What if I have vestibular disorders during pregnancy?

The article is expertly consulted by Master, Doctor Huynh An Thien - Department of Medical Examination & Internal Medicine, Vinmec International Hospital Da Nang.

Many cases of pregnant women have vestibular disorders with symptoms such as dizziness, lightheadedness, loss of balance... The treatment of vestibular disorders during pregnancy requires a doctor's prescription to avoid effects. side effects or complications.

1.1. Causes Vestibular disorders are pressure imbalances in the vestibular cavity located in the cochlea, which can originate from a number of causes such as: Chronic otitis: Inflammation of the outer ear canal or otitis media; Inflammation of the vestibular cochlear mucosa; Cerebral ischemia / long-term cerebral circulatory insufficiency; Low/high blood pressure; Diseases of the cervical spine: degeneration, hernia, inflammation, narrowing of the vertebral body...; Increase blood fat ; Polluted living environment; Change of weather when changing seasons; Poisoning by chemicals, drugs, or by eating...; Diseases of the hematopoietic organs. For pregnant women, especially in the first 3 months, morning sickness often leads to loss of appetite. This makes the body not enough nutrition, lack of blood to the brain, making pregnant women dizzy and wobbly. In addition, psychophysiological factors also significantly affect the vestibular part, and physical fatigue has a direct impact on the health of pregnant women, leading to vestibular disorders during pregnancy. .

1.2. Signs
Some common symptoms of vestibular disorders during pregnancy are:
Fatigue, lethargy; Changes in emotions and moods; Easily angered, annoyed; Vomiting and ringing in the ears; Dizziness, headaches appear in the morning or in the middle of the night, the closer to the morning, the worse; Numbness of limbs; Rapid drop in blood pressure; Abnormal pulse. It can be seen that, pregnant women with vestibular disorders often have headaches, dizziness, not being able to sit up, nausea and vomiting, ... similar to signs of morning sickness or hormone changes in pregnancy. Vestibular disorders during pregnancy are also one of the causes of depression. Therefore, to ensure safety, pregnant women need to be examined by a doctor at a reputable medical facility to be able to properly determine their body condition and have the best treatment.

Two drugs commonly prescribed to treat vestibular disorders are piracetam (Cetampir 800mg) and acetyl-DL-Leucine (Tanganil 500mg). Although the drugs are not recommended for use in pregnancy and there are no data on their safety during pregnancy, their use will depend on the clinical considerations of the physician. If the benefits of treating vestibular disorders during pregnancy outweigh the risks, your doctor will need to prescribe a prescription.

2.1. Piracetam Cetampir 800mg Cetampir 800mg contains the active ingredient piracetam, which acts on the brain and central nervous system to help protect the brain from oxygen deficiency. Dosage is usually prescribed for pregnant women with vestibular disorders can be 1-2 tablets / day.
According to the United States Food and Drug Administration (FDA), this drug belongs to drug class N (As yet unknown) for pregnancy. The instructions for use of Piracetam Cetampir 800mg often require caution with pregnant and lactating subjects.
There are currently insufficient studies to determine the risks of taking this medicine during pregnancy or breast-feeding. Therefore, before taking the drug, pregnant women need to consult their doctor to weigh the benefits and risks.

2.2. Acetyl-DL-Leucine Tanganil 500mg Tanganil 500mg contains the active ingredient acetyl-DL-Leucine, which is used to control vertigo symptoms in vestibular disorders. The drug is excreted by the kidneys and metabolized in the liver. There are limited data on the effects of Tanganil on pregnancy and lactation. Therefore, although there are no contraindications, it is better for women who are breastfeeding or pregnant with vestibular disorders to use the drug only in serious cases and should absolutely follow the doctor's prescription. . The usual dosage of Tanganil 500mg for pregnant women with vestibular disorders can be 1-2 tablets/day.
In addition, the active ingredient acetyl leucine can cause discomfort in some people when used and interacts with other drugs, so patients need to inform their doctor about all medications they are taking to be prescribed. suitable.
2.3. Other medicines In the case of severe headache accompanied by weakness, the doctor can also give pregnant women an emergency dose of Acetab 650mg containing the active ingredient paracetamol, brain booster and Vitamin B6. These are considered relatively safe drugs to use during pregnancy.

Overall, to date, there are no adequate data on the safety of piracetam (Cetampir 800mg) and acetyl-DL-Leucine (Tanganil 500mg) when used during pregnancy. However, in case the pregnant woman does not clearly explain it to the doctor or buys the drug on her own and has only used one pill, there is no need to worry.
On the other hand, if the treating doctor has been informed of the pregnancy status and still prescribes it, it is necessary to take the vestibular disorders during pregnancy according to the indications. Pregnant women with vestibular disorders should also inform their obstetrician about their medical condition as well as all medications they are taking so that they can monitor their pregnancy more closely.

There are studies that suggest that vestibular disorders during pregnancy are mainly psychological. Therefore, in addition to taking medicine, pregnant women with vestibular disorders also need:
Improve their optimistic mood, love life; Adjust the mode of rest and activities; Eat nutritious foods that help you sleep well; Avoid staying up late and should sleep at least 8 hours/day; Limit heavy work and move too much, especially in the last months of pregnancy; Massage, acupressure massage at the treatment center; Do gentle mind relaxation exercises, read books, watch movies to reduce stress. In summary, the use of drugs to treat vestibular disorders, especially vestibular disorders during pregnancy, requires careful attention to side effects and drug interactions. Absolutely avoid buying drugs according to the instructions of others or the advice of a pharmacist, but through the prescription of a specialist to avoid complications that affect the fetus. Relatives, especially husbands, should care, help with housework and share the mood with their wives to help pregnant women feel better. This is very important in reducing the symptoms of vestibular disorders during pregnancy and having a very healthy pregnancy.
At Vinmec International General Hospital, there is a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
The pregnancy process is monitored by a team of qualified doctors Regular check-up, early detection of abnormalities Maternity package helps to facilitate the process. Birth program Newborns receive comprehensive care To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide