But nevertheless we will return to Azitromitsin. His really pregnant women are appointed most often. What is the reason for such "popularity"? Like any other antibacterial drug, Azithromycin has many advantages, but at the same time, drawbacks.
Azithromycin in pregnancy: indications
Azithromycin is a broad-spectrum antibiotic of the macrolide group, a representative of the Azaleid subgroup. It is active against many Gram-positive and Gram-negative bacteria, it has a disastrous effect on streptococci, anaerobes, chlamydia, mycoplasmas, mycobacteria, ureaplasmas, spirochetes, as well as toxoplasm. Proceeding from this and it is possible to determine, with what sores can appoint doctors Azithromycin. The list of such diseases is considerable: bronchitis, pneumonia, skin and soft tissue infections, and sinusitis with pharyngitis and tonsillitis, and urethritis with cervicitis, and diseases of the stomach and duodenum, however, only if these diseases are caused by susceptible to Azithromycin microorganisms.
The course of treatment and dosage is determined by the attending physician, taking into account the patient's condition, severity and course of the disease, as well as the individual characteristics of the patient. In case the drug should be prescribed to a pregnant woman, then take into account the duration of pregnancy. Azithromycin is good in that it is taken only once a day for 2-5 days.
Azithromycin in pregnancy: contraindications
The instructions to Azithromycin indicate that during pregnancy this medication is prescribed only if "the expected effect of therapy exceeds the potential risk to the fetus." It is clear that the "expected effect" and "potential risk" are difficult to determine in advance, especially if it is a pregnant body (its reaction can be very unpredictable).
The whole point is that "full-fledged experiments" on pregnant women are not naturally carried out, and it is impossible to assess the effect of this or that drug on the fetus and the mother herself. However, there is still a certain classification of risk categories for the fetus when using drugs during pregnancy. So Azithromycin is classified as "B": experiments were conducted on pregnant animals and the adverse effect of the drug on their offspring was not revealed.
However, to date, nonspecific pharmacokinetic studies of Azithromycin in pregnant women have been carried out and according to their results, this drug is very little available to the fetus through the placental barrier. This allows us to conclude that this antibiotic successfully cures the infection of the mother (without damaging the fetus), however, intrauterine infections of the fetus with Azithromycin will not be cured.
It is not advisable to take Azithromycin in the first trimester of pregnancy (during this period, you should generally stop the drug treatment), and also they can not be treated for violations of liver function.
Azithromycin is taken one hour before, or two hours after eating, following the prescription of the doctor. In no case do not exceed the indicated doses, do not use an expired medication, and do not self-medicate. Otherwise, you risk "earning" nausea, vomiting, diarrhea, abdominal pain, angioedema, erythema multiforme, Stevens-Jones syndrome, headache, drowsiness and weakness, leukopenia, neutropenia, chest pain, vaginitis, candidiasis, nephritis, hyperkalemia and other conditions. If at least one of the above concerns you in the treatment of Azithromycin - you should immediately stop taking the medication and see a doctor.
We wish you good health, and let no medication be needed for you in such a responsible and "interesting" period of your life!