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Suggest Treatment For Toothache During Pregnancy

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Posted on Mon, 1 Jun 2015
Question: I m 28 weeks pregnant. I have toothache since morning. Want to know if i should consult a dentist for treatment? Also , we have enzoflam tablet at home which is used by fsmily members in case they have toothache. Is this tablet safe for me right now?
doctor
Answered by Dr. Mohammed Taher Ali (45 minutes later)
Brief Answer:
Paracetamol alone can be used.

Detailed Answer:
Hi!
Thanks for posting your query.
I really appreciate your concern for the safety profile of the medication Enzoflam during late pregnancy.

Enzoflam medication consists of two drugs Diclofenac and Paracetamol.
It is not possible to say that any medicine is absolutely safe to use in pregnancy, there is currently no good evidence that Paracetamol will harm your baby.

However, there are serious concerns about safety of Diclofenac and other pain killers.

Diclofenac & other nonsteroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen, Celecoxib, Naproxen, etc should be avoided in late pregnancy as their use is associated with increased risk of prepartum and postpartum haemorrhage.
They may also cause premature closure of the fetal ductus arteriosus (a congenital heart disease) and delay the labour and birth.

In view of the above explanation, Paracetamol is the analgesic of choice in pregnancy.

Hope this answers your query.
Should you need more clarification, please feel free to send your query.
Regards.



Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Mohammed Taher Ali (10 hours later)
Thanks for the advice. I visited a dentist this morning who prescribed enzoflam tab and rexidin M forte gel to apply on gums. My gynac is on holiday and isn't contactable right now. Pls suggest.
doctor
Answered by Dr. Mohammed Taher Ali (11 minutes later)
Brief Answer:
You may use Rexidin M Forte gel.

Detailed Answer:
Dear XXX XXXXXXX Hi

Welcome back to HCM.
Glad to know that you have visited a dentist for your toothache, however as explained earlier the Diclofenac content of the medication Enzoflam is not safe during late pregnancy.

Since you are already in 28 weeks of pregnancy, I would suggest you to take Paracetamol tablet for the symptomatic relief of pain instead of Enzoflam, you may continue to use the Rexidin M Forte gel as it acts more locally in the oral cavity without being absorbed into the blood circulation.

Hope this answers your query.
Wishing you a very good health.


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Mohammed Taher Ali (7 hours later)
Just consulted another dentist who asked me to take Wymox500 (amoxycillin caps) with crocin (regular) thrice a day for 5 days to kill the bacterial infection. Are these medicines ok?
doctor
Answered by Dr. Mohammed Taher Ali (38 minutes later)
Brief Answer:
You may use the prescribed medications.

Detailed Answer:
Dear XXXX XXXXXXX Hi

Amoxicillin and Paracetamol (Crocin) are generally considered to be safe during pregnancy, so you may take these prescribed medications for a bacterial infection.

Hope this answers your query.
Best regards.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Mohammed Taher Ali

General & Family Physician

Practicing since :1988

Answered : 6261 Questions

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Suggest Treatment For Toothache During Pregnancy

Brief Answer: Paracetamol alone can be used. Detailed Answer: Hi! Thanks for posting your query. I really appreciate your concern for the safety profile of the medication Enzoflam during late pregnancy. Enzoflam medication consists of two drugs Diclofenac and Paracetamol. It is not possible to say that any medicine is absolutely safe to use in pregnancy, there is currently no good evidence that Paracetamol will harm your baby. However, there are serious concerns about safety of Diclofenac and other pain killers. Diclofenac & other nonsteroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen, Celecoxib, Naproxen, etc should be avoided in late pregnancy as their use is associated with increased risk of prepartum and postpartum haemorrhage. They may also cause premature closure of the fetal ductus arteriosus (a congenital heart disease) and delay the labour and birth. In view of the above explanation, Paracetamol is the analgesic of choice in pregnancy. Hope this answers your query. Should you need more clarification, please feel free to send your query. Regards.