Ferritin Test In Pregnant Women?
Hello. I am 27 weeks pregnant and have placenta previa. Then during the ferritin test, it turned out that the result was low at 4.4. Then my doctor gave me medicine urotractin and adalat oros. I want to ask, what is the function of the drug adalat oros huh? Because I read that adalat oros (nifedipine) is a category C drug that is less safe for pregnant women. Explanation please. thank you
Hello Hetiny Muthia,
The drug Adalat Oros contains a modified release tablet containing the drug Nifedipine. Nifedipine is a type of drug used as therapy for hypertension (high blood pressure) and also coronary heart disease. In pregnancy nifedipine is also used as a tocolytic, which prevents uterine contractions, to avoid premature births that often occur in cases of mothers with placenta previa. Contraindications to the administration of oros adalat is at gestational age <20 weeks, in patients with a history of hypersensitivity to the components of the drug, cardiogenic shock, and not combined with rifampicin drugs (TB treatment).
Adalat Oros is categorized as pregnancy safety class C, which means there are no controlled studies on the safety and efficacy of drugs in samples of pregnant women. Cases and available evidence are inadequate to infer the side effects arising from the fetus or babies born to mothers who consume these drugs. Giving ados oros at gestational age> 20 weeks requires a physician's consideration of the risks and benefits of this drug. This means that the gift is justified if the benefits provided are greater than those not given this drug. For example: mothers experience hypertension in pregnancy that is not controlled with other types of treatment. Hypertension with blood pressure that is too high can have an impact such as a stroke in pregnant women until death, so the administration of blood pressure control drugs is justified. Likewise with your case with placenta previa, the selection of the drug may be used by a doctor to prevent preterm birth.
The use of oros adalat during pregnancy requires periodic medical monitoring of fetal development and also the condition of the mother. So you should always do regular visits with obstetricians who provide these treatments. You can also further discuss with him about the medications you are taking now. Thus the explanation from me, may be useful.