence of remedial measures there is a loss of consciousness, shock.
Rare manifestations in infants
Aspirin lactation uncontrolled reception (high doses) cause Reye's syndrome. Child needs urgent medical care. The child develops encephalitis and accumulation of lipids in the liver. This condition is dangerous to the development of seizures, and mental retardation.
When such pathology child needs dezintaksikatsionnaya therapy (dialysis, glucose solution for use in reducing blood aspirin concentration). To reduce the effects hydrocephalic syndrome child shows Furosemide. This preparation reduces swelling of the brain reduces the intracranial pressure. Child has to complete recovery.
If the child has an allergic status Aspirin can cause aspirin asthma. This pathology appears when the overdose of drugs the mother or the duration of its use. Aspirin asthma causes breathing difficulties due to narrowing of the bronchi.
In young patients the bronchial tubes narrow, so the hospital can develop very quickly (a few minutes). At the same time an urgent need to call an ambulance and hospitalized children.
The consequences of using the drug while breastfeeding
Aspirin at GW may lead to the formation of an allergy to the whole group of non-steroidal anti-inflammatory drugs in the baby. This group of drugs is very common in the treatment of hyperthermia, heart disease, joints, thrombosis. Intolerance to NSAIDs complicates treatment of a child with acute respiratory infections and other pathologies in the future.
conclusion
Breastfeeding need to drink aspirin only on prescription. If the mother is shown Aspirin for health reasons (for the treatment of thrombosis, heart attack, stroke and other diseases), it is better not to breastfeed during the course of treatment.
To save lactation milk woman should regularly express. Breast milk should be changed on milk adapted formula. 2 days after the end of treatment resume breastfeeding baby.
sources:
Vidal: https://www.vidal.ru/drugs/aspirin__1962
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 712d0942-5c3e-4391-96b3-08f47af0de08 & t =
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