Does Taking 9 Capsules of Zhenglu Pills in Early Pregnancy Affect the Baby? - Obstetrics and Gynecology

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In early pregnancy, accidentally consuming nine tablets of Pepto-Bismol may affect the baby. It is important to consult a healthcare professional for personalized advice and to assess any potential risks?


Hello, doctor.
I accidentally ingested 9 capsules of a medication during the early stages of my pregnancy.
I would like to know if this could affect my baby.
The ingredients are as follows:
- Creosote: 400 mg
- Asenjak powder: 200 mg
- Oubaku powder: 300 mg
- Kanwu powder: 150 mg
- Chenpi powder: 300 mg
I have provided the ingredients as listed on the medication container.
Thank you for your help.

Qing, 20~29 year old female. Ask Date: 2006/11/07

Dr. Zhuang Zhijian reply Obstetrics and Gynecology


Based on your described ingredients, I cannot understand.
I suggest you consult a traditional Chinese medicine practitioner; perhaps you can get your answers there.

Reply Date: 2006/11/07

More Info


Taking medication during early pregnancy raises valid concerns about potential effects on fetal development. In your case, you mentioned accidentally consuming nine capsules of Zhenglu Pills, which contain several herbal ingredients. Let's break down the components and their potential implications for your pregnancy.

The ingredients you listed include:
1. Creosote (クレオソート) - This is a substance derived from the distillation of wood tar. It has been used traditionally for various medicinal purposes, but its safety during pregnancy is not well established. There is limited research on its effects on fetal development, and it is generally advised to avoid it during pregnancy due to potential toxicity.

2. Asenjak Powder (アせンャク末) - This ingredient is less commonly known, and there is insufficient data regarding its safety during pregnancy. Herbal supplements can vary widely in their composition and effects, making it difficult to assess their safety.

3. Oubaku Powder (オウパク末) - Oubaku is often used in traditional medicine. While some studies suggest it may have therapeutic benefits, there is little evidence regarding its safety in pregnant women.

4. Kanzou Powder (カンンウ末) - This is typically derived from licorice root. Licorice has been associated with potential risks during pregnancy, particularly in high doses, as it may affect hormone levels and fetal development.

5. Chenpi Powder (陳皮末) - This is dried tangerine peel, commonly used in traditional Chinese medicine. It is generally considered safe in moderation, but excessive amounts may lead to complications.

Given that you took nine capsules, the cumulative effect of these ingredients is a concern. The early weeks of pregnancy are critical for fetal development, as this is when major organs and systems are forming. The first trimester is particularly sensitive to teratogens (substances that can cause malformations), and the effects of any drug or supplement can vary based on dosage, timing, and individual health factors.

The FDA categorizes medications based on their safety during pregnancy. Unfortunately, many herbal products do not have established categories, making it challenging to provide definitive guidance. However, it is generally recommended to avoid unregulated herbal supplements during pregnancy due to the lack of safety data.

In your situation, it is crucial to consult with your healthcare provider as soon as possible. They can assess your specific case, consider the potential risks based on the ingredients, and monitor your pregnancy closely. They may also recommend additional tests or ultrasounds to ensure the baby's development is on track.

In summary, while the exact impact of taking nine capsules of Zhenglu Pills during early pregnancy is uncertain, the potential risks associated with the ingredients warrant caution. Early intervention and professional guidance are essential to ensure the best possible outcome for both you and your baby. Always prioritize open communication with your healthcare provider regarding any medications or supplements you take during pregnancy.

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