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The FDA has not formally categorized acetaminophen as pregnant. It is usually used for short-term pain relief and fever at all stages of pregnancy. Acetaminophen is believed to be safe during pregnancy when taken intermittently for a short period of time. Acetaminophen should only be prescribed during pregnancy when the need for it is clearly established.
The FDA has not officially classified aspirin in the pregnant category. However, the FDA considers aspirin a pregnancy category D if the full dose of aspirin is taken in the third trimester. The use of non-steroidal anti-inflammatory drugs in the third trimester of pregnancy should be avoided due to the effect on the fetal cardiovascular system (closure of the ductus arteriosus). Aspirin use during pregnancy has been associated with impaired hemostasis in both the mother and the fetus. In addition, high doses have been associated with increased perinatal mortality, intrauterine growth retardation, and teratogenic effects. During the first two trimesters of pregnancy, aspirin should be given during pregnancy only when clearly needed and when the benefits outweigh the risks. In 1990, the FDA issued a warning that it was especially important not to use aspirin in the last trimester of pregnancy unless specifically prescribed by a doctor, as it could cause problems in the unborn baby or complications during childbirth.
Can I take Tylenol and a daily aspirin at the same time?
Yes. Acetaminophen (Tylenol and Generic) is actually a better choice than Advil, Motrin, or similar drugs for people who take aspirin daily but need relief from minor aches and pains.
While taking low doses of aspirin every day can reduce the risk of heart attacks and strokes in people at increased risk, it can also cause dangerous bleeding in the stomach and intestines. Drugs called NSAIDs, including ibuprofen (Advil and generics) and naproxen (Aleve and generics), can increase this risk. (Use our free calculator to estimate your risk of heart attack). In addition, ibuprofen can interfere with aspirin's ability to prevent heart attacks and strokes.
However, you should use paracetamol with caution. It can damage the liver, which is especially dangerous for people with cirrhosis or hepatitis, alcoholics, and the elderly. No one should take more than the maximum daily dose of 4,000 mg per day or the equivalent of eight 500 mg super-strength capsules. And beware of hidden paracetamol. It is an ingredient in over 600 prescription and over-the-counter medicines, so it's easy to take more than you think.
Acetaminophen / Aspirin Taking Warnings While Breastfeeding
One small study reported that after taking a 1000 mg dose of acetaminophen to nursing mothers, nursing infants received less than 1.85% of the weight-adjusted maternal oral dose.
Acetaminophen in small concentrations is excreted in breast milk. One case of rash in a nursing infant has been reported. The American Academy of Pediatrics believes acetaminophen is compatible with breastfeeding.
Aspirin in small amounts is excreted in breast milk. Peak levels of salicylate in milk were reported nine hours after the maternal dose (and were measured at 1.1 mg / dL). Using high doses of aspirin can cause rashes, platelet abnormalities, and bleeding in infants. Because of a single report of metabolic acidosis, the American Academy of Pediatrics characterizes aspirin as a drug that "has significant effects on some infants and should be used with caution in nursing mothers."
Tylenol During Pregnancy: Risks and Problems
While paracetamol is generally considered the safest pain reliever during pregnancy, it comes with some risks. New research suggests a possible link between acetaminophen use during pregnancy and a small increase in the likelihood of asthma, ADHD, and autism in children. More recently, a consensus has been published by a group of scientists claiming that prenatal exposure to acetaminophen (Tylenol) can affect fetal development.
The American College of Obstetricians and Gynecologists issued a response statement highlighting the lack of evidence of a direct link between paracetamol use during any trimester and fetal development problems. Dr. Yamaguchi agrees with the ACOG's recommendations and urges pregnant women to consult with their healthcare providers if they have concerns about paracetamol use.
The studies cited in the consensus are not considered conclusive scientific evidence, as many of them were conducted in animals and often at much higher doses than usual, or based on self-reports of women who took Tylenol during pregnancy (observational data considered the least reliable). ... These studies are mainly criticized for their imperfect control, which makes it very difficult to separate the factors that actually determine the results.
So, at the moment, there is no definite evidence that the correct use of paracetamol negatively affects children, but this does not mean that you should not be careful. For safety reasons, experts recommend taking the lowest dose for as short a time as possible, or trying alternative pain relief methods first. And of course, before taking any medications or supplements during pregnancy, you should always check with your doctor.