Today, not every pregnancydispenses with the prescription of antibiotics. There are many reasons for this - both acute inflammatory processes in a woman, and exacerbation of chronic diseases, as well as treatment of urogenital infections, which can pose a threat to the normal course of pregnancy and for the child. Of course, there are antibacterial agents that, because of toxicity during pregnancy, are categorically contraindicated. Doctors usually choose drugs that have minimal toxicity and, in most cases, are safe for the pregnant woman and for the fetus. Recently, gynecologists often prescribe vilprafen during pregnancy.
The drug belongs to a number of macrolides and hasbacteriostatic action. The active substance of vilprafen is josamycin. At sufficiently high concentrations of the substance in the focus of inflammation, the drug can also have a bactericidal effect. To vilprafen sensitive peptococci, peptostreptococci, gonococci, some strains of streptococci and staphylococci, chlamydia, mycoplasma and ureaplasma. The drug is prescribed for mycoplasmal, ureaplasma, chlamydia, and mixed infections, with syphilis, gonorrhea, prostatitis and urethritis, with infections of soft tissues and skin, such as boils, erysipelas. The drug is also indicated for infections of the ENT organs, oral cavity, respiratory tract. This antibiotic is also used to treat diphtheria and scarlet fever. However, before prescribing treatment, it is necessary to determine the sensitivity of microorganisms to antibiotics.
In what cases is the drug prescribed for pregnant women?
Typically, vilprafen during pregnancydoctors appoint if a woman has a ureaplasma, chlamydia, mycoplasmal infection, or an inflammatory process in the urogenital organs caused by several pathogens. Use vilprafen during pregnancy can be already in the first trimester, or rather, with the tenth week. Nevertheless, for the treatment of mycoplasmal infections, the drug is recommended to be prescribed only from the second trimester. How is vilprafen taken during pregnancy? The dosage is usually 0.5 g or 500 mg. three times a day. Tablets are recommended not to be mixed with food intake and washed down with enough water. The course of treatment is for chlamydial infection two weeks. In infections caused by ureaplasma and mycoplasma, about 10 days.
How safe is the drug during pregnancy?
In Russia, vilprafen during pregnancy is not prohibited. Nevertheless, when using it, it is always necessary to relate the degree of possible risk to the fetus and the health of the mother with the expected benefit. Contraindications for prescribing pregnant women include: hypersensitivity to macrolides, severe impairment of kidney function. If you have side effects of the antibiotic, you should stop taking it. Side effects of vilprafen may be lack of appetite, impaired liver function, cholestatic hepatitis, pseudomembranous colitis, diarrhea, abdominal pain, heartburn, vomiting and nausea. There may be general malaise, manifestations of intestinal dysbiosis, a decrease in hearing, candidiasis, an allergic rash in the form of urticaria.
Appointing wilprafen during pregnancy, likeany other antibiotic, should be taken with extreme caution. Some experts are of the opinion that it is better to use alternative antibacterial agents to treat pregnant women. In particular, in the treatment of chlamydial infection, azithromycin is also used. In any case, the course of treatment with vilprafen during pregnancy can be carried out only under the supervision of a doctor.
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