Safe Medication for Pregnant Women: Can I Take These Cold Remedies? - Pharmacology

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Hello, I am 21 weeks pregnant and experiencing cold symptoms. I would like to ask about the medications prescribed by the doctor?


Hello, I am currently 21 weeks pregnant and have been feeling unwell due to a cold, so I went to see a doctor.
The medications prescribed are as follows: 1.
Relenza 5mg/blister (Zanamivir) 2.
Vena 10mg/tab (Diphenhydramine) 3.
Enzdase E.C 10mg/tab (Serrapeptase) 4.
Medicon-A CAP (compound ingredients).
I am unsure if these medications are suitable for pregnant women.
I informed the doctor about my pregnancy, and he mentioned that I could consider taking the first medication, Relenza.
Could you please advise if these four medications are indeed safe for pregnant women? Thank you!

Cherrie, 30~39 year old female. Ask Date: 2016/02/04

Dr. Liao Lingmei reply Pharmacology


Hello: For your reference, the FDA refers to the U.S.
Food and Drug Administration, which classifies drugs based on their safety for pregnant women into five categories: A, B, C, D, and X.

1.
Relenza 5mg/blister (active ingredient: Zanamivir) is classified as Category C by the FDA, which means: animal reproduction studies have shown an adverse effect on the fetus, but there are no controlled studies in pregnant women; or there are no animal or human studies (most drugs are classified as Category C by the FDA).
2.
Vena 10mg/tab (Diphenhydramine) is classified as Category B by the FDA, meaning: animal reproduction studies have not demonstrated a risk to the fetus, but there are no controlled studies in pregnant women; or animal reproduction studies have shown an adverse effect, but controlled studies in pregnant women have not confirmed this.
3.
Enzdase E.C 10mg/tab (Serrapeptase) is not listed by the FDA, so no classification is provided.
This drug is an anti-inflammatory enzyme with low potential harm to the fetus.
4.
Medicon-A (combination ingredients) is classified as Category B by the FDA.
Prescriptions issued by physicians who are aware that the patient is pregnant will generally favor safer medications, unless the treatment for the patient's condition carries higher risks.
Please feel assured to follow your physician's instructions regarding medication.
Wishing you health and happiness!

Reply Date: 2016/02/04

More Info


When it comes to managing cold symptoms during pregnancy, it's crucial to prioritize both the health of the mother and the developing fetus. As you are currently 21 weeks pregnant and experiencing cold symptoms, it's understandable to have concerns about the medications prescribed to you. Let's break down the medications you've mentioned and their safety profiles during pregnancy.

1. Relenza (Zanamivir): This medication is an antiviral used primarily for the treatment of influenza. While it is generally considered safe for pregnant women, it is typically recommended only when there is a confirmed influenza diagnosis. If your cold symptoms are not due to influenza, this medication may not be necessary. Always consult your healthcare provider to ensure it is appropriate for your specific situation.

2. Vena (Diphenhydramine): Diphenhydramine is an antihistamine commonly used to relieve allergy symptoms, including runny nose and sneezing. It is classified as a Category B medication by the FDA, meaning that animal studies have not shown any risk to the fetus, but there are limited studies in pregnant women. It is generally considered safe for short-term use during pregnancy, but it can cause drowsiness, so be cautious about activities that require alertness.

3. Enzdase E.C (Serrapeptase): Serrapeptase is an enzyme that is sometimes marketed for its anti-inflammatory properties. However, there is limited research on its safety during pregnancy. Because it is not a well-studied medication in pregnant populations, it is advisable to avoid it unless specifically recommended by your healthcare provider.

4. Medicon-A CAP (Combination Ingredients): The safety of this medication depends on its specific ingredients. Many combination medications can contain ingredients that may not be safe during pregnancy. It is essential to check the specific components of this medication and consult with your healthcare provider about their safety during pregnancy.

In summary, while some of the medications you mentioned may be considered safe for use during pregnancy, others may not have enough evidence to support their safety. Here are some general guidelines for managing cold symptoms during pregnancy:
- Consult Your Doctor: Always discuss any medications with your healthcare provider, especially during pregnancy. They can provide tailored advice based on your medical history and current health status.

- Non-Pharmacological Remedies: Consider using non-drug approaches to alleviate your symptoms. Staying hydrated, using a humidifier, and resting can help your body recover from a cold.

- Avoid Certain Medications: Be cautious with herbal supplements and over-the-counter medications that are not specifically labeled for use during pregnancy, as their safety may not be established.

- Monitor Symptoms: If your symptoms worsen or you develop a high fever, it’s important to seek medical attention promptly, as certain infections can pose risks during pregnancy.

In conclusion, while some medications may be safe, others should be approached with caution. Always prioritize consultation with your healthcare provider to ensure the best outcomes for both you and your baby.

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