- Why does my head hurt? Causes of
- General principles of treatment
- General principles of treatment
- Drugs licensed for lactation
- Prohibited medicines
- Headache of tension
- If blood pressure has increased
- Means at low pressure
- Migraine attack
Everyone on the globe knows about how the head is aching, not by hearsay. Periodically, each of us experiences similar pain to some extent, and more than 60% of patients are people of working age, including mothers who breast milk.
Pain can be tolerable or unbearable, throbbing, pressing, burning, blunt or bursting, with nausea and darkening in the eyes. It can last from a few minutes to 1-2 days. In rare cases, it can be tolerated, but often a person seeks to take some pain medication to get relief sooner. And this is a normal reaction. But what to do with a nursing mother, because not every medicine will suit her? In this article, we will consider which tablets for headache during breastfeeding are all
Why does my head hurt? Causes of
The reasons for the development of a headache in mom can be many. It happens that before the birth of a child the woman almost did not know about the existence of such a problem, but regular nightly awakenings, malfunctions in nutrition and constant anxiety for the baby adversely affect her health. Let's outline the main reasons why the head may be aching:
- tension pain - is most often encountered and is associated with lack of sleep, stress, etc.;
- vascular problems: hypertension or hypotension, vegetovascular dystonia;
- migraine attacks;
- osteochondrosis of the cervical spine;
- postpartum depression;
- response to weather conditions: exposure to cold wind or heat;
- long stay in a stuffy room;
- hormonal disorders;
- intoxication( alcohol, household chemicals, smoking, inhaling carbon monoxide);
- consequence of ARVI or ENT diseases( when the paranasal sinuses become inflamed);
- starvation( leads to a decrease in blood sugar and the expansion of cerebral vessels);
- reception of some products or a sharp rejection of them( coffee).
Kinds of a headache
This is not an exhaustive list, because it is isolated from 40 to 50 reasons, as a result of which a woman suffers from a headache. I am glad that in most cases the same drugs that are allowed during lactation can help.
General principles of treatment
First let's look at the principles that should be followed if you feel pain in the head:
- first try to get rid of pain without medication, if not help - we use safe drugs;
- medicines used in lactation should be checked by time and have good recommendations from breastfeeding specialists;
- always read the instructions carefully before taking the medication, especially the "contraindications" column, as well as "pregnancy and lactation";
- sometimes harm from abstinence of drug treatment is much more significant than from taking a pill;
- medications are taken immediately after feeding - so time is won to reduce the concentration of the substance in the blood and milk;
- the advisability of taking any tablet should be discussed with the doctor;
- be prepared, that 1-2 feeding will have to be skipped and disagreed. If the baby is fully fed by mother's milk, the home must have unopened package of the mixture "just in case";children older than six months, one feeding can be safely replaced by lure.
Drugs approved for lactation
If the headache is not of a permanent nature, the following can be used for a single use:
All these drugs, with the exception of No-shpa, belong to the NSAID group, and therefore have three actions: antipyretic, anti-inflammatory and analgesic. In paracetamol, the anti-inflammatory effect is poorly expressed, but as an analgesic for headache and toothache it fits perfectly.
In terms of safety and effectiveness, it comes first with breastfeeding. High bioavailability, a minimal set of side effects, a wide evidence base on not harming the baby( although the medicine penetrates into the breast milk) - all this makes paracetamol the No. 1 agent in the lactation period.
Therefore, in the home medicine cabinet should lie like paracetamol for the baby( in syrup or candles) and for the mother( capsules, tablets, suppositories with adult dosages.) A headache can take a pill of 325 mg, to reduce the temperature - 500-650 mg per1 time The maximum single dose should not exceed 1 g and the daily dose of 4 g
The most famous representatives: Efferalgan, Rapidol, Panadol, Cefekon, Tylenol, abroad it is known as Acetaminophen.
Among the secondaryEffects are possible pain in the stomach, nausea, anemic condition, toxic liver damage with ingestion of inadmissibly high doses
Another compatible breastfeeding medication All three main effects are equally well expressed, so you can drink it not only when your head hurts, But also with joint pains. The effect will be felt after 30 minutes( this is what the substance needs for maximum concentration in the blood), and within 3 hours ibuprofen will almost completely be eliminated from the body.
One of the modern representatives of ibuprofen
Therefore, after 3 hours of breastfeeding the baby does not pose any danger. Although a single application of the child can be fed at any time - in milk the concentration of the active ingredient does not exceed 1%, and the drug is approved for use by children from 3 months of age.
Representatives: Ibuprom, Ibumaks, Nurofen, MIG, Ibuprex, Imet. Take the drug for 200-400 mg with an interval of 6-8 hours. But this does not mean that the drug should be taken by the hour. If the pain has passed from one tablet( capsule), there is no sense in further reception.
A substance from the NSAID group, better known as Ketanov, Ketorol or Ketalgin. This drug is not a drug of choice of the first order, because the instruction does not recommend its use to pregnant women and mothers who have children on breastfeeding.
However, authoritative sources in the field of pediatrics, such as the electronic reference book E-LACTANCIA and the American Academy of Pediatrics, allow short-term intake of ketorolac 10 mg at intervals of at least 6 hours. If paracetamol and ibuprofen do not help with the headache, consult a doctor. He will decide whether it is advisable to use ketorolac.
As for its use as an analgesic for lactating women, there is no single answer. Some doctors recommend it for breastfeeding on the basis of their personal practice, while others are afraid to prescribe it because there is no clinical research for negative impact on the baby.
It is better to take Naproxen with a nursing mother, but when there is no other way out, one-time use of
is acceptable. The great advantage of naproxen( a synonym of Nalgezin) is its long-lasting effect - up to 10-12 hours. However, this means that the active substance circulates in the blood for a long time. The instruction does not recommend the intake of naproxen in pregnant and lactating women.
The only drug from this list with an antispasmodic effect. Actually, the appointment of No-shpa is somewhat different. It relieves spasm of smooth muscle and is effective for menstrual pains in the lower abdomen, spasms of the gastrointestinal tract, spastic attacks of cholelithiasis.
However, the instruction allows its use against headaches due to vasospasms. Therefore, her reception with headaches is justified only in cases when, after drinking a non-steroidal anti-inflammatory drug, there was no relief, or when a woman knows for sure that she has spastic headaches.
You can read more about No-shpe with GW here.
And what tablets should I forget while the baby is breastfed? In fact, it's easier to remember that small list of allowed, and if the proposed drug does not have the above-mentioned active substances, it is most likely to be taken during lactation it can not. But I would like to mention some of the most favorite products. So, the nursing mother can not take the following medicines.
Such a native and such a dangerous analgin known in the pharmaceutical world as Metamizol sodium is not compatible with breastfeeding and that's why. Numerous studies have shown that analgin inhibits the hematopoiesis system, which leads to the development of agranulocytosis. In practice, the patient who regularly takes analgin, reduces immunity, he is prone to frequent illnesses, kidneys suffer.
We are grateful to the analgin for saving us many times from pain, but it seems that today his use becomes irrelevant due to the revealed side effects, especially when we talk about women breastfeeding
More than 70 countries around the world have refusedmetamizole sodium because of its side effects, but Russia, Ukraine and Belarus still use it, even in children's candles. Despite the fact that in the milk of the mother gets a little more than 1% of the dose accepted by the mother, analgin has a potential danger for the child. Therefore, you can take it only if there is absolutely nothing in the house from analgesics, in the street it's night, and it's impossible to live up to the morning with a headache.
The daily dose should not exceed 1 g, it is 2 tablets. Another acceptable situation for taking analgin is a high body temperature of 40 degrees, which does not get off. First aid in such cases makes an injection of analgin and diphenhydramine and recommends that you skip one feeding( to melt).
Analgin is found in many combination preparations such as Baralgin, Tempalgin, Spasmalgon, Pyatirchatka, Baralgetas, Pentalgin, Sedalgin neo, etc.
Another extremely undesirable combination is the composition of Citramon. It includes:
- acetylsalicylic acid( aspirin);
The greatest danger lies in acetylsalicylic acid. For children under 15 years of age, it is contraindicated. Its use in viral infection can lead to toxic liver damage( Reye syndrome).In addition, acetylsalicylic acid belongs to a group of salicylates that corrode the gastric mucosa and with prolonged use of provoking ulcers.
Of course, nothing will happen from taking one pill, but it's better not to take chances. If you need to drink Citramon - either skip feeding, or find him a worthy alternative.
Headache of tension
It is familiar to many mothers, since with the advent of a child in a family of stressful and stressful moments becomes much more. To cope with such a pain you can try folk methods: anoint the whiskey with Vietnamese balm "Asterisk", do a head massage, attach to the sore spot a cabbage leaf;But if none of the above does help, you can take paracetamol or ibuprofen.
More information about non-medicinal ways of treating the head can be found here.
In fact, the pain syndrome of this kind serves as a signal to the fact that the body is exhausted and it's time to drastically take something. Reconsider your attitude to sharing with the child a dream. Not everyone likes this idea, but there are recommendations that make this dream safe for a baby, and Mom does not have to get up every time to crumbs.
Spend sufficient time in the open air
Analyze how you eat, whether you get enough micronutrients. And how much water do you drink? After all, its lack can also provoke a painful condition. Mom is equal, like a child, you need to get enough oxygen, so long walks in the fresh air and regular airing of the room are recommended.
If the arterial pressure of
has increased If the mother suffered from hypertension even before pregnancy, and after giving birth, high blood pressure figures do not allow him to live peacefully, it will be more correct to give up breastfeeding and start their own treatment. After all, to stabilize the pressure will have to drink a month or more, and all of them are contraindicated in breastfeeding. In any case, the transfer of the baby to artificial mixtures will not be such a significant loss in comparison with the possible development of a heart attack or stroke in the mother.
But with an episodic increase in pressure not associated with a pathological change in vascular tone, the doctor may recommend a single dose of dibazol, papazal, enalapril or in the case of rapid heartbeat bisoprolol. Lactation is advised to temporarily suspend.
Low pressure means
If a lot of drugs from different groups exist to reduce pressure, then hypotension from a medical point of view is much more difficult to treat. All adaptogens and biostimulators of the type of tincture of Ginseng, Eleutherococcus are on the prohibited list. They can be taken only if the doctor finds that the benefits of their actions exceed the risk.
In whatever direction the blood pressure changes, a doctor's consultation is needed about the treatment of
. Caffeine, penetrating into the milk, also affects the child negatively, making him nervous and restless. The safest recommendations for mothers who have children on breastfeeding are open air walks and special gymnastics to raise and strengthen the tone, as well as taking a contrast shower.
The good news: a woman suffering from migraine attacks, after the birth of the child feels much better, because the body is hormonal restructuring. But still the migraine sometimes makes itself felt. What to do?
Migraine is difficult to endure. Long pain( from 2-3 hours to 2 days), pronounced, affects one side of the head and is accompanied by severe pulsation and nausea. It is necessary to fight with such pain.
However, despite the many pharmaceuticals developed from this pathology, nursing mothers can only do one thing: sumatriptan. Today, this is the "gold standard" in the treatment of migraine. Although minor studies have shown that in breast milk after taking a small dose of a substance, it is recommended to express it within 12 hours after the tablet is drunk. Synonyms: Sumygamen, Imigran. With prolonged migraines, the question arises of stopping lactation and appropriate treatment.
So, to treat a headache you can and need, because the need for a healthy and calm mother is both in the infant and in the pope. There are many ways to get rid of pain, and it's better to know about them in advance, so as not to be caught unawares.