Pregnancy Medication Concerns: Safety of Inhaled Drugs and Supplements - Pharmacology

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Medications during pregnancy


I have three questions regarding my pregnancy at 7 weeks:
1.
My daughter had a cold and was given a throat spray at the clinic, named oxyme fa3oline.
I was standing nearby and noticed aerosolized particles in the air when she was treated.
Since I was 4 weeks pregnant at that time, could inhaling these particles potentially affect the fetus?
2.
I unknowingly took a supplement called Meiguier calcium tablets, which contains dicalcium phosphate 300mg, calcium carbonate 200mg, lactose, potato starch, and gum arabic.
Where can I have this product tested to verify its ingredients and ensure it is indeed a calcium supplement?
3.
After about 4 weeks of pregnancy, my obstetrician prescribed me folic acid tablets.
Now that I am 7 weeks along, how long should I continue taking folic acid during my pregnancy?
Thank you for your answers.
I am concerned about fetal development issues, which is why I have these questions.
I appreciate your time in addressing them.

Xiao Ya, 30~39 year old female. Ask Date: 2007/04/12

Dr. Liao Lingmei reply Pharmacology


Dear Xiaoya:
1.
"Oxyme fa3oline"? There is no medication by that name; please verify the source of the medication name.
"Throat spray from the clinic"? If it is a medication taken home, the impact is minimal if only inhaled from the surrounding air at that moment.

2.
"Mei Gui Er tablets" currently do not fall under pharmaceuticals; at most, they are considered dietary supplements.
You may request the purchasing source or manufacturer to provide information regarding the product's manufacturing or efficacy.
For issues related to testing, you can inquire with the "Bureau of Food and Drug Analysis" about whether they accept public requests for paid testing services.

3.
Pregnant women and folic acid: If used for prevention of deficiency, the dosage is 0.4mg-1mg daily.
The recommended daily intake during pregnancy is 600mcg, which can be supplemented through diet or tablets as needed.

Wishing you health and happiness.

Reply Date: 2007/04/12

More Info


When it comes to medication use during pregnancy, it is crucial to understand the potential risks and benefits to both the mother and the developing fetus. Your concerns regarding inhaled medications, supplements, and the use of folic acid are valid and important to address.

1. Inhalation of Oxyme Fa3oline: Oxyme Fa3oline is a medication that is typically used as a nasal decongestant. If you were exposed to aerosolized particles of this medication while standing nearby, the risk of significant harm to your fetus is likely low, especially if the exposure was brief and not concentrated. However, medications classified as Category C by the FDA, like many decongestants, indicate that risk cannot be ruled out. It is always best to minimize exposure to any medications during pregnancy, especially in the first trimester when fetal development is most critical. If you have concerns about any symptoms or potential effects, it is advisable to consult your healthcare provider for personalized advice.

2. Calcium Supplement Composition: Regarding the calcium supplement you mentioned, it is essential to ensure that any supplement you take during pregnancy is safe and contains what it claims. You can verify the composition of the supplement by checking with the manufacturer, looking for third-party testing certifications, or consulting a pharmacist. Additionally, you can contact your healthcare provider for recommendations on safe and effective calcium supplements during pregnancy. They can guide you on reputable brands and formulations that are known to be safe for pregnant women.

3. Folic Acid Supplementation: Folic acid is a vital nutrient during pregnancy, as it helps prevent neural tube defects and supports overall fetal development. The general recommendation is to start taking folic acid before conception and continue through the first trimester. Many healthcare providers recommend continuing folic acid supplementation throughout the entire pregnancy, as it can still provide benefits in the later stages. The typical dosage is 400 to 800 micrograms daily, but your healthcare provider may adjust this based on your individual needs. It is essential to follow your doctor's advice regarding the duration and dosage of folic acid supplementation.

In summary, while some medications and supplements can pose risks during pregnancy, many are considered safe when used appropriately. Always consult with your healthcare provider before starting or stopping any medication or supplement during pregnancy. They can provide guidance tailored to your specific situation, ensuring both your health and the health of your developing baby are prioritized. Additionally, maintaining open communication with your healthcare team about any concerns or symptoms you experience during pregnancy is crucial for ensuring a healthy outcome.

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