Is it possible to lugol pregnant. Is it possible to use Lugol during pregnancy, what are the indications and contraindications, how to properly smear the throat? So is it possible to use the usual Lugol solution during pregnancy

Some medications are so popular and effective that the question of their safety is not even raised. However, pregnant women are accustomed to be careful when using any drug. This also applies to the well-known antiseptic Lugol, which has been quite successfully used in the treatment of sore throat for decades. The opinions of doctors to this day are ambiguous: some are categorically against its appointment during pregnancy, others consider Lugol safe for the expectant mother and fetus.

Composition and action of Lugol with glycerin

Lugol is a drug that is intended for the treatment of inflammatory processes of an infectious nature in the throat and nasopharynx. Medicinal properties are provided by the active component - dissolved iodine, which has an antiseptic and bactericidal effect. It's medicinal the agent acts locally, disinfecting the mucous membranes, as well as stimulating the production of sputum and provoking its coughing.

Auxiliary components that enhance the therapeutic effect are:

• glycerin, softening the effects of iodine;
• potassium iodide, which improves the dissolution of the main active ingredient;
• purified water.

The active ingredient in Lugol's solution is iodine.

The drug destroys bacteria and fungi that cause inflammation of the mucous membranes of the respiratory tract, as well as the skin. The advantage of Lugol is that, unlike antibiotics, it is not addictive.

Do Lugol treat infections during pregnancy

The instructions for the medication specifically note that Lugol is contraindicated in pregnant women. It is believed that iodine, absorbed into the blood, can adversely affect the functioning of the thyroid gland. A failure in the functioning of this organ threatens with a miscarriage, death of the fetus, or the occurrence of physical abnormalities in the child.

Despite this, some doctors consider this antiseptic to be absolutely safe for expectant mothers, citing several arguments:

1. Lugol is used topically in the treatment of the pharynx, tonsils or pharynx, and iodine is poorly absorbed from the mucous membranes.
2. The concentration of iodine in the drug is quite low (no more than 1%).
3. Studies show that most of our fellow citizens are deficient in iodine, so an overdose is unlikely.
4. It is the lack of iodine that causes much more harm to the normal functioning of the thyroid gland of the mother and fetus, and not its excess, from which the human body quickly gets rid of.

Do not use Lugol without consulting a doctor. Consult with a specialist you trust. Your physician may recommend that you visit an endocrinologist to assess the risk/benefit ratio of using iodine supplements.

Video: Dr. Komarovsky on the use of Lugol for tonsillitis

Contraindications and side effects possible in all trimesters of pregnancy

Pregnancy is indicated in the instructions as a direct contraindication to the use of Lugol. It is also forbidden to take this antiseptic solution inside, that is, to swallow it. The drug is contraindicated in women with intolerance to iodine and auxiliary components.

The drug is prescribed with caution if the patient has the following diseases:

• increased levels of thyroid hormones;
• pulmonary tuberculosis;
• herpetiform dermatitis;
• severe violations of the liver and kidneys.

To prevent an excess of iodine in the female body, for the duration of treatment with Lugol, it is necessary to stop taking iodine preparations and multivitamin complexes, which contain this element.

The main side effect of long-term use of Lugol or its overdose is iodism.. In rare cases, this condition leads to acute heart failure and pulmonary edema. Usually, iodism in pregnant women occurs in a mild form, accompanied by irritation of the skin and mucous membranes. Pregnant women can detect excess iodine in the body by the following symptoms:

• runny nose;
• lacrimation;
• salivation;
• acne;
• sometimes - urticaria or inflammation of the skin.

Another undesirable consequence of the use of Lugol can be a burn of the mucous membrane, which is accompanied by the appearance of ulcers that heal for a long time.

If side effects occur, it is necessary to stop using Lugol and contact your doctor.

Colds and other indications

The antiseptic effect of Lugol allows its use in inflammatory processes in the throat and nasopharynx, accompanying such diseases as:

• angina;
• tonsillitis;
• pharyngitis.

However, the scope of Lugol's application is not limited to ENT practice. This remedy is also effective in the following indications:

• angular stomatitis (bites on the lips);
• trophic ulcers;
• infected burns;
• traumatic and wound damage to the skin;
• erysipelas of the skin;
• furunculosis.

When prescribing this drug at different stages of pregnancy, the attending physician necessarily evaluates what will bring more harm to the mother and fetus - the consequences of the disease or the drug.

Safe Use Instructions

What to choose: spray and solution

Manufacturers produce one dosage form of Lugol - an orange-brown solution for topical use. A thick translucent liquid is poured into glass bottles equipped with droppers or sprayers. In the first case, the drug is officially called a solution, in the second - a spray.

Most consumers consider Lugol with a spray to be a more convenient option to use: one click and the medicine is already on the affected area. The solution must first be applied to a cotton swab and then lubricated with a throat, which can be quite difficult to do. However, when using a spray, the likelihood that you will swallow some part of the medicine is significantly higher, and ingestion, according to the instructions for the drug, is prohibited.

Spray - a form of the drug that is convenient for irrigating the throat, but with this use there is a high probability of swallowing the solution

Be sure to check with your doctor which form of the drug will be safer in your case.

Features of the procedures

If the doctor has prescribed this drug to the expectant mother, he also determines the treatment regimen. Usually the course does not exceed 5 days.

Spray irrigation of the mucous membranes of the oral cavity and pharynx is carried out several times a day until complete recovery or until a significant improvement in the condition. The solution is applied to the inflamed areas with cotton swabs or sticks no more than 3 times a day.

During the treatment of the mucous throat, it is necessary to hold your breath so that the medicine does not get into the bronchi and lungs. After using Lugol, it is not recommended to eat and drink for half an hour so as not to “wash off” the drug.

If after the procedure there is a feeling of dryness, burning and sore throat, you can lubricate it with sea buckthorn oil or rinse it with decoctions of chamomile, calendula, if you are not allergic to these plants. In case of a repeated unpleasant reaction, you should consult a doctor so that he can decide whether to replace the drug.

What can replace

If this antiseptic caused an allergic reaction in a woman or is not suitable for her for medical reasons, the doctor decides to replace it. Pharmacy chains offer medicines similar to Lugol in terms of active substance or therapeutic effect.

In the second case, the substitutes contain other active ingredients, but act in the same way as Lugol, disinfecting the mucous throats and nasopharynx. Each of them has its pros and cons, features of use during pregnancy, so consultation with a therapist or gynecologist is required.

Table: sore throat medicines prescribed for pregnant women

Photo gallery: antiseptics for the throat, not contraindicated during pregnancy

Inhalipt - an aerosol and spray for the treatment of infectious diseases of the upper respiratory tract
Tantum Verde is a non-steroidal anti-inflammatory drug that is successfully used in ENT practice Miramistin is a safe drug with a wide spectrum of antiseptic action Chlorophyllipt acts on the basis of eucalyptus extract, belongs to the group of antiseptics

Lugol- one of the most famous and oldest medicines that was used to treat various viral diseases or sore throats. What does he represent? It is an aqueous solution of iodine in potassium iodide. In other words, it is distilled water, iodine and potassium iodide in a certain ratio. Recently, you can also see it with the addition of glycerin: in this case, most (almost 95% of the drug) falls on glycerin, and everything else is a standard amount of water and iodine.

Lugol's mechanism of action is quite simple: upon contact with the protein of a pathogenic bacterium (more precisely, with its proteins that are in the cell wall) or the iodine virus interacts with it, a chemical reduction reaction takes place. As a result, the protein changes its structure, which leads to the destruction of the entire bacterium.

Information Against the background of the use of Lugol, the sore throat quickly disappears, the perspiration disappears, the body temperature decreases, intoxication disappears.

The sensitivity of microbes to iodine is 100%, which is why even at present, during operations, the skin that surgeons will cut is treated with solutions of this substance.

Indications

Lugol is used to treat:

• Various viral diseases of the upper respiratory tract (pharyngitis, tonsillopharyngitis);
• Angina.

Contraindications

There are few contraindications for using Lugol:

• Intolerance to the drug or its components (i.e. allergy to iodine or glycerin);
• Pregnancy.

The use of Lugol during pregnancy

The instructions say that the use of Lugol during pregnancy is contraindicated. However, in this situation, not everything is so clear.

The fact is that the opinions of doctors are divided: some are categorically against the use of Lugol during pregnancy, because. there is not enough scientific data on its safety during this period. In addition, it contains iodine, which affects the functioning of the thyroid gland, and its excess adversely affects the functioning of this gland in the fetus. Another (most) part of doctors considers the drug to be completely safe.

1. Firstly, Lugol can only be used locally, treating the pharynx, tonsils, and pharynx.
2. Secondly, the content of iodine in the preparation is quite small, and it is poorly absorbed from the mucous membranes. In addition, according to studies, the majority of the world's population in the body has a deficiency of this element (insufficiency) and it is recommended to take iodine preparations prophylactically (for example, "").
3. Thirdly, a great threat to the normal functioning of the thyroid gland of both a woman and a small child is precisely iodine deficiency, and not its excess, from which the human body quickly gets rid of.

In other words, Lugol can be used during pregnancy. One has only to stop the use of iodine preparations for the duration of treatment.

There is no data on the dangers of these drugs on the fetus, but no special studies have been conducted. When prescribing them, the potential risk to the child and the benefit to the mother should be correlated.

Analogues for active ingredients: Yoks, Polividon, etc.

Lugol's solution is considered one of the safest medicines that successfully fights diseases not only of the throat and mouth, but also of wounds and burns. It contains distilled water, iodine and potassium iodide, and in some forms of release, glycerin is also found, which makes the product more convenient for application to the tonsils. It would seem, indeed, that all the components are natural and Lugol can be safely used during pregnancy, but not everything is so simple.

Can Lugol be used during pregnancy?

If you carefully study the instructions for the drug, then one of the contraindications for use is the period of bearing a child. And here the question is not only that there have been no studies in this area, but also that in large quantities iodine has a very negative effect on the development of the fetus.

Currently, there are two completely polar points of view about whether Lugol can be pregnant, and how safe it is. Doctors who are against the treatment of expectant mothers with this drug explain their opinion by the fact that the medicine can get inside the woman's body, and this is quite harmful. In addition, it greatly dries the mouth and tonsils, which can cause a strong cough, which is highly undesirable during the period of bearing a child.

Supporters of the use of Lugol's solution during pregnancy believe that it is better to use this natural drug than any other synthetic drugs. The fact is that the iodine content in it is so small that it is unlikely that its use in the doses indicated in the instructions can cause abnormal fetal formation. In addition, the human body is designed in such a way that it is able to remove excess iodine, and, therefore, future women in labor do not need to worry about this at all.

It is worth noting that before using the medicine, women need to consult a doctor. At least in order for him to examine the thyroid gland for the presence of pathologies. In addition, Lugol during pregnancy, both in the 1st trimester and in others, should not be used if:

• there is an allergy to the components of the drug;
• the patient has complaints of dryness in the throat;
• the smell of the product causes nausea or vomiting.

How to use Lugol during pregnancy?

Currently, pharmacies can find several forms of release of this drug: spray (for the treatment of diseases of the mucous membranes of the mouth and throat), a solution with and without glycerin.

Spray Lugol during pregnancy is used 4 to 6 times a day. To do this, you need to bring a can of medicine to the oral cavity and make one spray, while holding your breath.

Lugol's solution during pregnancy, both in the 2nd trimester and others, in the treatment of diseases of the throat or oral cavity, is applied to a cotton swab, which is attached to an elongated stick. After that, the tonsils and the mucous membrane near them are lubricated with a solution. The remains of the medicine are not swallowed by the patient, but are spat out.

In addition, Lugol's solution during pregnancy, both in the 3rd trimester and others, can be used to treat all kinds of burns and wounds. In each case, the dosage of the drug and the treatment regimen is selected by the doctor individually.

Summing up, I would like to note that, undoubtedly, Lugol is one of the most time-tested antiseptics. There can be many medical opinions about its use during pregnancy, but no one will deny that our grandmothers and mothers were treated with this remedy, and it really helped. If you decide to fight Lugol's disease, then first consult with your doctor and, if he does not see any contraindications in you, strictly follow the instructions. It is worth remembering that Lugol is the drug, an overdose of which can be dangerous for your baby.

Colds, viral infections, throat diseases are frequent companions of a woman during pregnancy. After all, bearing a baby is always accompanied by a decrease in the body's defenses. At the same time, the possibilities of treatment are significantly limited. However, it is necessary to fight the infection in order to prevent its spread and the appearance of complications.

Popular in this situation are local remedies that are practically not absorbed into the systemic circulation. These include Lugol's solution.

Lugol's solution

This drug has been known for a long time all over the world. It got its name in honor of the French doctor who used this solution to treat tuberculosis. The drug was most popular after the accident at the Chernobyl nuclear power plant - for the prevention of radiation complications.

Structurally, it is an aqueous solution of potassium iodide, to which iodine is additionally added. In some cases, the water in this medicine is replaced by glycerin, then it will have a softening effect.

It is iodine that provides the following therapeutic effects:

• antiseptic;
• antimicrobial;
• antifungal;
• drying;
• anti-inflammatory.

Also, the drug can have a local irritant effect.

Currently, Lugol's solution is a remedy for the treatment of the following diseases:

1. Acute and chronic inflammation of the throat - pharyngitis.
2. Tonsil infections - tonsillitis.
3. A specific infectious disease - tonsillitis.

The use of Lugol's solution during pregnancy remains a controversial issue. In this regard, doctors still cannot come to a consensus.

Lugol's solution during pregnancy

When choosing a medicine during pregnancy, it should be remembered that almost every one of them is potentially dangerous for the development of the baby. Only some drugs can be safely used during the period of bearing a child, knowing that their safety has been confirmed by serious studies.

The remaining majority of drugs were not tested on pregnant women for ethical reasons. And in the instructions for such drugs, the period of gestation will be referred to contraindications for admission. This does not prohibit expectant mothers from being treated with them, but warns of a potential risk.

These medicines cannot be prescribed to yourself on your own, they are taken only under the supervision of a doctor. Among them is Lugol's solution. The manufacturer does not recommend its use during pregnancy, but the final word remains with the attending physician. Depending on the trimester, the risk-benefit ratio also changes.

First trimester

The main danger of Lugol's solution is the effect of iodine on thyroid function. It is involved in the synthesis of thyroid hormones - T3 and T4. If iodine is supplied in a significant amount, a woman may develop hyperthyroidism - an increased function of the thyroid gland. The same applies to the unborn child. Moreover, the influence of iodine is especially dangerous when organs are just being formed and formed. This happens up to 12 weeks.

However, doctors prescribing Lugol's solution explain its safety by the following factors:

1. In women, iodine deficiency and the associated decrease in thyroid function are much more common. Therefore, a small intake of iodine in the body will not cause harm, even during pregnancy.
2. The iodine content in Lugol's solution is low enough to cause significant disturbances in the functioning of thyroid hormones.
3. With external use and proper application, the absorption of iodine from the mucous membranes is insignificant.

The use of Lugol's solution in the first trimester brings some benefits. Local treatment can prevent the spread of the process, it improves well-being and is the prevention of complications.

A quick recovery in the first trimester is extremely important. After all, any disease and associated intoxication during this period can disrupt the proper development of the baby.

Second trimester

In the second trimester, the baby is no longer so vulnerable. The laying of vital organs has occurred, their formation and growth continues. If during this period the expectant mother notes a sore throat, she can safely use Lugol's solution with the permission of the doctor.

However, do not forget about one feature of this medicine. The fact is that iodine is able to dry the mucous membranes, sometimes significantly. Also, dryness of the mucous membranes can be observed with inflammation. In this situation, Lugol's solution will do more harm than good.

This is especially important for pregnant women, since they have increased sensitivity and vulnerability of the mucous membranes. If the expectant mother complains of soreness and scratching in the throat, it is better to use Lugol's glycerin solution, which has a softening effect.

third trimester

In the third trimester, the reliability of maternal protection increases even more. Rare drugs during this period can harm a developing child. And Lugol's solution is no exception.

Moreover, it is more often recommended by doctors, because by the end of pregnancy, the immunity of the expectant mother is significantly reduced, and the risk of complications increases. And local treatment plays an important role in the treatment of inflammatory diseases of the throat and tonsils.

However, do not forget that this drug is intended exclusively for external use. It is applied to the area of ​​the tonsils or sore throat, but is not taken internally. If this medicine is recommended by a doctor as a rinse, it should never be swallowed.

On the Internet, on some sites, advice is periodically found regarding the internal intake of Lugol's solution in the third trimester. The articles indicate that these are the recommendations of practitioners, and the drug in this case "cleanses the body." In order not to harm her child, the expectant mother should not take such appointments seriously, and buy any medicine after consulting a doctor.

In what form is it better to use Lugol's solution during pregnancy?

Features of use

This drug is available in two forms - in the form of a conventional solution and spray. In the first case, for treatment, a gauze swab is moistened with medicine and lubricated with a throat. In the second, they simply irrigate the inflamed surface with the drug.

However, many ENT doctors are categorically against lubricating the throat. They argue that in this way it is only possible to achieve the spread of the infectious process to healthy tissues. Moreover, mechanical action on inflamed loose mucous membranes sometimes leads to the formation of a retropharyngeal abscess - a serious and dangerous complication when microbes penetrate deep into the thickness of the tissues.

This pathology is treated only surgically in combination with massive antibiotic therapy, which can adversely affect the health of the mother and unborn child. That is why during pregnancy only the drug in the form of a spray should be used.

Lugol's solution is widely used during the period of bearing a child. It is only important to know the features of its use and be treated with it only on the recommendation of a doctor.