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Opioids can cross both the placental and blood-brain barriers, which poses risks to fetuses and newborns exposed to these drugs before birth. This exposure to opioids during pregnancy can lead to potential obstetric complications, including spontaneous abortion, abruption of the placenta, pre-eclampsia, prelabor rupture of membranes, and fetal death.
Use during pregnancy may harm the fetus. [1] Use with alcohol is not recommended. [3] Hydrocodone works by binding to the mu-opioid receptor. [1]
Use of oxycodone in early pregnancy appears relatively safe. [15] Opioid withdrawal may occur if rapidly stopped. [15] Oxycodone acts by activating the μ-opioid receptor. [18] When taken by mouth, it has roughly 1.5 times the effect of the equivalent amount of morphine. [19]
Acetaminophen has long been considered safe to help reduce fever and relieve pain while pregnant. Here's what experts say about new claims.
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However, not all of them are safe to use during pregnancy. One of the components of bismuth subsalicylate is salicylate, which is a component that crosses the placenta. Due to this, there is an increased risk for intrauterine growth retardation, fetal hemorrhage, and maternal hemorrhage within organogenesis and in the second/third trimester. [ 12 ]
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In contrast, paracetamol (acetaminophen) is regarded as being safe and well tolerated during pregnancy, but Leffers et al. released a study in 2010, indicating that there may be associated male infertility in the unborn. [92] [93] Doses should be taken as prescribed, due to risk of liver toxicity with overdoses. [94]