Citramon during pregnancy 1-2-3 trimester. Instructions for use, is it possible to drink for a headache

Citramon belongs to the group of painkillers with a non-narcotic composition. The tool effectively eliminates any pain (headache, dental, muscle) and at the same time has a considerable list of contraindications and side effects. One of the contraindications is the use during pregnancy. Further in the article, the possibility of using the medication in the 1,2,3 trimesters is considered, and what are the risks to the fetus.

Indications for use

When carrying a child (2 trimester is considered acceptable for taking the drug) Citramon can be used if the following indications are present:

• severe headaches, which could not be eliminated by other "safe" medicines. It should be borne in mind that if the headache is caused by high blood pressure, then Citramon is prohibited to use, its use will contribute to the deterioration of the condition;
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• severe toothache. The tool is used if the pain is unbearable and there is no way to visit the dentist;
  
• aches and pains in the joints. Before using Citramon, the doctor must establish the cause of the pain (cold, increased stress on the body due to pregnancy, joint pathologies). If possible, the specialist prescribes external agents;
• increased temperature value for colds. The drug is used, provided that other means have failed;
• soreness in muscle tissue. Before using Citramon, a specialist must determine the cause of the pain. Whenever possible, external medications are used;
• painful sensations in the body caused by a violation of the state and activity of the nervous system;
• development of inflammatory processes. In this case, Citramon can be used in complex treatment with drugs permitted during pregnancy.

Important. Citramon is strictly forbidden to take without consulting a specialist. Only a doctor can determine the possibility of using the drug, as well as choose a "safe" dosage of the drug during pregnancy.

Compound

Citramon during pregnancy (the 1st and 3rd trimesters are considered the most vulnerable for the child, therefore the drug is not used for these periods) can harm the fetus. The therapeutic properties, as well as the danger of the medication, are caused by the following composition.

List of components	Description of the action of the elements
Active components
Acetylsalicylic acid	The component has analgesic, antipyretic and anti-inflammatory effects. Additionally, aspirin helps to reduce the number of platelets, has an irritating effect on the gastric mucosa, and is also the main cause of miscarriage.
Paracetamol	The element has an analgesic, antiseptic and antipyretic effect, and also has a weak anti-inflammatory property. Paracetamol has practically no harmful effect on the fetus.
Caffeine	The substance has a stimulating effect on the activity of the nervous system, heart and lungs. Caffeine also lowers platelet production, increases blood pressure and improves mood. With long-term use in small doses, caffeine causes addiction. Additionally, the component enhances the effect of aspirin and paracetamol.
Minor components
Lemon acid	The component helps to accelerate the removal of harmful substances and excess fluid from the body. Additionally, the element is involved in blood purification and strengthening of the walls of blood vessels. Also citric acid has anti-inflammatory, antimicrobial and immune-strengthening properties.
Potato starch	The component has anti-inflammatory properties, helps to protect the mucous membranes of the digestive tract, and also gives the drug the required texture
Cocoa	The substance is involved in the normalization of the pressure indicator, normalizes hematopoiesis and heart activity. Additionally, cocoa helps to strengthen the immune system.
Talc	The element is used to give Citramon the desired dosage form, extend the shelf life, and also the substance makes it easier to swallow the product and enhances the antibacterial properties of the main components
Calcium stearate	The substance is used to give the drug the desired texture
Polysorbate	The component gives Citramon the desired dosage form and participates in combining the components used

Previously, the list of the main components of the drug included fanacetin. But due to its high toxicity and severe side effects, the component was removed from the list of Citramon's constituents.

In what form is it produced

Citramon is produced in tablet form. The tablet has a flat shape with a scored on one side (for the convenience of dividing the tablet into 2 parts). The color of the tablets is white with a slight brown tint (there are dark blotches), and the product also has a faint cocoa odor. The drug is placed in paper or cellular blisters in the amount of 6 or 10 pcs. The package can contain 6,10,20, as well as 30 tablets.

The price for a package of tablets depends not only on the region of sale, but also on the manufacturer's company and the number of tablets in the package. For example, for 10 tablets you will have to pay approximately 15 to 20 rubles, and for 20 tablets from 25 to 50 rubles.

Pharmacodynamics

Citramon during pregnancy (the 2nd trimester is the only one when the use of the medication is allowed) has the following effect on the woman's body and the fetus:

• participates in the fight against inflammation processes, which often cause fever and pain;
• prevents platelets from sticking together and reduces their production, as a result, the blood thinns and the work of the heart is facilitated, but at the same time, the risk of developing severe bleeding during delivery (natural childbirth or caesarean section);
• contributes to the normalization of the body temperature indicator when it rises;
• eliminates pain caused by inflammatory processes, impaired vascular activity, colds;
• has a tonic effect, and also activates the functioning of cells of the nervous system, heart and lungs;
• helps to activate blood flow, strengthen blood vessels and increase pressure;
• has a vasoconstrictor effect on blood vessels in the brain, as a result headache decreases. At the same time, in other organs and tissues, citramone has a vasodilating effect;
• prevents the development of pathogenic microflora in the body;
• activates the withdrawal of excess fluid from the body, as a result, puffiness decreases;
• has an irritating effect on the mucous membrane of the stomach and duodenum, provoking the development of ulcers.

The active ingredients of Citramon penetrate to the fetus through the placenta, as well as into breast milk. As a result, the medication has a negative effect on the development of the child in utero and after birth during lactation.

Pharmacokinetics

After oral administration, the active substances of citramone are found in the blood after about 18-60 minutes. Further, the components of the drug penetrate into all organs and tissues and even into the brain.

The medication is excreted mainly by the kidneys within approximately 2-4.5 hours. If the amount of medication was taken in an increased dose, then the time it takes to excrete it from the body may increase from 15 to 30 hours.

Application for pregnant women

During pregnancy, all medicines are allowed to be used only after the permission of a specialist. The attending physician should assess the likely danger of the drug to the fetus and choose the safest dosage. When using Citramon, it must be borne in mind that in the 1st and 3rd trimesters, the remedy is completely contraindicated, and with extreme caution it should be used in the 2nd trimester.

Before prescribing the drug, the doctor takes into account not only the period of bearing the child, but also the general condition of the fetus and the woman, as well as how the pregnancy proceeds. The table below shows the classic dosage of Citramon for pregnant women in the 2nd trimester, taking into account the purpose of use.

Reason for Application	Dosage of tablets	Treatment features
Headaches caused by low blood pressure	It is allowed to use ½ tablet 3 times a day. The duration of the drug intake is no longer than 5 days.	Before using the drug, it is required to measure the pressure indicator, since if the value is increased, then Citramon cannot be used
Head and joint pains provoked by a cold	Take 1 tablet 3 times over 24 hours. Citramon is allowed to take no more than 1 week.	Citramon is used in combination with approved medicines for colds
Toothache	You can use 1 tablet in the morning and in the evening. The drug can be used for no more than 3 days.	Along with taking Citramon, you can use rinsing solutions
Joint and muscle pain caused by increased stress due to weight gain during pregnancy	It is permissible to take ½ tablet in the morning and evening. If pains appear only in the evening, then an evening intake of the remedy is sufficient. It is allowed to take Citramon for 5-7 days.	Treatment must be combined with proper load distribution. That is, you should give the body a rest (you can lie on the couch) every 2-3 hours.
Fever provoked by a cold	Use 1 tablet 1-3 times a day. The medication should be used for 3-5 days.	Citramon is recommended to be combined with a compress on the forehead and the use of fruit drinks
Neurological pain	Apply 1 tablet 2-3 times within 24 hours. You can take pills within 7-10 days.	Simultaneously with citramone, external agents allowed during pregnancy should be used
Joint and muscle pain not caused by a cold	Take ½-1 tablet 2-3 times a day. You can take the remedy for 5-10 days.	Complex treatment is prescribed. In this case, the selection of medicines is carried out by a doctor.

Important. Citramon is prescribed by a doctor only if the use of "safe" medicines has not been successful. It should also be borne in mind that it is strictly forbidden to increase the single and daily dosage of tablets, and the interval between taking the drug should be at least 4 hours.

Contraindications

Before using Citramon, in addition to the trimesters of pregnancy, the following contraindications are required:

• the presence of kidney or liver pathologies;
• the presence of bronchial asthma. The drug contributes to a more intense work of the lungs;
  
• severe blood clotting disorder;
• predisposition to bleeding;
• diseases of the digestive tract in the acute stage;
• diagnosing the threat of miscarriage;
• identifying vitamin K deficiency;
• increased blood pressure;
• the presence of gout. The disease is accompanied by the deposition of uric acid in the joints due to metabolic disorders in the body;
• severe disturbance of sleep and wakefulness;
• the presence of increased excitability. Caffeine, which is part of the composition, can enhance the manifestation of pathology;
• severe hearing impairment;
• diabetes. Citramon has an effect on the amount of sugar in the blood;
• violation of the state of the vessels of the brain;
• increased intraocular pressure;
• pronounced violation of the state and activity of the heart and blood vessels.

Also, the remedy is not used if the pregnant woman has an allergy or intolerance to the components of the drug.

Overdose

Citramon during pregnancy (1-3 trimesters completely exclude the possibility of using the drug) cannot be taken for a long time, as well as in large doses (more than 2 pcs. one-time or more than 8 pcs. per day).

If these rules of admission are violated, the following symptoms may develop:

• vomit. The presence of blood is not excluded in the vomit;
• stomach ache. Pain can be caused both by the threat of miscarriage and by a violation of the condition of the mucous membranes in the stomach or duodenum;
• dizziness accompanied by loss of balance;
  
• severe ringing or noise in your ears or complete hearing loss;
• the development of bleeding in the digestive tract or in the reproductive organs;
• inhibition of reactions;
• a sharp increase in pressure;
• the development of a miscarriage or freezing of the child in development (frozen pregnancy);
• decreased vision clarity;
• severe breathing disorder;
• pain in the lumbar region and in the right hypochondrium due to impaired condition and function of the kidneys and liver;
• lack of urine;
• a sharp decrease in blood sugar, up to the development of a coma;
• the appearance of seizures.

In case of poisoning with Citramon, you must immediately rinse the stomach using activated charcoal. Next, you need to call emergency help, since it is required not only to check the activity of all vital organs in a pregnant woman, but also to assess the condition of the fetus. The subsequent treatment is determined by the physician.

Side effects

Before using Citramon, experts recommend that you familiarize yourself with the list of side effects that this drug can cause.

This list includes:

• nausea or vomiting. This symptom can provoke a decrease in the weight of a pregnant woman;
  
• stomach ache. The cause of pain may be the development of a miscarriage or a violation of the condition of the tissues of the gastrointestinal tract;
• violation of blood coagulation;
• the development of bleeding in the digestive tract;
• dizziness. The symptom can provoke impaired coordination of movement and fainting;
• hearing and vision impairment;
• the development of insomnia;
• violation of the composition of blood and hematopoiesis;
• increased nervousness and excitability;
• an increase in the value of pressure (arterial and intraocular) for the duration of the drug's action;
• development of asthma attacks;
• lowering blood sugar;
• disruption of the kidneys, cardiovascular system and liver;
• the development of a miscarriage accompanied by severe bleeding;
• low labor activity, if Citramon was used in the 3rd trimester of pregnancy;
• development of the threat of miscarriage or missed pregnancy. Pathology is more often observed when taking medication in the 1st trimester of pregnancy;
• improper formation of the oral cavity (cleft palate or cleft lip). Side effects are typical if a pregnant woman took Citramon in the first 12 weeks of pregnancy;
• abnormal development of the reproductive organs (more often observed in a male fetus). This defect is typical if a pregnant woman took pills for the 1st trimester of bearing a child;
• violation of the formation and development of the skeleton in a child, in cases of taking pills in the 1st trimester of pregnancy;
• the development of severe bleeding during childbirth (caesarean section), if the pregnant woman took Citramon in the 3rd trimester;
• the development of deafness in the child. Pathology can develop when taking the drug in any trimester;
• the baby may be born with a low birth weight;
• itching, dry cough, swelling and other signs of allergy to the composition of the tablets.

Due to the large list of dangerous side effects, Citramon should be used in treatment in extreme cases and only under the strict supervision of a physician.

Special recommendations

Citramon during pregnancy (2 trimester starts at 13 weeks) should be used taking into account the following recommendations:

• do not increase the dosage and duration of treatment without consulting a doctor;
• if Citramon was taken without a doctor's prescription, then the specialist should be notified. If the drug was taken at the initial stages, then the doctor will check the fetus for developmental abnormalities. And if the use of Citramon was at a later date, then the specialist should exclude the likelihood of bleeding during childbirth;
• when using Citramon, it is necessary to check the condition and function of the liver, heart and kidneys in a pregnant woman. And also monitor changes in blood composition;
• pregnant adolescents under 15 years of age are prohibited from taking Citramon in any trimester of pregnancy.

To reduce the dosage of the medication, it should be combined (with the permission of the doctor) with folk remedies, for example, herbal teas, compresses, external remedies.

Drug interactions

If it is necessary to use Citramon in conjunction with other drugs, a doctor's consultation is required. The specialist will check the medications used for compatibility, and will also select the required dosage and course.

Important. During pregnancy, all medications should be used only with the permission of the specialist in charge of the pregnancy.

Storage conditions and periods

Citramon must be stored in a room out of the reach of sunlight and children. Subject to the temperature regime from 2 to 25 degrees above zero, the shelf life of the medication is 4 years from the date of production.

Conditions of dispensing from pharmacies

To buy a package of Citramon, a prescription from a doctor is not required.

Analogs

Since Citramon is extremely undesirable to take when carrying a child, the drug can be replaced with safer analogs, which include.

Name of the medication	Drug characteristics	average price
Nurofen	The main component, ibuprofen, has an identical effect on the body. Additionally, the tool contains a large list of contraindications. Nurofen is approved for use only in the 1st and 2nd trimesters.	RUB 170 for 20 tablets
No-Shpa	The main component of drotaverine has a pronounced antispasmodic effect, helping to eliminate pain. The drug has no anti-inflammatory and antiseptic effect. The medication is not recommended for use in the 3rd trimester of pregnancy, since the remedy can cause the development of premature birth.	RUB 150 for 24 tablets
Paracetamol	The active ingredient paracetamol has a similar therapeutic effect. In this case, the medication has practically no contraindications and side effects. Paracetamol is allowed to be used at any stage of pregnancy (under medical supervision).	RUB 20 for 10 tablets

Despite the fact that these medicines are safer, it is prohibited to use them without the advice of a specialist. During pregnancy, it is necessary to use the drug only in extreme cases, provided that the use of "safe" medications has not yielded results.

More often, Citramon is prescribed to women who are accustomed to using this potent drug and the use of other drugs does not have the desired effect. It is important that Citramon is not used in the 1st and 3rd trimesters.

Video about citramone during pregnancy

Features of the drug citramon: