Toxicosis is a common occurrence in pregnant women on early dates bearing a baby. It is accompanied by severe nausea and prolonged vomiting. As a rule, unpleasant symptoms disappear by the middle of the term, but some women still have signs of gastrointestinal dysfunction. With such symptoms, doctors prescribe antiemetic drugs, among which there is Cerucal. Is it allowed to take Cerucal during pregnancy? Consider a list of indications and contraindications for its use.

Cerucal: a general description of the drug

The drug Cerucal is produced in two forms:

• solution for intramuscular and intravenous injections in 2 ml ampoules;
• tablets - round, whitish, flat.

The active ingredient in Cerucal is metoclopramide. This is an antiemetic substance, the principle of action of which is based on blocking dopamine and serotonin receptors.

The neurotransmitter dopamine reduces gastrointestinal motility, relaxes the esophageal sphincter, and promotes gastroesophageal and duodenogastric reflux. Dopamine has a stimulating effect on the chemoreceptors of the trigger zone and vomiting center in the brain, thereby provoking nausea and vomiting.

By blocking dopamine receptors, metoclopramide eliminates the possible effects of the neurotransmitter and has an antiemetic effect. Thus, the drug Cerucal improves intestinal motility, relieves nausea and removes vomiting, accelerates the movement of food from the stomach further into the intestine.

Cerucal is rapidly absorbed from the gastrointestinal tract and metabolized in the liver. Excreted from the body through the kidneys during the day.

Indications for use in pregnant women in the early and late periods

In what cases is Cerucal prescribed? Indications for use:

• nausea and vomiting;
• lack of muscle tone of the digestive organs;
• dysfunction of motility of the biliary tract;
• gastroesophageal reflux disease - the release of stomach contents into the esophagus;
• pyloric stenosis - narrowing of the opening between the stomach and duodenum;
• gastroparesis in diabetes mellitus;
• the need to strengthen the peristalsis of the gastrointestinal tract before radiopaque examination or duodenal sounding.

Can expectant mothers take Cerucal?

The drug has a teratogenic property, that is, it is able to penetrate into the child's body and cause developmental abnormalities. In the first trimester, when the placental barrier has not yet been formed, taking Cerucal is strictly prohibited. Starting from the second trimester, the medicine can be drunk, but only with a doctor's prescription.

Is the use of the drug for toxicosis? Nausea, vomiting, hiccups, heartburn are all common symptoms that often accompany early pregnancy. Judging by the instructions, Cerucal is just able to cope with these manifestations. However, toxicosis does not threaten the health of the mother and child, this is a completely normal phenomenon, which indicates hormonal changes in the body of a woman. You should not risk the fetus and drink a dangerous medicine to alleviate the symptoms of toxicosis.

If severe toxicosis accompanies a woman and later dates childbearing, the doctor may decide on the use of the drug. Taking pills or injections is done only after a thorough examination, the risk of using the medication should be lower than the threat to the health of the expectant mother and child.

Contraindications and side effects

What is a contraindication to the use of Cerucal, except for early pregnancy? The medication can not be used for the following ailments and conditions:

• pheochromocytoma - a benign hormone-dependent tumor of the chromaffin cells of the sympathoadrenal system of the adrenal glands;
• prolactinoma - a benign hormone-dependent tumor of the pituitary gland;
• intestinal obstruction;
• perforation of the digestive tract;
• bleeding of the digestive tract;
• epilepsy;
• neuroleptic extrapyramidal deviations.

The dose of Cerucal is reduced in violation of the functioning of the liver and kidneys. This is due to the excretion of metoclopramide through these organs. Also, with caution, you need to use the drug with high blood pressure and bronchial asthma.

What side effects can occur while taking Cerucal? Their list is impressive, however, if you use the medicine according to the doctor's instructions, the appearance side effects can be minimized.

The table shows a list of side effects of Cerucal:

What threatens an overdose of Cerucal? The pregnant woman will feel drowsiness, irritability, increased anxiety. Her consciousness will begin to get confused, the pressure will increase or vice versa. If these symptoms appear, you should immediately stop taking the medication.

Instructions for use of tablets and solution for injection

How should Cerucal be used? Instructions for use of tablets for adults indicate that you should drink 1 piece three times a day. The maximum daily dose is 60 g, which corresponds to 6 tablets.

The solution is injected intramuscularly or intravenously, 1 ampoule, which is equal to 10 mg of metoclopramide, three times a day. How long the therapy will last, the doctor prescribes, looking at the individual course of the disease.

If a pregnant woman is in the hospital, then instead of injections, she is often given a dropper with Cerucal. The drug, administered through a dropper, begins to act much faster - within 2-3 minutes. Such measures are taken if it is urgently necessary to stop an attack of vomiting. The injection begins to act only after 15 minutes, and it will take even longer to wait for the pill to work.

If you need Cerucal therapy, you need to tell the doctor if the pregnant woman is taking any additional medications, because this drug is not compatible with all medications:

• enhances the absorption of acetylsalicylic acid, paracetamol, ethanol, diazepam, zopiclone, mexiletine, mefloquine, morphine, cyclosporine;
• reduces the absorption of nitrofurantoin, cabergoline, ketaprofen;
• combination with neuroleptics of the phenothiazine series (Aminazine, Propazine, Levomepromazine) increases the risk of extrapyramidal reactions;
• use in conjunction with anticholinergic drugs (Cyclodol, Diphenhydramine) reduces the effectiveness of both drugs.

Analogues and prices

How much does Cerucal cost? The cost of the medication depends on the pricing policy of a particular pharmacy. On average, tablets cost 120 rubles for 50 pieces. The price of ampoules is 230 rubles for 10 pieces.

What to do if for some reason it is not possible to buy this drug substance in a pharmacy or its intake is prohibited? In such cases, it is necessary to use analogues.

The table shows a list of analogues of Cerucal:

Cerucal is a prescription drug, it is allowed to take it only after consulting a doctor. It is forbidden to prescribe it to yourself on your own, because self-medication can cause irreparable harm to the unborn child.

Toxicosis becomes a frequent companion of pregnancy. To cope with its symptoms, such as nausea, vomiting, increased salivation, sometimes it becomes impossible without the use of drugs. One such remedy is the antiemetic drug Cerucal.

The action of the drug

Early toxicosis is often associated with hormonal changes in a woman's body. Progesterone (pregnancy hormone) has a relaxing effect on the muscular organs, which allows the uterus not to contract in response to the development of a “foreign” body in it. But at the same time, a similar process occurs in the stomach. As a result, this organ of the digestive system becomes “lazy”: food lingers in it and passes more slowly into the lower sections of the gastrointestinal tract.

The active ingredient of Cerucal - metoclopramide hydrochloride monohydrate - affects the receptors of the digestive system. This substance blocks irritation of the mucous membrane and prevents stomach cramps, strengthening its muscle tone. Due to this action, the drug has the following properties:

• relieves hiccups and heartburn;
• accelerates the emptying of the stomach and the movement of food through the small intestine;
• tones the cardiac sphincter located at the entry point of the esophagus into the stomach.

Is it possible: features of the appointment of Cerucal in the early stages of pregnancy

If pregnancy is accompanied by disorders in the digestive tract (nausea, gastric hiccups, regurgitation, stomach cramps), the doctor, starting from the second trimester, may prescribe Cerucal. According to the instructions, data on the ability of the drug to affect the fetus have not been identified. Nevertheless, the medicine should be taken only if there are no contraindications and under the strict supervision of a doctor.

Cerucal has the ability to increase the level of the hormone prolactin, which can provoke uterine tone and lead to miscarriage. Therefore, in the first three months of pregnancy, it is used in exceptional cases, when it is not possible at some point to help the expectant mother in other ways. The indomitable vomiting that accompanies severe toxicosis can cause no less harm to a woman and a baby than taking Cerucal, because in this condition the body suffers from dehydration.

Doctors' opinion

The opinions of doctors about the effectiveness of Cerucal for getting rid of the symptoms of toxicosis differ. Some experts talk about the possibility of its use despite the restrictions for expectant mothers.

The deadline for toxicosis is up to 16 weeks. Toxicosis decreases with the formation of the placenta. Cerucal with such vomiting is indicated and used during pregnancy.

Didorenko I.Yu., Medical Advisor for Obstetrics and Gynecology of the Interdisciplinary Forum of Obstetricians-Gynecologists, Pediatricians, Dermatovenereologists, Endocrinologists and Specialists in Functional and Ultrasound Diagnostics

https://health.mail.ru/consultation/1556719/

Others consider the drug useless.

So Cerucal does not really help. I don't understand why they drop it.

http://www.likar.info/consult/70787/

Injections and pills - what when prescribed

Cerucal is available in two dosage forms. In uncomplicated cases of toxicosis, tablets are prescribed. The substance begins to act 30-40 minutes after ingestion, and the effect persists for 12 hours.

In cases where emergency care is needed, the drug is administered as an injection:

• intravenously (relief occurs within a few minutes);
• intramuscularly (the effect is noticeable after 15 minutes).

Contraindications to taking the drug

Contraindications to the appointment of Cerucal are:

• glaucoma and increased intraocular pressure;
• the presence of neoplasms;
• stomach bleeding;
• obstruction of the stomach;
• epilepsy;
• the threat of termination of pregnancy;
• individual intolerance.

According to the classification of the US Drug Control Administration (FDA), Cerucal belongs to group "B". This means that laboratory experiments on animals have not recorded a teratogenic (negative) effect of the drug on the fetus, but similar studies have not been conducted on pregnant women.

According to the information described in the instructions, when taking Cerucal, side effects such as:

• increased fatigue;
• weakness;
• dizziness;
• change in heart rate;
• dryness of the mucous membranes of the mouth;
• violation of the chair;
• allergy.

If discomfort occurs, the drug should be discontinued.

Cerucal affects the functioning of the adrenal glands and retains fluid in the body. If a pregnant woman suffers from preeclampsia, the use of the drug can aggravate her condition.

Instructions for use Cerucal during pregnancy

The recommended dose of the drug and the regimen are compiled by the doctor individually. The medicine can be prescribed in a course of 1 month to six months. Tablets are taken half an hour before meals and washed down with a sufficient amount of water.

Analogues and drugs with a similar effect

The analogue of Cerucal for the active substance is Metoclopramide, however, according to the medical instructions, taking this drug is contraindicated during pregnancy. If the appointment of Cerucal is not possible due to the presence of contraindications or a negative individual reaction, the doctor can replace it with agents that have a similar pharmacological effect.

Table: drugs prescribed for digestive disorders during pregnancy

In the early stages of pregnancy, women experience not only the joy of the upcoming motherhood, but also manifestations of toxicosis - nausea, vomiting, general weakness. The severity of such symptoms varies from mild, when water with lemon and mint helps, to severe, which requires health care up to hospitalization. Cerucal during pregnancy is prescribed only in extreme cases, when toxicosis threatens the safety of the fetus and the life of the mother.

The main provocateurs of nausea and vomiting attacks are changes hormonal background and the effect of fetal secretions. By the end of the first trimester, the placenta matures, and toxicosis goes away by itself. That is why the question of whether Cerucal is possible during pregnancy is most relevant until the 12th week.

Cerucal is a drug that has an antiemetic effect. Its effectiveness is due to the presence of metoclopramide hydrochloride monohydrate in the composition. After entering the body, it blocks the functions of dopamine receptors and reduces the susceptibility of the nerve endings of the mucous membrane of the stomach and duodenum.

Information about the intake of food is not transmitted to the centers of the brain, and therefore there is no feedback - a command to reduce the muscle walls of organs. As a result of this mechanism of action, nausea, vomiting are prevented, and hiccups are also eliminated.

Cerucal is produced in the form of tablets and solution for intramuscular and intravenous injections. The choice of method of application is selected by the doctor individually and depends on the characteristics of the woman's body. The cost of one pack of tablets (10 mg, 50 pcs.) is about 150 rubles, ampoules (10 mg, 10 pcs.) - about 250 rubles.

Indications and contraindications

Cerucal during pregnancy is used to eliminate the manifestations of toxicosis. It is also indicated if the patient has bouts of vomiting and nausea of ​​various origins, reduced tone (or its complete absence) of the muscles of the stomach and intestines.

The drug helps to cope with the manifestations of reflux esophagitis, gastric paresis due to diabetes, functional stenosis and narrowing of the pylorus, as well as disorders of the motility of the gallbladder and its ducts (dyskinesia).

In the form of tablets, Cerucal is prescribed if nausea and vomiting are caused by motion sickness in transport or medication. The drug enhances the peristalsis of the digestive organs and is therefore used before some diagnostic procedures.

Cerucal has a number of contraindications. Its use is prohibited for the treatment of patients with pheochromocytoma, intestinal obstruction, bleeding or perforation in the gastrointestinal tract, prolactin-dependent tumor, epileptic seizures and extrapyramidal motor disorders.

The drug should not be administered to pregnant women in the first 12 weeks, nursing mothers, children under 2 years of age, as well as people with hypersensitivity to metoclopramide and sodium sulfite (injection form).

For some comorbidities internal organs reception of Cerucal is possible only with medical supervision. With caution, it is used in pediatric practice (up to 14 years).

Can Cerucal be used during pregnancy?

In special cases, Cerucal can be prescribed during pregnancy, the instructions for use prohibit its use only in the first trimester.

The drug has a teratogenic effect, that is, it can cause malformations in the fetus. Its appointment is justified only in cases where the intended benefit outweighs the risk of side effects.

Only a doctor can correctly assess the condition of the expectant mother and the need to take Cerucal. During the course of treatment, it is necessary to periodically inform him about his state of health, at the first signs of a deterioration in the condition, the drug will need to be discontinued.

Unfortunately, sometimes, having learned about the effectiveness of Cerucal, pregnant women begin taking it on their own. This leads to serious complications, including increased symptoms of toxicosis.

Instructions for the drug during pregnancy

During pregnancy, the dosage of Cerucal and the methods of application are determined by the obstetrician-gynecologist. As a rule, it does not differ from that recommended for the treatment of other groups of patients.

When the symptoms of toxicosis are pronounced, but vomiting occurs periodically, and not constantly, Cerucal is used in the form of tablets. The active substance begins to act within half an hour. The duration of treatment can be from 4 to 6 weeks. It is prescribed 1 tablet 3-4 times a day.

Take the medicine half an hour before meals with water. Milk, tea or other drinks can reduce the healing effect . If, together with Cerucal, he is appointed Activated carbon, then their reception should be divided in time, a break of at least an hour is necessary (first Cerucal, an hour later - activated charcoal or vice versa).

When toxicosis is acute and it is required to immediately stop vomiting, then Cerucal is used as an injection. The therapeutic effect is manifested after 3 minutes with intravenous administration, after 15 minutes with intramuscular injection. A single dose should not exceed 2 ml of solution, up to 25 ml can be administered per day.

Risks and consequences of taking during pregnancy

Cerucal during pregnancy is always prescribed with extreme caution, the consequences of taking this drug can be displayed both on the mother's condition and on the development of the fetus. In the early stages, this drug is prohibited, since the risk of complications is high, in the second and third trimesters it becomes relatively safe.

One of the actions of Cerucal is to increase the peristalsis of the organs of the gastrointestinal tract. In early pregnancy, this effect can lead to miscarriage due to the spread of hypertonicity to the muscular walls of the uterus.

Such a threat exists throughout the entire period of bearing a child, therefore, even in subsequent trimesters, Cerucal is prescribed only as a last resort.

Under the influence of Cerucal, the pituitary gland begins to intensively produce prolactin, a hormone that promotes the production of breast milk and the contraction of the walls of the uterus. But if early toxicosis is severe, nausea and vomiting quickly worsen the general condition of the pregnant woman, dehydration develops.

All this in itself can cause an increased tone of the muscles of the uterus. Often, due to toxicosis, a woman cannot drink and eat, a lack of nutrients and fluids has a detrimental effect on the condition of the fetus. In such cases, the reception of Cerucal is justified.

In the second and third trimesters, the use of Cerucal is safer, since the threat of abortion is noticeably reduced.

In the first months of pregnancy, women experience not only the happiness of future motherhood, but also manifestations of toxicosis - vomiting, severe nausea, general weakness, dehydration. The strength of the manifestation of such symptoms is varied: from mild, when tea with lemon, mint, lemon balm helps, to severe, which requires hospitalization and medical care. "Cerukal" during pregnancy is prescribed only in the most extreme cases, when the toxic state threatens the life and health of the mother and baby.

Causes of toxicosis

The main causes of attacks of vomiting and nausea are changes in the hormonal background and the effect of fetal metabolic products on the mother's body. By the beginning of the second trimester, the placenta practically matures, and toxicosis gradually begins to pass on its own. That is why the question of whether Cerucal can be used during pregnancy is relevant up to 13 weeks.

So, how effective is the drug for toxicosis, how does it affect the fetus, can it be taken at all during the period of bearing a baby?

General characteristics of "Tserukala"

Cerucal is an antiemetic drug. After entering the body, it affects the receptors of the stomach, which send certain signals to the brain (to the vomiting center). These signals are blocked, so there is no urge. As a result of this mechanism, hiccups are also prevented.

Ingested food naturally moves into the intestines. The drug accelerates its further advancement, in which case its work is also normalized.

"Cerucal" is produced in the form of tablets and solutions for injection.

Indications for taking the drug

The drug can be taken only as prescribed by a doctor. Main indications for admission:

• Profuse and frequent vomiting.
• Nausea.
• Hiccup.
• Inflammation of the esophagus.
• Cramps in the stomach.
• Low activity of the digestive organs.

These are the most common reasons for which Cerucal is prescribed during pregnancy. But even in the presence of these symptoms, the doctor prescribes this drug very carefully. He compares the risks and the need, especially for the appointment of "Cerukal" during pregnancy in the early stages. Each individual case is individual.

There is another symptom of toxicosis, because of which Cerucal is prescribed - profuse salivation. If the symptom is not prevented, this can lead to dehydration and hospitalization, where the woman will be injected with Cerucal.

Can I use the drug during pregnancy?

Only an experienced doctor can correctly and adequately assess the condition of a pregnant woman and the need to take the drug. If you believe their reviews about "Cerukal" during pregnancy in the early stages, then it stops vomiting, improves the woman's well-being. During treatment, the doctor periodically checks the state of health and well-being of the pregnant woman, at the first sign of deterioration, he cancels the drug.

It should be noted that taking Cerucal during early pregnancy (first trimester) is prohibited. But it is during this period that toxicosis in women develops strongly and the doctor adequately and proportionately assesses the risk from toxicosis and the risk from taking the drug. When absolutely necessary, he prescribes a drug.

Unfortunately, there are times when women, having learned about the effectiveness of Cerucal, begin to take the drug on their own. This leads to serious complications, and sometimes to increased toxicosis.

The drug in the early stages

So, "Cerukal" during pregnancy in the early stages is prescribed, if only refusing it can harm the child more than taking it. But with all this, the medicine is not recommended during this period, as it can cause the tone of the uterus and intestines, and provoke a miscarriage.

The drug also activates the formation of prolactin, which provokes the production of milk and uterine contractions.

You can take Cerucal during pregnancy, but a specialist should prescribe it, weighing all the risks and possible consequences from his acceptance.

Contraindications

Despite all the benefits of Cerucal, it has many contraindications. It is prohibited to use it in the following cases:

• Individual intolerance to the active components of the drug.
• Bleeding of the gastrointestinal tract.
• epilepsy.
• Bronchial asthma.
• First trimester of pregnancy.
• Tumors.

If at least one of the above indications is typical for a pregnant woman, it is better for her not to take risks and refuse to take Cerucal during pregnancy. In addition, the drug can cause allergies in the form of skin rashes, provoke uterine tone and lead to spontaneous abortion.

If the drug is not taken as prescribed by a doctor, it can lead to the following side effects:

• An increase in the number of heartbeats.
• Irritability, anxiety.
• Headaches, noises in the head, dizziness.
• Increased sleepiness.
• depression.
• A strong and sharp decrease or increase in blood pressure.
• Seizures.
• Intestinal disorder.

Risks

“Cerukal during pregnancy is always prescribed with caution, since the consequences of taking this drug can affect both the health of the mother herself and the development and well-being of the fetus. In the early stages, it is prohibited, because the risk of complications and defects in the child is very high, after the 12th week of pregnancy it becomes relatively safe.

"Cerukal" enhances the peristalsis of the organs of the gastrointestinal tract, and at the beginning of the term, this effect of the drug can lead to miscarriage due to uterine hypertonicity. But such a threat exists throughout pregnancy, so even after 12 weeks it is prescribed only in cases of emergency.

In addition, it should be noted that in the second and third trimester, a frequent side effect of the drug is an increase in the secretion of the adrenal hormone, due to which water and salt are retained in the body. As a result, the risk of developing gestosis increases several times - late toxicosis of pregnant women, which can lead to serious and dangerous consequences.

Taking into account all possible side effects and risks, the drug is prescribed only for severe manifestations of toxicosis. Reviews about Cerucal during pregnancy are mostly positive, women note that it eliminates nausea and vomiting, but some pregnant women note the development of complications such as swelling, dizziness, bleeding, headaches, diarrhea.

Instruction

"Cerukal" during pregnancy is prescribed only by an obstetrician-gynecologist, he selects dosages and methods of application.

If the symptoms of toxicosis are pronounced, but vomiting is periodic, then the drug is used in the form of tablets. The active components of the drug begin to act after half an hour. Appointed to receive 1 tablet 3 times a day, the course is 4 weeks.

The medicine is taken 30 minutes before meals, washed down with plenty of water. Tea, milk, or other drinks may reduce medicinal properties drug. If activated charcoal is prescribed along with an antiemetic, then their intake should be divided in time, with a break between them of at least an hour.

If toxicosis has an acute form and it is necessary to immediately stop vomiting, then Cerucal is taken as injections, the effect of which begins after 3 minutes with intravenous administration and after 15 minutes with intramuscular injection.

Overdose

If the recommendations of the attending physician regarding the doses of the drug are not followed, an overdose may occur. It manifests itself in the form of insomnia or vice versa excessive drowsiness. May rise or fall sharply arterial pressure, there may be a feeling of fear, obsessions, excessive irritability.

In some relatively rare cases, in order to bring the patient out of this state, she is administered diazepam (sedative, anti-anxiety, sedative).

With a mild form of overdose, all symptoms disappear a day after stopping the intake. All this time it is better for a woman to be under the supervision of a doctor.

injections

Cerucal injections during pregnancy are prescribed by a doctor, and the entire course of treatment is carried out under his supervision. The drug is administered either intravenously or intramuscularly. The dose is selected according to the results of the examination and depends on the symptoms and the severity of the woman's condition.

Tablets

When prescribing tablets, the doctor takes into account the expected effect of the drug and the possible consequences. Comparing these indicators, he decides on the dosage and course of treatment. Tablets are taken in the dose strictly recommended by the doctor, without skipping the dose and not exceeding the dose. If a woman takes other drugs on an ongoing basis, this should be reported to the doctor so that he can check their compatibility.

Which are direct signs of toxicosis. In some pregnant women, such symptoms are present only in the first trimester, in others - throughout the entire pregnancy. Therefore, the question arises of what means can be treated to get rid of discomfort.

Cerucal is an antiemetic that acts on nerve endings. They connect the vomiting center of the brain and the organs of the gastrointestinal tract. The drug increases the rate of passage of food from the stomach to the intestines.

Is it possible to drink Cerucal during pregnancy, including in the early stages?

The drug belongs to serious means, therefore it is indicated for admission after consulting a doctor from the 13th week. This is due to the fact that in the process of exposure to active components, muscle tone is strengthened, which can lead to uterine tone.

In the early stages, it can cause spontaneous miscarriage. The threat may persist even at later dates, therefore it is used only according to indications.

Sometimes doctors prescribe Cerucal in the first trimester, but taking it is only advisable if the benefits are greater than the risks to the child. This happens if vomiting occurs so often that in itself leads to the tone of the walls of the uterus.

There is one more feature: in the first trimester of pregnancy, the placenta is only being formed. Therefore, it is very difficult to protect the fetus from the negative effects of the drug. Cerucal to a small extent, but has a teratogenic effect on the fetus.

What are they prescribed for?

Cerucal is indicated in cases where future mother worries:

• frequent vomiting;
• increased salivation;

Relevant drug and hiccups of various origins. This does not apply to cases where the cause of the condition is a violation of the vestibular apparatus.

Application methods

Cerucal is available in the form of tablets or solutions for intramuscular and intravenous administration.

The tablet form is prescribed in situations where there is no serious threat to the condition and health of the pregnant woman. Such a remedy does not begin to act immediately, so the effect can be seen in about 30-40 minutes.

The dosage and duration of treatment is determined individually, but you can not take more than 4 pieces per day.

Injections are given if urgent help is needed. If you experience negative sensations after the injection, you should immediately inform the doctor about it. The dosage depends on the complexity of the symptoms and the clinical picture.

With toxicosis

Toxicosis can be early and late. Cerucal is more often prescribed in the second case. When taking tablets, they should be washed down with non-carbonated clean water. Other liquids may reduce the therapeutic effect. The course of admission does not exceed four weeks.

Please note: the drug can activate the formation of prolactin, which is responsible for the production of milk and uterine contractions. The average dose is up to 10-15 mg. If you need to achieve a therapeutic effect of 10 mg, then you can take it once a day. With an increased dosage, it is divided into several doses.

dropper

It is prescribed in the event that toxicosis occurs in severe form.

A dropper is made only in a hospital. This is due to the fact that incorrect administration and dissolution can lead to the manifestation of negative reactions. With intravenous administration, the effect becomes noticeable after 2-3 minutes.

The procedure is carried out by slow dripping. One ampoule of the product is diluted in 50 ml. infusion fluid. The opened ampoule should not be stored until the next administration of the drug.

If the condition does not improve after the first dose, the doctor may prescribe a second dose. The dropper, as well as intramuscular injection, are emergency methods.

When breastfeeding

At breastfeeding Cerucal should be replaced with drugs that do not penetrate into breast milk. If treatment cannot be avoided, it is better to stop breastfeeding the baby. Some young mothers drink this medicine to increase lactation.

The instructions also say that the spontaneous outflow of milk is a side effect noted with prolonged use. In this case, unforeseen complications may arise both from the work of the body of the mother and the child.