Why Is Indomethacin Used In Pregnancy?

by | Last updated on January 24, 2024

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Indomethacin is often prescribed to pregnant women presenting with preterm labor or shortened cervix, which places them at risk for preterm labor and delivery. Indomethacin has been used since the 1970s to prolong pregnancy by decreasing uterine contractions .

Can Indocin cause miscarriage?

In general, NSAID use in pregnancy does not increase the risk of miscarriage , research confirms. Indomethacin, however, is an outlier. Find out why. Non-steroidal anti-inflammatory drugs do not increase the risk of miscarriage, according to a recently published study.

Is indomethacin safe to take during pregnancy?

Women who are more than 32 weeks pregnant should avoid taking indomethacin , given the potential for heart problems in the baby. Women with a history of ulcers, bleeding disorders, or kidney or liver disease should also avoid taking indomethacin.

Is indomethacin contraindicated in pregnancy and epilepsy?

If indomethacin is taken during the third trimester of pregnancy, it can cause cardiovascular problems , bleeding problems, renal failure, and a risk of necrotizing enterocolitis in the fetus.

What does indomethacin do for preterm labor?

Indomethacin has been used for more than 25 years to stop preterm labor . It slows uterine contractions, delaying delivery. But it can cause serious side effects, including the constriction of a major blood vessel — the ductus arteriosus — in the fetus.

Does indomethacin cross the placenta?

Indomethacin crosses the human placenta easily throughout gestation ; only small amounts of the unchanged drug are found in the amniotic fluid.

What is indomethacin side effects?

  • headache.
  • dizziness.
  • vomiting.
  • diarrhea.
  • constipation.
  • ringing in the ears.

What happens if you accidentally take Advil while pregnant?

If you happened to take a dose of Advil because you had a headache last week and you’re 33 weeks pregnant , your baby will be fine.” Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such.

Can ibuprofen cause miscarriage at 7 weeks?

MONDAY, Feb. 3, 2014 (HealthDay News) — Pain relievers from the class of medications known as nonsteroidal anti-inflammatory drugs (NSAIDs) won’t increase a pregnant woman’s risk of miscarriage, according to a new study.

How long does Indocin last?

The mean half- life of indomethacin is estimated to be about 4.5 hours . With a typical therapeutic regimen of 25 or 50 mg t.i.d., the steady-state plasma concentrations of indomethacin are an average 1.4 times those following the first dose.

Which epilepsy drugs are safest in pregnancy?

A review of the risks of major congenital malformations and of adverse neurodevelopmental outcomes for antiepileptic drugs by the Commission on Human Medicines has confirmed that lamotrigine (Lamictal) and levetiracetam (Keppra) are the safer of the medicines reviewed during pregnancy.

Which antiepileptic drug should be avoided in pregnancy?

Valproate . The AAN practice parameters concluded that valproate monotherapy possessed increased risk of MCMs compared to phenobarbitol, carbamazepine, phenytoin and lamotrigine [Harden et al. 2009b]. The AAN recommended avoidance of valproate in the first trimester of pregnancy due to this risk [Harden et al.

Who should not take indomethacin?

high blood pressure . a heart attack . chronic heart failure . abnormal bleeding in the brain resulting in damage to brain tissue, called a hemorrhagic stroke.

Why is indomethacin given?

Indomethacin is used to relieve pain, swelling, and joint stiffness caused by arthritis, gout, bursitis, and tendonitis . It is also used to relieve pain from various other conditions. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID).

What should be avoided during the diagnosis of preterm Labour?

General contraindications Acute fetal distress (except intrauterine resuscitation) Maternal cardiac rhythm disturbance or other cardiac disease Poorly controlled diabetes, thyrotoxicosis or hypertension Magnesium sulfate

When should you not use Tocolytics?

Tocolytic medications for preterm labor aren’t used before 24 weeks of pregnancy . In certain situations, your doctor may use it when you are at 23 weeks of pregnancy. Many doctors stop giving tocolytics after a woman has reached her 34th week of pregnancy, but some doctors begin tocolytics as late as 36 weeks.

Maria LaPaige
Author
Maria LaPaige
Maria is a parenting expert and mother of three. She has written several books on parenting and child development, and has been featured in various parenting magazines. Maria's practical approach to family life has helped many parents navigate the ups and downs of raising children.