Eight types of drugs that should be taken with caution during menstruation

The physiological changes during women's menstrual period require that medications be used with caution, and the safety of medications during menstruation should be given full attention: on the one hand, some medications can cause menstrual abnormalities, and on the other hand, menstrual bleeding can also affect the efficacy of some medications. So, which drugs should be used with caution during women's menstrual period or even before menstruation?

Topical vaginal medications for gynecological infections :

The use of lotions, suppositories, effervescent tablets, etc. for treating vaginal inflammation should be suspended. Because during menstruation, the uterine mucosa is congested, the cervical opening is relaxed, and there is blood accumulation in the vagina, which is very suitable for bacterial growth and reproduction. If local vaginal medication is used at this time, the slightest carelessness may cause bacteria to retrogradely invade the uterine cavity and endometrium.

Anticoagulants :

It can cause menorrhagia or even heavy bleeding and should be avoided during menstruation, such as coumarin, heparin, and thrombolytic agents.

Hemostatic drugs :

For example, Anluoxue and vitamin K can reduce the permeability of capillaries and cause capillary contraction, which can cause menstrual blood flow problems after use. In addition, Chinese medicine or Chinese patent medicine with strong hemostatic effect should be used with caution.

Weight loss pills :

They often contain ingredients that suppress appetite. If used during menstruation, they may cause menstrual disorders, polyuria or difficulty urinating, or palpitations, anxiety, etc., and even worse, amenorrhea.

laxative :

For example, magnesium sulfate and sodium sulfate have a more severe laxative effect and can cause reflex pelvic congestion, so they should be prohibited during menstruation; other gastrointestinal motility drugs should also be used with caution or avoided.

Sex hormone drugs :

Women's sex hormone synthesis and metabolic balance are closely related to the menstrual cycle. Therefore, sex hormone drugs should not be used during menstruation to avoid menstrual disorders. For example, androgens can cause decreased menstruation, amenorrhea, irregular cycles, etc., while progesterone can cause breast tenderness or irregular vaginal bleeding.

Thyroxine preparations :

It may cause menstrual disorders and should not be taken during menstruation.

Chinese medicine for promoting blood circulation and removing blood stasis :

This type of drug not only has anticoagulant and antithrombotic effects, but also can dilate blood vessels and accelerate blood flow, thus causing excessive menstrual flow.

In addition, due to menstrual bleeding, the metabolism and clearance of some drugs are accelerated. When women use certain drugs during menstruation, the efficacy will be weakened and the disease cannot be well controlled. Therefore, women should adjust the dosage of medications as appropriate under the guidance of a doctor during menstruation, such as using theophylline to treat asthma, using phenytoin sodium to treat epilepsy, or using erythromycin, an antipyretic and analgesic drug, etc.