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23 weeks pregnant, advised duphaston for mild bleeding. How long should the medicines be taken?

Mar 2013
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Practicing since : 1998
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My wife is pregnant and is 23rd week now. Noticed XXXXXXX bleeding and doctor suggested to take duphaston 10mg twice a day since beginning.. Recently doctor said XXXXXXX bleeding is not there but the tummy is very tight and suggested to take duphoston 3 times a day and vageston 300mg once a day, tidelan once a day.. since one month in addtion to iron tablet, folic acid tablet and calcium tablet, she is taking vageston 300mg once a day, duphoston 3 times a day and tidlan once a day.. how long should we continue and is it safe to be on using these medicines for so long... please help...
Posted Tue, 21 May 2013 in Women's Health
Answered by Dr. Aarti Abraham 38 minutes later
Thanks for sharing your query ..

From what you have written, it appears that your wife is suffering from threatened second trimester abortion , and a risk of preterm delivery.
For these two conditions, progesterone is routinely given.
Vageston is natural progesterone, and Duphaston is also a form of progesterone.
Both are recommended and safe for threatened abortion.
Tidilan is isoxsuprine which is given to relax the uterus and hence reduce chances of preterm labour.
Both drugs are beneficial. Please read the following link :
Tidilan is not meant for longterm use, and can be stopped once the uterus relaxes.
vageston and duphaston can be continued long term also.

Meanwhile, ask her to rest, avoid stress, avoid sexual activity and maintain hydration.
Take care, and feel free to ask further questions.
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