In the article, we will consider how to use ibuprofen for HB.
The condition of a woman during lactation greatly affects the baby. The drugs and products that she consumes during lactation are reflected to varying degrees in breast milk and its composition. In this regard, most women stubbornly endure fever and pain, refraining from using pharmaceuticals, fearing to harm the baby. However, some analgesics and fever reducers can be used when breastfeeding.
Pharmacological forms
Ibuprofen is a derivative of propionic acid, part of the non-steroidal type of anti-inflammatory drugs. The medicine can be issued under various commercial names - "Arviprox", "Ibuprom", "Faspik", "Brufen", "Ibunorm", "Nurofen", "Ibuprofen synthesis"
With HB, are they allowed? This is a common question.
Ibuprofen can have various pharmacological forms that can be used for external and internal use. The substance can be the basis of gels, ointments, suppositories, suspensions, syrups, granules, capsules, tablets.
Pharmacological effects
Ibuprofen with HB is able to have the following pharmacological effects:
- Anti-inflammatory.
- Painkiller.
- Antipyretic.
All these properties of the substance are due to the ability of propionic acid to inhibit several types of enzymes, the common name of which is cyclooxygenases, under the influence of which prostaglandins are produced in cell structures. Prostaglandins are substances that provoke the occurrence of inflammation, pain, swelling. In addition, under their influence, the center of thermoregulation in the brain of the head is activated, resulting in an increase in temperature.
The use of ibuprofen helps to suppress prostaglandins at the peripheral, central levels. In addition, it stimulates the synthesis of interferon and can have an immunomodulatory effect, resulting in increased body resistance.
Indications
The main indications for the use of ibuprofen-based drugs are:
- Pain syndrome of a traumatic nature.
- Neuralgia (represents a lesion of the nerves of the peripheral NS).
- Discomfort in the back.
- Pain of a rheumatic nature.
- Algodismenorea.
- Joint, muscle pain.
- Lactostasis, mastitis, fever against the background of acute respiratory infections.
- Sinusitis, otitis media and many other pathological changes in the ENT organs.
- Toothache.
- Headache.
The use of ibuprofen during lactation
Often, nursing mothers ask about the possibility of using ibuprofen-based drugs for HB. Pharmacological companies and independent organizations supporting breastfeeding have conducted studies, the results of which indicate that the drug can be used in the lactation period without causing any harm to the health of the child.
The possibility of using ibuprofen for HB is due to the fact that the active substance penetrates into breast milk in an insignificant concentration - up to 0.8% of the dose taken by the mother. This amount of ibuprofen does not have any significant effect on the child.
The propionic acid derivative is not reflected in the volume of milk and its taste, and therefore preparations based on it do not harm feeding. In addition, ibuprofen-based drugs are often used by pediatricians to treat children from 3 months, and in some cases from birth.
Contraindications
It is worth noting that ibuprofen is not a completely safe substance. In some cases, its use can harm the body of a lactating woman. The main contraindications include the following:
- Pregnancy (last trimester).
- Allergic reactions to other drugs that belong to the non-steroidal type of anti-inflammatory drugs.
- Individual susceptibility to any components that make up the drug.
- Dysfunction of the liver, kidneys.
- Diseases of blood vessels, heart.
- Blood clotting disorders.
- Pathology of the gastrointestinal tract of an inflammatory nature.
- Peptic ulcer of the intestine, stomach.
In addition, ibuprofen-based drugs are forbidden to be taken simultaneously with other NSAIDs and acetylsalicylic acid. Caution is also recommended during parallel therapy with ibuprofen and anticoagulants.
How often can ibuprofen be taken for HB?
Safe use
Ibuprofen should be taken by a nursing mother in accordance with the recommendations of a doctor. The specialist will evaluate the condition of the patients and decide on how appropriate the use of this drug in a particular case is, how long the therapy should last, what dosage should be prescribed.
With standard treatment regimens, adults are shown to take up to 400 mg of the drug once. Drinking antipyretic is recommended with a small amount of water. If necessary, then you can repeat the medication after 6 hours. You can take no more than 1200 mg of ibuprofen per day. For nursing mothers, the maximum daily dosage is not more than 800 mg. In order to avoid the harmful effects of the drug on the mucous membranes of the digestive tract, it should be taken after meals.
The dosage of ibuprofen for hepatitis B should be strictly observed. Women should take Nurofen during lactation with caution. It should be limited to minimum dosages. If relief can be achieved by taking 200 mg of the drug, and the therapeutic effect is maintained for up to 12 hours, then there is no need to increase the dosage.
The maximum concentration of ibuprofen in the blood is observed 1-2 hours after its use, in connection with which it is recommended to feed the child before taking the medicine, after which it is necessary to maintain the interval of about 3 hours. In this case, the drug will pass into breast milk in an insignificant amount, and the effect of ibuprofen on the baby through the mother’s milk will be minimized.
Experts advise giving preference to ibuprofen in the form of candles and tablets. The use of suppositories can reduce the negative effect of the active substance on the digestive tract. Some women believe that it is preferable to use baby syrups during lactation, but this opinion is erroneous. For an adult, the concentration of the active component in this form of the drug is insufficient, but there are additives that improve the taste, smell, and dyes that can provoke an allergic response.
You can only be treated on your own for 3 days. If at the end of this period the negative symptoms persist, and the woman’s condition does not improve, she should consult a therapist. If the doctor finds it necessary to use antipyretic drugs for a long period, he may recommend a temporary cessation of hepatitis B.
Negative effects of ibuprofen
In the manufacturer's annotations for ibuprofen-based drugs, there is always a rather extensive list of probable negative effects of the substance. They arise quite rarely, but you need to know about them. If primary negative symptoms appear, a nursing woman should abandon the use of the drug and consult a doctor for the possibility of replacing a therapeutic agent. The likelihood of adverse effects increases if a woman has chronic pathologies, as well as when she violates the prescribed recommendations for the use of the drug.
Is it possible to take ibuprofen for hepatitis B in any particular case?
Against the background of its use, the following negative manifestations may develop:
- Depression, anxiety.
- Bleeding in the digestive tract.
- Peptic ulcer of the intestine, stomach.
- Flatulence, diarrhea.
- Vomiting, nausea.
- Abdominal pain.
- Arterial hypertension.
- Headache.
- Hypersensitivity, which is accompanied by redness of the dermis, itching, urticaria.
Overdose intoxication
In rare cases, with a significant excess of the prescribed dosage, intoxication with ibuprofen may occur, in which the patient has a headache, epigastric pain, tinnitus, drowsiness, vomiting, nausea. If these manifestations occur earlier than an hour after taking the medicine, you should rinse the stomach. In addition, the use of enterosorbing drugs and heavy drinking is indicated. In case of ibuprofen poisoning, seek qualified help as soon as possible.
Which is better - paracetamol or ibuprofen for HB?
Ibuprofen-based analogues
Despite the fact that ibuprofen is approved for use during lactation, it should be used only when absolutely necessary. To bring down the elevated temperature should only be when it exceeds the performance of 38.5 degrees.
Hyperthermia is a protective reaction of the body. On the one hand, with hyperthermia, a greater amount of interferon is produced, on the other hand, favorable conditions arise for the reproduction and activity of microbes. It is difficult to tolerate heat, so it is recommended to fight it.
We learn the opinion of ibuprofen during the Komarovsky GV. The doctor notes that the fever of the mother and her poor health are more strongly reflected in the composition of breast milk than the use of approved medicines.
Safer analogues of ibuprofen and heat control agents are:
- Rubbing with a solution of water and vinegar in a ratio of 1: 1.
- Drinking warm raspberry or linden tea with lemon and honey, but only in cases where the child does not suffer from allergies.
- Homeopathic remedies, which were selected by a specialist.
- Paracetamol.
Conclusion
Thus, ibuprofen-based drugs can be used for hepatitis B, however, independent therapy with this drug can last no more than 3 days, then you should consult a specialist. In addition, it is advisable to consult a doctor every time if necessary, the use of drugs, especially during lactation. This will significantly minimize the negative effect of medicines on the baby.
We reviewed how to take ibuprofen while breastfeeding.