Vomiting during pregnancy, apart from bloating and fatigue , is one of the most common manifestations of it, with which the pregnant woman must deal. Vomiting is usually present during the first trimester of pregnancy , and once it is over, they usually disappear as they have arrived, that is, from one day to the next.
This does not mean that all pregnant women during their first trimester must necessarily have nausea and vomiting, there are many pregnant women who do not suffer from nausea during pregnancy. They are the lucky ones and the envied ones among pregnant women.
Vomiting and nausea occur due to the increase in hormones during the first trimester of pregnancy , this leads to an increase in olfactory sensitivity and taste, so that a smell or taste that was previously exquisite suddenly becomes something unpleasant for the pregnant woman . Nausea and vomiting are also produced by the increase in the size of the uterus, which compresses the digestive system.
WHAT IS METOCLOPRAMIDE. PRIMPERÁN AND WHAT IS IT USED FOR?
Metoclopramide or Primperán is a drug that has antiemetic action and gastrointestinal pro kinetics, it acts on the dopamine receptors located in the center of vomiting. With this, it accelerates the emptying of the stomach and the gastrointestinal transit. The primperan is the commercial name but its composition is metoclopramide. You can read an article about this drug, metoclopramide, in PregDream Salud , but here we will focus on its use in pregnancy.
In addition to informing about Primperám, my intention is to contribute my opinion as a healthcare provider regarding the use of this medicine during pregnancy . What to give and what not to give for nausea is a solely and exclusively medical matter.
The most widespread method to combat nausea and vomiting during pregnancy is the Cariban. It is a product that has been tested for many years and with several studies that reaffirm it as the best for health during pregnancy for you and your baby . It is the first choice method against nausea in primary care, it tends to work very well in almost everyone. The Primperán is usually given to women who the Cariban does not work for, let’s say it is being used as a second option.
WHY IS PRIMPERÁN THE SECOND OPTION AND NOT THE FIRST?
The Cariban brings behind many studies that show that it is safe during pregnancy and the Primperán only one, in which it is shown that there is no fetal risk or that of the woman, but as we say, only in a study in which it is indicated that More than 1000 women took it and suffered no adverse effects, neither they nor their fetuses.
Based on the evidence and until there are more studies to prove its suitability during pregnancy, many doctors are reluctant to administer the first choice Primperán, they will always leave it for when the Cariban does not work. In many forums and web pages questions are asked about whether Primperán can be taken during pregnancy, and there are several versions. Going into the internet you can find various forums on this topic in which you talk just by talking, without contrasting the information, people answering people about what a friend told them. Be careful, and I repeat the care regarding health, since it is yours and it is not a kitchen recipe that if it goes wrong, you throw it away and that’s it.
To give metoclopramide or Primperán or not? Anyone is valid, it has no risks , as we mentioned previously, a pregnant woman who comes to the office for vomiting and / or nausea is administered an intramuscular Primperán ampoule to stop them, since if Cariban is taken orally it will expel with vomiting, failing to have its antiemetic effect.
Once there are more studies on Primperán, the medical community will be betting more on this option , but until this happens, at least in health centers in Spain, the first choice method will continue to be the Cariban and Primperán It will continue to be a second option, without risks. Don’t worry if your doctor gives you Primperán first, your doctor has more confidence in him and he is not putting you or your baby at risk.
Once the baby is born, if you are breastfeeding, Primperán is not recommended, since it is excreted through breast milk, passing to the baby and causing possible adverse reactions. From PregDream we are always emphasizing not to self-medicate, go to your doctor, ask him and find out what is best for you and your family. Do not self-medicate, since there are drugs that interact with each other, producing unpleasant situations.