Ascorutin during planning and pregnancy: instructions for use and indications, use in early and late stages. Use of ascorutin during pregnancy Can pregnant women take ascorutin?

Ascorutin is a vitamin preparation that has a pronounced antioxidant effect. During pregnancy, Ascorutin is prescribed to improve uteroplacental and fetal blood flow. The use of Ascorutin reduces the risk of developing fetal hypoxia, bleeding and other dangerous complications of pregnancy.

Composition and release form

The vitamin preparation Ascorutin contains two main components:

• vitamin C (ascorbic acid) – 50 mg;
• vitamin P (rutin) – 50 mg.

Sugars, talc, starch and other safe substances are used as auxiliary elements.

Ascorutin is available in tablets of a heterogeneous yellow-green color, in contour cells or polymer jars. The drug is available in pharmacies without a prescription.

Mechanism of action

The vitamin preparation Ascorutin has the following effects:

• reduces vascular permeability;
• reduces capillary fragility;
• strengthens the wall of blood vessels;
• improves blood flow;
• eliminates inflammation in the vascular bed;
• replenishes the lack of vitamins C and P;
• takes part in tissue regeneration;
• affects the synthesis of sex hormones;
• increases the body's resistance to various infections.

Rutin, which is part of the drug, has pronounced antioxidant properties. It protects ascorbic acid from rapid oxidation, thereby maintaining its activity. In combination, both vitamins participate in metabolism and influence the course of redox processes in the body.

Indications for use

Ascorutin is prescribed for the following conditions:

• hypovitaminosis C and P;
• diseases associated with impaired vascular permeability;
• protection of capillaries when using certain medications (anticoagulants, etc.).

During pregnancy, Ascorutin is used as a means of improving uteroplacental blood flow. The drug promotes oxygen saturation of all organs of the maternal body, as well as fetal tissues. The use of Ascorutin helps prevent the development of fetal hypoxia and all complications associated with this condition.

Often, Ascorutin is prescribed to pregnant women after suffering from influenza, acute respiratory viral infection or other infectious disease. The expectant mother's body needs special support during the recovery period. Askorutin copes with this task. A vitamin preparation that improves blood supply to organs and tissues, helps to recover from an illness. Prescribing Ascorutin reduces the likelihood of complications and helps strengthen the immune system during this difficult period.

Ascorutin is approved for use at any stage of gestation. The drug does not have a negative effect on the development of the fetus. Before starting to take the medicine, you must consult your doctor.

Side effects and contraindications

Ascorutin is quite well tolerated by pregnant women. In rare cases, an allergic reaction to individual components of the drug is observed. If rash, itching or other manifestations of allergy appear, the drug should be discontinued.

Ascorutin is contraindicated in case of individual intolerance to the drug. In this situation, Ascorutin can be replaced with another agent that affects the state of blood flow and the permeability of the vascular wall.

Application diagram

Ascorutin is prescribed 1-2 tablets 3 times a day orally after meals. The course of therapy is determined individually. The average duration of taking the drug is 4 weeks. A repeated course of treatment is carried out according to indications.

Ascorutin is one of the vitamin preparations that saturates the body with ascorbic acid (vitamin C) and rutin (vitamin P). Expectant mothers spend the entire period of pregnancy in search of good vitamin complexes, wanting the best for themselves and their unborn child. However, experts advise using medications with caution, including Ascorutin. Can pregnant women take Ascorutin?

Ascorutin - what kind of drug is this?

This is a drug containing vitamins of a certain group. The main active substances are vitamins P and C. They are combined together purposefully, because rutin helps ascorbic acid to be better absorbed.

Ascorutin during pregnancy is used for:

• maintaining the balance of vitamins P and C;
• reducing the impact of allergic reactions;
• treatment and prevention of ARVI;
• reducing symptoms of rheumatism;
• eliminating fragility of capillary vessels.

It is useful for saturating all tissues with oxygen. The drug has a beneficial effect on the condition of the veins, preventing their expansion. Vitamins C and P make the walls of blood vessels stronger due to their restorative abilities. In addition to this, Ascorutin is a good antioxidant that reduces the effect of free radicals.

Why is it prescribed during pregnancy?

Ascorutin has a beneficial effect on capillaries. During the process of bearing a child, their number increases, they are located along the entire placenta and uterus and need to be strengthened. Their insufficient elasticity leads to the risk of bleeding and oxygen starvation of the child during childbirth, placental abruption and miscarriage. It is offered if the results of a blood test show the hemoglobin content to be below normal. Because anemia in the mother has an adverse effect on the baby.

In addition to blood vessels, the drug has an effect on the immune system. It increases its resistance to viral infections due to the high concentration of vitamin C, which saturates the body.

Instructions for use and dosage

Ascorutin is sold in the form of yellow tablets, containing 50 mg of ascorbic acid and rutin. The shelf life is 3 years.

The attending physician determines the need to take the medication and its dosage. The usual dosage regimen is to take 2-3 tablets after meals daily. Can be taken with meals. The alkali in carbonated water and drinks does not allow ascorbic acid to be absorbed, so take vitamins with one glass of still water.

When planning

Vitamin C begins to be used 3 months before a planned pregnancy. It relieves inflammation and stimulates healing, increases iron absorption, and removes toxins. For better absorption of vitamin C, vitamin P is necessary - this is the reason why this particular drug is prescribed.

According to research, in 70% of cases, children of mothers who took Axorutin when planning pregnancy receive high scores on the Apgar scale. However, only a doctor can offer it to pregnant women after conducting a medical examination.

In the early stages

The first trimester of pregnancy is not easy, and any vitamin preparations are selected carefully. Any negative impact does not have the best effect on the health of the unborn child. This is important because in the early stages the main processes in the formation of the body occur.

The instructions for Ascorutin say that its use before the 12th week of pregnancy can be dangerous. This happens because it is absorbed into the blood too quickly and in high concentrations. Considering this point, the drug is prescribed starting from the second trimester as a preventive measure.

In the later stages

In the last trimester, the use of Ascorutin will not lead to negative consequences. By that time, the fetus’s body has formed, and the placenta protects it from harmful substances.

Then the drug is prescribed to solve the following problems:

• Anemia. Ascorutin will help iron be absorbed in the body, which will protect the child from developmental delays in the future.
• Reduced level of immunity. Women during pregnancy often suffer viral infections due to deteriorating immune defenses. In this case, the medicine will help to carry out prevention.
• Preeclampsia. By the second half of the nine-month period, blood circulation in the vessels may worsen. This feature leads to swelling. The drug will help get rid of such symptoms.
• The need for antioxidants. Due to the intense work of the body, many free radicals appear. To reduce their level, Ascorutin is used.

But even before giving birth, this drug is still taken only if the doctor considers it necessary. It is especially important to monitor its intake before childbirth.

Contraindications and side effects

Before you start taking any drug, you need to consider contraindications. Usually the attending physician talks about this, but you must also read the instructions yourself.

In any trimester of pregnancy, Ascorutin should not be taken if there is an individual intolerance to any components, or if the doctor has already prescribed multivitamin complexes. Because both a deficiency and an excess of ascorbic acid have an unfavorable effect on the immunity of mother and child.

Ascorutin should not be taken if:

• 1st trimester of pregnancy;
• increased blood clotting;
• diabetes;
• kidney ailments;
• thrombophlebitis.

To determine the need for admission, a clinical blood test is performed to determine the platelet level. The drug raises it, which increases clotting. This can cause the blood vessels to become clogged.

Danger of overdose

This drug is usually not used with other vitamin complexes at the same time, because there is a high risk of overdose. This will be accompanied by the following manifestations:

• nausea and vomiting;
• changes in blood pressure;
• headache and dizziness;
• disorders in the genitourinary system;
• digestive disorders;
• restless sleep.

In case of overdose, it is important to use adsorbents as soon as possible. This will help gain time before the ambulance arrives and speed up the process of drug breakdown. When carrying a child, the use of medications should be taken seriously. The doctor should be aware of all ailments that may be side effects. Only a doctor will be able to determine how Ascorutin and other drugs will affect each other.

Interaction with other drugs

It may seem that Ascorutin is not used in combination with other drugs. However, this is not the case and sometimes it is prescribed to enhance the effect. For example, with B vitamins.

With medications of these groups, Ascorutin will multiply their side effects rather than beneficial ones:

• Tetracycline;
• Salicylates;
• Penecilin;
• Heparin;
• Anticoagulants.

Are there any analogues?

Of course, such a drug has analogues. The most popular of them:

• Hofitol (we recommend reading: when is it indicated and how to take Hofitol during pregnancy?). Its structure includes field artichoke extract. It helps protect blood vessels from atherosclerosis and leads to the production of bile in the liver. However, most often it is used to prevent complications of gestosis.
• Detralex. Helps with problems with blood circulation in venous vessels. It is often taken for varicose veins. The main active substance is diosmin.
• Curantil (we recommend reading: Why is Curantil prescribed to pregnant women?). Contains dipyridamole. Prevents the formation of blood clots and strengthens the walls of blood vessels, making them more elastic. Usually, when carrying a child, Curantil is taken due to placental insufficiency.
• Canephron (more details in the article: Canephron: instructions for use during pregnancy). Helps with swelling. All components in its composition are natural, so there will be no harmful effect on the fetus. It acts gently, removes excess fluid from the body, and is useful for the treatment of preeclampsia. Has contraindications for early pregnancy.

There are enough options for choosing medications, so if you cannot take Ascorutin, the doctor will be able to select an individual vitamin preparation for the expectant mother. During pregnancy, you cannot prescribe medications for yourself.

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Description

Askorutin– a combined drug belonging to the group of vitamins.

Compound

• Ascorbic acid (vitamin C);
• rutin (vitamin P).

Action
This medicine compensates for the lack of vitamins C and P in the body, and also participates in redox processes. Rutin prevents the destruction of ascorbic acid and promotes better absorption by tissues.

Both components have an effect on the walls of blood vessels, strengthening them, reducing their permeability and reducing fragility. The most pronounced vascular strengthening effect of Ascorutin is in relation to small vessels - capillaries.

This effect of the drug on blood vessels helps strengthen the immune system.

Release form

Ascorutin is available only for oral administration: in tablets, each of which contains 50 mg of vitamin C and 50 mg of rutin.

The tablets are greenish-yellow in color.

Packages of 10, 50 and 100 tablets are available, as well as polymer jars and dark glass jars containing 30 or 50 tablets.

Instructions for use of Ascorutin

Indications for use

1. Lack of vitamins C and P in the body (hypovitaminosis or vitamin deficiency).
2. Diseases in which the fragility and permeability of capillaries increases:

• infectious diseases (scarlet fever, measles, typhus);
• septic endocarditis;
• hemorrhagic vasculitis;
• capillary toxicosis;
• hypertonic disease;
• hemorrhages in the retina of the eye;
• nosebleeds in children.

3. Prevention of damage to the vascular wall during treatment with drugs such as salicylates and anticoagulants.
4. Prevention of influenza and other viral infections.

Contraindications

• Individual intolerance to Ascorutin (or vitamin C, or vitamin P).
• Pregnancy in the first trimester.
• Children under three years of age.
• It is not recommended to prescribe Ascorutin for diabetes mellitus, urolithiasis, gout, thrombophlebitis, or with increased blood clotting.

Side effects

Ascorutin is usually well tolerated by patients, but in some cases (rather rarely) side effects such as:

Manifestations of an overdose are symptoms such as:

• headache;
• insomnia;
• vomit;

In case of accidental or intentional overdose of Ascorutin, you should drink 4-5 tablets of activated carbon and call an ambulance doctor.

Instructions for use of Ascorutin for children

Ascorutin is prescribed to children who have already reached the age of three. It is recommended to use this drug for prophylactic purposes during influenza epidemics. By strengthening the vascular wall, the drug increases the body's defenses. Research has found that children who took this drug suffered from the flu 3 times less often than those who did not take this drug.

Children who take Ascorutin sometimes experience side effects in the form of allergic skin rashes, headaches, nausea or diarrhea. If such phenomena occur, the drug should be discontinued.
Indications for use

• Frequent nosebleeds;
• infectious diseases (scarlet fever, measles);
• hemorrhagic vasculitis;
• glomerulonephritis;
• rheumatism;
• prevention of viral infections.

Contraindications

• Age up to three years;
• increased blood clotting;
• allergy to vitamin C or vitamin P.

Dosage
For medicinal purposes, children are prescribed Ascorutin 1 tablet 3 times a day, as for adults. The course of treatment is usually 10 days.

In order to prevent viral infections (for example, influenza), the dose of Ascorutin, depending on the age of the child, is 1/2 - 1 tablet once a day. The course of preventive treatment is 7-10 days.

Ascorutin during pregnancy

In the first trimester (first 12 weeks) of pregnancy, Ascorutin is contraindicated in order to avoid any effect on the fetus, when its organs and tissues are forming.

In later stages of pregnancy, taking Ascorutin is possible, for example, for the prevention and treatment of viral infections.

In addition, taking Ascorutin during pregnancy reduces the risk of uterine bleeding during childbirth, and to some extent prevents the expansion of veins in the legs. In any case, only a doctor can prescribe this drug to a pregnant woman and select the dose and duration of treatment.

Ascorutin to strengthen blood vessels

In order to strengthen the vascular wall, increase its elasticity and reduce permeability, Ascorutin in combination with other drugs is prescribed, first of all, for capillary toxicosis and hemorrhagic vasculitis (in these diseases it is the walls of small vessels that are affected). It is impossible to cure these diseases with Ascorutin alone. Treatment, including the dosage of the drug, is prescribed by the doctor.

The vascular strengthening effect of Ascorutin is used in the complex treatment of all diseases mentioned in the indications for the use of the drug.

Ascorutin for varicose veins

For varicose veins, Ascorutin is more effective as a prophylactic than as a therapeutic agent. However, it is used for this disease in combination with other drugs, because can not only strengthen the vascular wall, but also relieve inflammation, reduce swelling, and thereby prevent the formation of a blood clot.

It is used for this disease as prescribed by a doctor.

Ascorutin for the face (for rosacea)

Cuperosis is a disease in which the capillaries of the facial skin dilate and become noticeable. On the cheeks, on the tip of the nose, and less often on the chin or forehead, red stars first appear, and then a distinct red mesh. In the treatment of rosacea, Ascorutin is used along with other drugs, both internally (in the usual dosage) and externally - in the form, for example, of a tonic with chamomile.

Facial toner with chamomile and Ascorutin: To the cooled and strained chamomile infusion (1-2 tablespoons per 0.5 liter of boiling water), you need to add 2 tablets of Ascorutin, crushed into powder. The cosmetic product is ready. Use this tonic to wipe skin areas affected by rosacea 1-2 times a day.

Ascorutin for bleeding

Ascorutin as part of a complex course of treatment is very effective for many types of bleeding, primarily for nasal bleeding, as well as for uterine, hemorrhoidal, intestinal, bleeding from the gums, etc. For any bleeding, Ascorutin is not an emergency medicine - other medications are used for this.

Ascorutin during menstruation

During menstruation, Ascorutin is prescribed when menstruation is excessively heavy and prolonged. You need to start taking the drug 3-4 days before the start of your cycle. The course of treatment is usually 10 days. However, without consulting a gynecologist, you cannot independently treat yourself with this drug during heavy periods. The doctor will determine the cause of heavy menstrual bleeding: it can be caused by a hormonal imbalance - then Ascorutin alone is not enough, hormonal medications are needed.

Analogues

The following analogues have exactly the same chemical composition as Ascorutin:

• Askorutin D (Russia, Rozfarm);
• Askorutin-UBF (Russia, Uralbiopharm).

Another drug - Profilaktin S - contains the same substances, but in different proportions: it contains 100 mg of ascorbic acid, and 25 mg of rutoside (rutin). This remedy, as can be understood by its name, is used not for medicinal, but exclusively for preventive purposes.

The period of bearing a child is characterized by an increased need of the expectant mother’s body for various substances. During pregnancy, it is especially important to consume enough vitamins. These chemical compounds are involved in many biochemical processes, have antioxidant properties and increase the body's resistance to adverse environmental factors.

Ascorutin during pregnancy is used to compensate for the deficiency of vitamins C (ascorbic acid) and P (rutin). The drug is part of a combination therapy for many pathologies in expectant mothers.

Composition of the drug

The active ingredients of the drug Ascorutin are 50 milligrams of ascorbic acid and rutin. The drug also contains sucrose, starch, calcium stearate and talc.

Ascorbic acid is a water-soluble vitamin involved in many processes. This chemical compound stimulates the synthesis of interferon, due to which an increase in immunity is observed. Vitamin C forms collagen, which helps maintain the normal condition of mucous membranes and skin. The substance is a participant in endocrine metabolism; it stimulates the synthesis of catecholamines and glucocorticosteroids - adrenal hormones.

Vitamin C also reduces the amount of “harmful” low-density lipids involved in the formation of atherosclerotic plaques and stimulates bile formation. The chemical compound is one of the natural antioxidants that neutralizes radicals that damage tissue. Ascorbic acid improves the absorption of iron from the gastrointestinal tract, which reduces the likelihood of anemia.

Attention! When carrying a child, Ascorutin can be used only according to indications after being prescribed by a doctor; self-treatment is strictly prohibited.

Rutin increases the intensity of the thrombus formation process and reduces the permeability of small vessels. Vitamin P inhibits inflammation and stimulates the immune system. This substance has antioxidant activity, it protects the cells of the human body from damage.

Thus, the use of Ascorutin during pregnancy has an immunostimulating, vascular-strengthening, antioxidant effect. The drug is also able to prevent the development of bleeding.

Release form and expiration date

Ascorutin for pregnant women has one release form - tablets. They are sold in polymer jars of 30 or 50 pieces, or in packaging with 10 cells of 1 or 5 plates. The tablets themselves have a light yellow-green tint and may have inclusions on them.

The instructions say that the shelf life of the medicine is 3 years. The use of Ascorutin after this period of time is strictly prohibited. The drug should be stored in a dark, dry place, avoiding direct sunlight, away from children.

Indications for use of the drug

Ascorutin during pregnancy is used for the following symptoms and diseases:

1. Anemia. The drug improves the absorption of iron, necessary for the synthesis of hemoglobin.
2. Rheumatic lesions of blood vessels and other organs. Ascorutin has an anti-inflammatory effect.
3. Preeclampsia. The drug reduces capillary permeability, which leads to a reduction in edema.
4. Bacterial and viral infections. The medication stimulates the immune system, which increases the body's resistance to the expectant mother.
5. Varicose veins of the lower extremities. Ascorutin strengthens blood vessels and prevents their fragility in this disease.
6. Placental abruption. The drug strengthens the blood vessels of this organ, prevents rupture of arteries and veins. Prevention of bleeding during childbirth. The drug helps in restoring damaged vascular walls.
7. Haemorrhoids. The medication strengthens hemorrhoidal veins and helps relieve blood stagnation in them.
8. Antioxidant therapy.
9. Signs of hypovitaminosis of vitamin C and P. These include general weakness, pain throughout the body, bleeding gums, swelling, hemorrhages (bleeding in the skin).

Effect of the drug on the fetus

In the early stages of pregnancy, Ascorutin is absorbed into the systemic bloodstream and enters the body of the unborn child. This process can lead to disruption of intrauterine development, since at the moment all fetal systems are being formed.

At the present stage of medicine, the teratogenic (causing developmental anomalies, deformities) effect of the drug in the 1st trimester of pregnancy has not been proven, but the possibility of its harmful effect on the embryo cannot be ruled out.

Use of the drug in later stages of pregnancy does not cause negative effects on the fetus. This is due to the fact that from the second trimester of gestation, the placenta begins to fully perform its functions and protect the child from harmful substances. Also at this stage of intrauterine development, the main organs and tissues of the fetus are formed.

Instructions for use

It is strictly forbidden to take Ascorutin in the first trimester of pregnancy. The dosage of the drug at later stages is selected by a specialist and depends on the disease and condition of the expectant mother. Typically, experts prescribe 1 tablet 2-3 times a day.

The medicine should be used immediately after meals, it is recommended to drink it with cool, clean water without carbon. The course of treatment with the drug is about a month, in severe cases it can be extended.

Ascorutin before childbirth can be used as a means of preventing bleeding for certain indications. In this case, doctors recommend starting to take the drug at 37-38 weeks of pregnancy. The course of treatment is 3 weeks or until labor begins.

Contraindications

Despite the fact that the drug is a vitamin complex, it has strict contraindications for use. Ascorutin is prohibited for use in persons:

• with pregnancy up to 12 weeks inclusive;
• having an increased risk of thrombosis;
• with diabetes mellitus;
• having chronic renal failure;
• with urolithiasis;
• having allergic reactions to the components of the drug;
• with persistent high arterial hypertension;
• taking vitamin C supplements.

Side effects

Usually, taking Ascorutin according to the instructions does not cause side effects. Sometimes the drug provokes the development of allergic reactions, most often in the form of a rash on the skin, less often in the form of edema and vasospasm. Less commonly, the drug increases blood pressure and body temperature.

Ascorutin may cause a decrease in kidney function, and the drug also stimulates the formation of stones in them. Quite rarely, the drug causes dyspepsia: nausea, vomiting, heartburn, belching, diarrhea, diarrhea, abdominal pain.

The drug has virtually no effect on the central nervous system, but sometimes it can reduce concentration, cause headaches, sleep disorders, and performance. A very small number of patients noted worsening mood, tearfulness, irritability and aggression during the course of Ascorutin therapy.

The drug increases the risk of thrombosis in individuals with a predisposition to this pathology. Therefore, before taking it, it is necessary to donate blood for a general analysis. In the initial presence of a high platelet count, the use of the drug can cause microinfarctions of organs, including the placenta, which will lead to its premature detachment.

Analogues of Ascorutin

Detralex is an effective analogue of Ascorutin for circulatory disorders in the venous vessels. The active ingredient of the drug is Diosmin, which has an angioprotective effect.

This drug is available in tablet form and is used as part of complex therapy for varicose veins of the lower extremities, hemorrhoids, and microcirculation disorders. Detralex should be used during pregnancy after consulting a specialist.

Hofitol is a drug containing a natural component - field artichoke extract. The drug eliminates “harmful” lipids and protects blood vessels from atherosclerosis. Hofitol also stimulates the formation of bile in the liver. But the main effect of the drug is the prevention of eclampsia - a severe complication of gestosis.

The drug is available in the form of tablets and as a solution for internal use; it is strictly prohibited for self-medication.

Canephron is an analogue of Ascorutin for edema during pregnancy. It consists of natural ingredients and does not have a harmful effect on the fetus. The drug has a mild diuretic effect, removes excess fluid from the body, and is used as part of complex therapy for gestosis. The use of the drug is undesirable in the 1st trimester of pregnancy; you should consult your doctor before treatment.

Curantil contains the active substance Dipyridamole. The drug prevents thrombus formation and protects the vascular wall from damage. During pregnancy, the main indication for the use of the drug is placental insufficiency. Curantil is also effective as a method of preventing thrombosis. Use in expectant mothers is possible if the expected benefit for them is higher than the risk to the fetus.

The condition of the vascular system is extremely important for the expectant mother, since it is through the capillary network that the child receives the necessary oxygen. Due to insufficient elasticity of blood vessels during pregnancy, oxygen starvation of the fetus sometimes occurs, leading to such serious consequences as placental abruption and spontaneous abortion. During gestation, Ascorutin is prescribed to maintain capillaries in tone, but this medication also has other beneficial properties. It is on them, as well as on existing indications, that we should dwell in more detail.

Composition and action of tablets

Ascorutin is a complex medicinal product, the active components of which are vitamins C (ascorbic acid) and P (rutin). These two substances enhance their mutual action and improve each other’s absorption.

The drug has the following properties:

• reduces the fragility and permeability of capillaries and other blood vessels, strengthening their walls;
• slows down oxidative processes, cleansing the body of free radicals;
• speeds up metabolism.

Vitamin C is known for its ability to increase the body's defenses and prevent the development of infectious diseases. In addition, ascorbic acid takes part in processes such as:

• tissue restoration;
• strengthening bones;
• synthesis of steroid hormones;
• metabolism of proteins and carbohydrates.

• reducing tissue swelling;
• reducing inflammation of capillary walls;
• reducing the permeability of vascular walls.

The drug is available in the form of yellowish tablets, each of which contains 50 mg of vitamin C and rutoside.

Is Ascorutin allowed during pregnancy?

In the first three months, taking Ascorutin is prohibited due to fears that the components of the drug may disrupt the process of formation of organs and tissues in the fetus. The question of using vitamin tablets in the second and third trimesters should be decided only by the attending physician, focusing on the woman’s health condition.

It should be understood that Ascorutin is not a harmless vitamin, but a serious medical drug, so self-administration is excluded. For example, before its appointment, the expectant mother must donate blood to determine her platelet level. At high levels, taking the drug is prohibited, as it can lead to the formation of blood clots and blockage of the uterine and placental vessels.

The American Food and Drug Administration has not determined the category of action of Ascorutin on the fetus. There are also no known FDA recommendations for its main components, however, the injectable form of ascorbic acid belongs to group C substances in terms of the degree of effect on the embryo. That is, it is still unknown how taking vitamins C and P can affect a child’s development, especially if taken without a doctor’s permission.

Scientists have found that high doses of ascorbic acid, significantly exceeding the daily dose (80–90 mg), can provoke spontaneous abortion. In some situations, the fetus adapts to increased dosages, but after birth the newborn may develop withdrawal syndrome.

Thus, a pregnant woman should not self-medicate and take Ascorutin without the knowledge of the attending doctor, especially if she is already taking any vitamin complexes.

Why take it

The beneficial properties of the active components of the drug allow it to be used in the complex treatment of many diseases. First of all, Ascorutin is prescribed to a pregnant woman with a lack of its constituent vitamins and reduced immunity.

The drug is also prescribed in the following cases:

• insufficient oxygen supply to the placenta;
• gestosis (a severe complication of pregnancy, manifested by edema and high blood pressure);
• prevention:
  • flu and colds (prescribed also when the first symptoms of the disease appear - runny nose and lacrimation);
  • varicose veins and hemorrhoids;
  • bleeding during labor;
• diseases manifested by fragility and increased permeability of blood vessels:
  • rheumatism;
  • glomerulonephritis;
  • infectious diseases (for example, scarlet fever);
  • hemorrhagic vasculitis (a disease that affects small blood vessels);
  • hypertension;
  • severe allergic conditions.

In addition, the drug is also prescribed for iron deficiency anemia, which can lead to fetal hypoxia. Ascorutin (or rather, one of its active ingredients - ascorbic acid) helps more successful absorption of iron and prevents the development of negative consequences for the child.

First trimester and other contraindications

The instructions indicate that Ascorutin should not be taken in the first 12 weeks of gestation. In addition, the drug is prohibited for the following diseases and conditions:

• high blood clotting;
• thrombophlebitis;
• diabetes;
• renal failure;
• urolithiasis disease;
• hypersensitivity or intolerance to the components of the drug.

Side effects and effects on other medications

Usually the drug is well tolerated by pregnant women, but in some cases the following undesirable effects are noted:

• headache and fatigue;
• problems falling asleep;
• nausea and vomiting;
• fluid retention in tissues (as a result - edema);
• blood clot formation;
• a sharp increase in blood pressure;
• skin rash and itching;
• severe allergic reactions (Quincke's edema, anaphylaxis);
• kidney stones (with long-term use).

A pregnant woman should also be aware of the drug interactions of Ascorutin with other drugs:

• with prolonged use, Ascorutin enhances the effect of heart medications, non-steroidal anti-inflammatory drugs and high blood pressure medications;
• ascorbic acid reduces the effectiveness of indirect anticoagulants and drugs of the sulfonamide group;
• Vitamin C increases the side effects of salicylates.

In addition, excess ascorbic acid can cause negative consequences for pregnancy, for example, spontaneous abortion. Therefore, the expectant mother needs to discuss with the doctor the possibility of refusing to take other vitamin complexes containing vitamins C and P.

Instructions for safe use

The treatment regimen with Ascorutin is determined only by the attending doctor, guided by test results, the state of health of the pregnant patient and the individual characteristics of her body.

When taking Ascorutin, you must follow the following rules:

1. The drug is taken immediately after meals.
2. The tablet must be swallowed whole without chewing. Otherwise, ascorbic acid can negatively affect the condition of tooth enamel.
3. The drug is washed down with plain boiled water. You cannot use mineral water, since the alkali it contains neutralizes the effect of vitamin C.
4. You should not take Ascorutin tablets with fruit and vegetable juices, as they reduce the absorption of ascorbic acid in the intestines.

The drug is taken 2-3 times a day in the dosage prescribed by the doctor. The duration of treatment usually does not exceed 3–4 weeks, but the doctor has the right to extend the course of therapy.

How can you replace Ascorutin during pregnancy?

On pharmacy shelves you can also find complete analogues of Ascorutin, which contain the same active components in comparable proportions:

• Askorutin D;
• Askorutin-UBF.

Another medical product - Prophylactic C - contains, compared to Ascorutin, an increased amount of ascorbic acid, and is used only for prophylactic purposes, usually to prevent deficiency of vitamins C and P.

If the expectant mother cannot take Ascorutin for any reason, the doctor replaces it with medications that are similar in their therapeutic effect and mechanism of action.

Table: drugs that doctors prescribe to expectant mothers to prevent and solve problems with blood vessels

Name	Dosage forms	Active ingredients	Indications	Contraindications	Features of use during gestation
Pills	Diosmin; hesperedin.	Venous-lymphatic insufficiency; swelling of the legs; varicose veins of the rectum.	Hypersensitivity to active and minor substances of the drug	The medicine is considered quite safe, but it is prescribed only after weighing the risks and benefits
Pills	Pyridoxine hydrochloride; folic acid; cyanocobalamin	Ischemic circulatory disorder; diabetic retinopathy; fetoplacental insufficiency; vascular diseases in diabetes.	Intolerance to the drug components	Prescribed at any stage of gestation according to indications
Pills	Dihydroergocristine; esculin; rutoside	Phlebeurysm; venous-lymphatic insufficiency; blood microcirculation disorders.	Tendency to bleeding; hypersensitivity to any ingredient of the product.	It is not prescribed in the early stages because there is no accurate data confirming its safety. Prescribed in the second half of pregnancy.
Capsules; gel.	Troxerutin	Phlebeurysm; prevention and treatment of hemorrhoid symptoms; venous-lymphatic insufficiency.	Stomach or intestinal ulcer; inflammation of the gastric mucosa; hypersensitivity to the components of the drug.	Not recommended for use in the first months of gestation. It is prescribed in the second trimester if the benefits for the mother are higher than the possible risks for the child.
Pills	Diosmin; hesperedin.	Varicose veins; prevention and treatment of symptoms of varicose veins of the rectum.	Hypersensitivity to any of the ingredients of the drug	Allowed during pregnancy
Pills	Ascorbic acid; routine	Prevention and treatment of hypovitaminosis C and P; prevention of colds and flu; prevention and treatment of blood microcirculation disorders.	Intolerance to the main and auxiliary components of the drug	Admission is possible after consultation with a doctor; it is better not to use it in the first trimester.

Photo gallery: options for replacing Ascorutin for pregnant women, including those not prohibited in the early stages

Prophylactic C - a combined drug that restores the deficiency of vitamins C and P Troxevasin - an angioprotective drug with anti-edematous and anti-inflammatory effects Detralex has venotonic and angioprotective properties, is prescribed in any trimester
Venarus is a drug intended for the treatment of venous insufficiency and hemorrhoids, safe throughout Angiovit is a combined pharmaceutical drug containing B vitamins, it is also prescribed in early pregnancy
Anavenol is a venotonic, capillary-protective drug that effectively helps cure various diseases of the vascular system.