What medicines should not be taken during menstruation?
During menstruation, a woman's body is in a special physiological state, and some drugs may aggravate discomfort or interfere with normal physiological processes. The following is a summary of the contraindications for menstrual medication that have been hotly discussed on the Internet in the past 10 days. It is organized into structured data based on medical advice to help women safely pass their menstrual periods.
1. Types of drugs that need to be used with caution during menstruation

| drug class | Representative medicine | Potential risks | Alternative suggestions |
|---|---|---|---|
| anticoagulant drugs | Aspirin, warfarin | Increase bleeding and prolong menstrual period | Switch to acetaminophen for pain relief |
| Hormone drugs | Emergency contraception, progesterone | disrupt endocrine cycle | Consult your doctor to adjust medication time |
| Chinese medicine for promoting blood circulation and removing blood stasis | Angelica sinensis and safflower preparations | Cause excessive menstrual bleeding | Stop taking during menstruation |
| laxative | Senna, phenolphthalein tablets | Increase pelvic congestion | Increase dietary fiber intake |
2. Questions and Answers on Hot Topics During Menstrual Medication
1.Pain reliever options:NSAIDs such as ibuprofen should be used under the guidance of a doctor and should not be taken on an empty stomach. Recent hot searches show that overdose may cause gastrointestinal bleeding.
2.Antibiotic effects:Cephalosporin antibiotics are generally not affected by menstruation, but recent studies have found that some broad-spectrum antibiotics may disrupt the balance of vaginal flora.
3.Vitamin supplements:Vitamin E and B complex can relieve dysmenorrhea, but excessive iron supplementation may cause constipation and needs to be adjusted according to hemoglobin level.
3. Characteristics of drug metabolism during menstruation
| Physiological changes | Effect on drugs | Things to note |
|---|---|---|
| Endometrial shedding | Anticoagulant drugs are more effective | Monitor bleeding |
| Increased prostaglandin secretion | Demand for painkillers rises | Do not exceed maximum daily dose |
| body temperature fluctuations | Affect drug metabolism rate | Avoid taking it with antipyretics |
4. Latest suggestions from experts (updated in 2023)
1. Avoid using any blood-activating health products 3 days before menstruation. The recently popular "detox package" on the Internet may cause heavy bleeding.
2. For severe dysmenorrhea, it is recommended to start preventive medication 12 hours before the onset of menstruation, which is 40% more effective than taking medication during the onset of menstruation (according to the latest clinical data).
3. Be cautious when vaccinating during menstruation. Recent studies have pointed out that the immune response may be stronger than usual.
5. List of safe medications during menstruation
| safe medicine | Efficacy | Usage tips |
|---|---|---|
| Acetaminophen | Relieve mild to moderate pain | ≤3000mg daily |
| short-acting contraceptive pill | Adjustment cycle (need to follow doctor’s advice) | Take at a fixed time |
| probiotic preparations | Maintain flora balance | Avoid antibiotic use time |
Note: The data in this article are compiled from the announcement of the State Food and Drug Administration, the gynecological medication guidelines of tertiary hospitals, and hot discussions on social media in the past 10 days. For individual differences, please refer to the doctor’s diagnosis.
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