What problems do not have to face the expectant mother in the period of carrying the baby. And the main cause of all the "troubles" is the hormone progesterone, which has a relaxing effect not only on the smooth muscles of the uterus, but also on all other organs. The urinogenital system also does not stand aside and undergoes significant changes that lead to difficulty urinating, stagnation of urine and the development of bacterial infections. One of the drug helpers to help cope with these ailments is Monural.
Monural as a drug
Monural is a Swiss broad spectrum antibacterial drug that has recently appeared on the shelves of Russian pharmacies. In particular, it has a detrimental effect on the following types of microorganisms:
This drug is produced in the form of granules for the preparation of suspensions, which has a pleasant tangerine-orange flavor. You can buy Monural in foiled sachet bags of 3 and 5 grams only by prescription.
The main active ingredient of the drug is fosfomycin trometamol, which has antibacterial properties. Unlike many other antibiotics of this group, Monural not only "destroys" the pathogenic microflora of the organs of the urogenital system, but also prevents the reproduction of harmful bacteria and their repeated "sticking" to the mucous membranes.
Since there has been no proper research aimed at studying the effect of the drug on the body of a pregnant woman and the fetus, Monural is not recommended for use in the first trimester of gestation. As for the other two trimesters, his doctor may prescribe, if the benefits of the use of the drug several times exceed the potential complications.
When can a doctor prescribe Monural to a pregnant woman?
Doctors with special care prescribe an assistant drug to expectant mothers only the last two trimesters of pregnancy in the following cases:
- inflammation of the urogenital canal;
- with the development of inflammatory infectious diseases of the kidneys and bladder;
- in the presence of harmful bacteria in urine analysis;
- with postoperative complications associated with the multiplication of bacteria in the organs of the urogenital system.
Contraindications and negative effects after application
Monural is often prescribed to a pregnant woman for the reason that this medication has a low degree of toxicity and few contraindications.
The doctor will never appoint a future mother Monural if she:
- susceptible to allergic reactions to the components of the drug;
- suffering from acute kidney disease;
Due to the fact that the active and auxiliary components of the drug have the ability to penetrate into breast milk, Monural is contraindicated during breastfeeding. You can resume feeding after a day after taking the drug.
Possible side effects
It is worth noting that the negative effects after the use of this drug is extremely rare and they are observed only in case of exceeding the prescribed dosage or duration of the course of drug therapy. Basically, the digestive system reacts sharply to taking the medication.
- nausea and gagging;
- loose stools;
- abdominal tenderness;
- headache and dizziness;
- urticaria and hyperemia of the skin.
If any of the above symptoms occur, you should stop taking Monural and consult a doctor. As a rule, during an overdose in a hospital, gastric lavage is performed, after which symptomatic medical therapy is required.
Monural interaction with other medicines
Concurrent use of Monural and antiemetic drugs may cause a decrease in the therapeutic effect of the first. This is due to the fact that antiemetic drugs reduce the concentration of antimicrobial substances in the blood and urine. Therefore, the difference between taking these two medicines should be at least 2 to 3 hours.
General recommendations for use
Like most instructions, the instruction to Monural does not give any specific indication of the doses and course required for taking women in the “interesting position”. This is primarily due to the fact that pregnancy is a special period in the life of every woman, when she must coordinate all her actions aimed at treatment and prevention with her physician. Self-medication during this period is by no means permissible.
In most cases, to achieve the desired therapeutic effect, only a single dose of the drug is required.
General rules for the use of the drug:
- Before using the powder, it is necessary to dilute it in 100 grams of non-carbonated water;
- the greatest efficiency can be achieved if you drink the ready suspension in the evening before going to bed on an empty stomach;
- empty your bladder before taking the medicine.
When it enters the gastrointestinal tract, the components of the drug are immediately absorbed into the bloodstream and begin to actively act. The maximum concentration of the drug in the blood is observed two and a half hours after its use. The components of Monural do not "connect" with blood proteins, which means that practically in full and unchanged, they enter the urine and remain there for two days. Then, more than 90% of the substances are excreted with the urine, while the rest is excreted with feces. But the minimum amount of the drug in the urine can be observed for three days.
In severe situations, it is assumed two times the use of this medication with an interval of one day.
Monural can also be taken in order to prevent infectious and bacterial diseases, but the doctor will never prescribe this medicine for any reason for a pregnant woman.
Since Monural is an antibiotic, in some cases, doctors prescribe future mothers drugs with the same therapeutic effect, but more gentle composition. But unfortunately, not always “safe” medicines are able to cope with complications that have arisen in the organs of the urogenital system, therefore, it is impossible to take Monural or its structural “brothers”.
Thus, Monural has both structural and functional generics:
- Generics for the active component: Ureatsid, Urophoshabol;
- generics by indications: Fitolizin, Kanefron, Furagin, Urolesan, Urolizin.
Monural is an imported drug, the cost of which is not always suitable for pregnant women, so many of them prefer more low-cost domestic antibiotics. By the way, the average cost of Monural in pharmacies in Moscow and the Moscow region is 605 Russian rubles.
Independently replace one drug with another, even if we are talking about structural analogues, not to mention functional, without consulting a doctor.
Table: how to replace Monural
|Trade name of the medicinal product||Active substances||Release form||Indications for use. The expediency of application during gestation.||Contraindications||Negative consequences|
|Ureatsid||Fosfomycin||Granules in bags for solution for oral administration.|
It is possible to take these medications to pregnant women only after consulting a doctor, when the benefits of their use are much higher than the possible complications.
|Urofosfabol||Granules for the preparation of injections for intramuscular injection.|
|Generics for therapeutic effects on the body|
|Canephron||Dragee for use inside.|
The use of the drug during childbirth is possible only by vital signs.
Experts do not recommend taking this drug to pregnant women due to the lack of information about the effects of active and auxiliary substances on the developing fetus.
|Phytolysin||Infectious and inflammatory diseases of the genitourinary system.|
This "natural" drug is not recommended for use during childbirth.
Photo Gallery: drugs similar to Monural
- Ureatsid not recommended for use in the first trimester of gestation
- Application of Urolesan during gestation should be carried out only as prescribed by the attending physician.
- Canephron is not recommended for the first 12 weeks of gestation.
- The use of phytolysin during gestation is possible only if the benefits of its use are much higher than the perceived risks.
Even at 3 - 4 weeks of gestation, I "caught a cold" and picked up such an unpleasant disease as cystitis. At first I wanted to do without any treatment, especially medication. But when the pains during urination became unbearable, I turned to the gynecologist, who appointed me Canephron. Carefully studying the instructions, I reached the point where it was stipulated that this drug was not recommended for use during gestation. At that moment I decided once again to try to self-medicate, which I absolutely cannot do, especially during the period of gestation. But at that moment, I was probably lucky and I managed to get rid of an unpleasant illness, without resorting to medicines, and do not harm the baby. I cooked a large pot of potatoes in my uniform, put it on the floor, and placed a small stool next to it. After that, I myself sat on this stool. In order to enhance the therapeutic effect, I wrapped my legs and the hip part of the body in a blanket, along with a soaring pan of potatoes. The procedure lasted about 20 minutes. It is important at this moment not to get burned by steam. Pain and cramps during urination retreated the next day. But with non-traditional means of self-treatment, as well as with traditional ones, it is better not to experiment and consult with a specialist in all situations. Indeed, sudden changes in temperature are very undesirable during gestation.
Video: dialogue with a specialist about the treatment of cystitis during gestation
Monural, as it turned out, is a fairly well-known drug among pregnant women. But any mother worries about the health and well-being of a developing baby, so the fact that Monural belongs to the antibiotic group is alarming and makes us think before taking this medication. But since in most cases the non-treatment of the disease is fraught with even greater complications, we have to resort to the help of drugs. And as women note, Monural is an effective drug that helps after its first use. On the side effects and negative consequences for the fetus can not speak.
This is an antibiotic. I was not recommended to take antibiotics for a 14-week urologist, and then they were not needed, it was enough to Canephron and cranberry juice.
I saw Monural-helped immediately after taking one bag! I did not even believe in such a miracle!
Monural drug of choice during pregnancy! The safest of all. Just not always cystitis can be stopped by lingonberries and other people. means. I took it before pregnancy and I will not think about it if necessary during pregnancy! All the friends who used it gave birth to excellent healthy babies! Better healthy and positively-minded mom, than heroism, coupled with a bad mood (with cystitis is not rarely annoying) and liters of lingonberries!))) Monural-super! The effect right away (at least for me)
In my pregnancy, cystitis became very acute, such pains that I wanted to roll on the floor. And it lasted until the 7th month. They appointed Kanefron - it did not help completely, only muffled a little. Appointed Monural - drank once, helped for 3 days))). More it is not a saw, after all, it is an antibiotic-uroseptic. Then she found the best kidney tea with a golden rod, helped immediately after 20-30 minutes. Only drank every day all pregnancy. Because during the breaks the pain was still renewed.
I also found cystitis, a urologist prescribed monural and canephron, and I have 4-5 weeks gestational age. I drank monoral and am very worried about the baby ((((((((although I consulted with the geneticist, she approved and told me to take a course of treatment. She also prescribed me Magnesium B6 and candles with papaverine
Thus, despite the fact that Monural has become a widely used drug, and it is prescribed to most expectant mothers, it is strictly contraindicated to take it on its own initiative. The body of each woman is individual, and therefore the drug must be selected with special care. Even the safest medicine with its thoughtless use can adversely affect the unborn baby.