2024-07-17 11:11:05
One of the things that has caught my attention the most in more than 23 years that I have been researching everything that surrounds drugs, is the ease with which we have to complicate our lives with depending on such treatments. To give an example, the Motilium drug. It is indicated for Relief of nausea and vomiting in adults and children 12 years or older and weighing 35 kg or more.
Of course, with these indications one certainly thinks that it is an innocent product, what therapy can harm if it helps to get rid of nausea or vomiting? But the product’s technical documentation calls for caution from its first lines:
Motilium should be used internally the lowest dose for the shortest period of time necessary to control nausea and vomiting (…) Normally, the maximum duration of treatment should not exceed one week.
Spanish Agency for Medicines and Health Products.
This “innocent” drug contains domperidone as an active ingredient, and it has many contraindications and important warnings and precautions for use. Of particular note are the cardiovascular effects. In fact, the Pharmaceutical industry states that treatment with domperidone should be discontinued if associated signs or symptoms occur heart arrhythmiaand patients should contact their doctor.
Those who use this drug should be advised to report any cardiac symptoms as soon as possible because there are few that are described as dangerous. These effects can occur through breastfeeding Domperidone is excreted in human milk and children receive less than 0.1% of the weight-adjusted maternal dose.
Appearance of adverse effects, especially cardiac, after exposure through breast milk. A decision should be made whether to stop breastfeeding or to stop/avoid using domperidone after considering the benefit of breastfeeding for the baby and the benefit of treatment for the mother. What I have said above, how easy it is for us to complicate our lives with drugs.
What is this all about? Well, it’s a long story. Them The medical journal of the independent French Process asked many years ago to the European Medicines Agency (EMA) that the domperidone was withdrawn from the market. He did so after conducting a study in which he explained this The drug causes between 25 and 120 premature deaths in 2012, only in France.
Already at that time there was word that the drug offered a high risk of significant ventricular arrhythmias. In 2010, two the lessons case-control, one Canadian and one Dutch showed that patients who suffered sudden death or had significant ventricular arrhythmias possibly more than those who did not take the drug.
Well, know how we know that the active ingredient is extracted from the milk, this The drug is also used to increase lactation in breastfeeding mothers, anger that can take the child’s life.
It happens that in the USAagency prescription drugs, as they call drugs there, the FDA, not approved at the time of domperidone. In 2004, the FDA warned doctors and expectant mothers Breastfeeding Do not use domperidone to increase milk production because of the risk of adverse reactions.
The agency cited reports from cardiac arrhythmias, cardiac arrest and sudden death in patients receiving intravenous domperidone. And with the passage of time, the maintenance brochures and technical books have been updated, but the danger is there. That’s why I ask myself: What is the need there to risk for some vomiting or nausea?
By using it to have more milk: Don’t we read the documents I mentioned, in which we have explained the harm that each drug can do? I also understand that if it is necessary for a woman to take more milk for her child There are natural ways to do it.
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