Progesterone: It’s role in pregnancy

NewSpring Pharmacy compounding progesterone The reference to ‘raging hormones,’ meaning rapidly changing emotions, is quite common in pregnancy. Progesterone is essential, both for getting and for staying pregnant, so it’s natural that it increases during ovulation, and throughout pregnancy. The flood of hormones can also play havoc with emotions, as we know.

Progesterone prepares the womb for your baby. It causes the lining of the uterus to thicken after ovulation in preparation for a fertilized egg. When pregnancy does occur, progesterone helps sustain a healthy pregnancy.

But some women don’t have enough progesterone. If you are pregnant and your progesterone levels are low, your healthcare provider may prescribe progesterone to promote fertility and prevent miscarriages.

NewSpring Pharmacy compounds progesterone suppositories, which some women have prescribed during the first, and sometime second, trimester. We also compound progesterone in capsules, creams, ODT (Oral Disintegrating Tablets), sublingual drops, and troche. The form you need depends on your prescription, its purpose, and other individual factor.

Come into the pharmacy or call us about your progesterone prescription compounding needs.

EXERCISE IN PREGNANCY: Why it matters

NewSpring Pharmacy Exercise in PregnancyThe American Congress of Obstetricians and Gynecologists (ACOG) recommends at least 150 minutes of moderate-intensity aerobic activity every week for pregnant women. Swimming, brisk walking, dancing and gardening are healthy, fun activities for pregnancy. Here are just a few of the many reasons why exercise in pregnancy matters …

Control weight gain: Women who don’t gain too much weight in pregnancy can lose it more easily after delivery. Controlling your own weight gain also reduces the risk of having an overweight baby or predisposing your baby to diabetes and obesity.

More comfortable: Exercise can make some of the discomforts of pregnancy – such as backache, feeling exhausted, difficulty sleeping – easier to cope with.

Lower diabetes risk: You are less likely to develop gestational diabetes and type 2 diabetes after delivery if you control your weight during pregnancy.

Delivery relief: Exercise builds your stamina for delivery. Research has shown that women who exercise during pregnancy are also less likely to need an episiotomy and more likely to have a shorter delivery.

Good for baby’s brain: A study found that pregnant women who got just 20 minutes of exercise 3 times a week boosted their baby’s brain development.

If you have concerns about exercise during pregnancy or you have a condition that prevents it, discuss this with your healthcare provider and follow her advice.

Pregnancy at 40 and beyond

NewSpring Pharmacy Pregnancy 40s and beyondCan it be done?
Can you get pregnant in your 40s and beyond? The answer is a hearty YES. The chances of conceiving naturally go down from the age of 45. But women do conceive in their 40s and beyond, whether naturally or with the help of fertility technology.

What to watch for
Older mothers are more likely to develop gestational diabetes, a type of diabetes which occurs only in pregnancy. They are also more likely to develop high blood pressure. Babies born to older mothers are at higher risk of premature birth or low birth weight and they have a higher risk of chromosome problems such as Down Syndrome.

Precautions
Prepare well for your 40s-and-beyond pregnancy by making sure you’re in excellent health. Eat a balanced diet rich in foods that contain folic acid such as spinach, asparagus, broccoli, papaya, avocado, lentils, and beans. Exercise regularly and keep conditions such as diabetes and high blood pressure under control.

World record
According to the Guinness Records, the oldest verified mother to conceive naturally is Dawn Brooke from the UK, who conceived at the age of 59 years in 1997.

PREGNANCY CRAVINGS What NOT to eat

NewSpring Pharmacy Pregnancy Diet AdviceWhat’s the strangest food craving you’ve had in pregnancy? Pickles are a common one, and so is ice cream, with a variety of interesting toppings. Did you know that some dads-to-be get food cravings too? There’s nothing wrong with indulging your pregnancy food cravings, as long as they are for edible stuff.

You may have heard of or experienced ‘pica’, the craving for non-food items like dirt, charcoal, chalk, and even laundry soap! Besides non-food items, some foods are best avoided during pregnancy, craving or no craving. Here are a few:

Some soft and semi-soft cheeses such as Brie, Ricotta, Chevre, Fetta, Camembert, and Danish Blue. These soft cheeses have more moisture, so they are more likely to contain a type of bacterium called Listeria, which can be harmful to you and your unborn baby.

Seafood with high levels of mercury: In particular, avoid shark, swordfish, king mackerel, and tilefish. Exposure to mercury can interfere with the development of your baby’s brain and nervous system in the womb. It’s okay to eat other kinds of fish such as salmon and catfish, as well as limited amounts of tuna.

Raw meat and shellfish: “How do you want your steak?” While you’re pregnant, get it well done and say no to raw shellfish such as uncooked clams and oysters.

IMMUNIZATION IN PREGNANCY: Can I get that shot?

NewSpring Pharmacy Immunization in PregnancyWondering which vaccines are safe while you’re pregnant, and which ones are necessary for you and your little one’s health? Here are a few pointers.
Get the flu shot: The American College of Obstetricians and Gynecologists recommends that you get the flu shot during flu season when you are pregnant. This is because pregnant women can get much sicker from the flu and experience more complications. Getting a flu shot while you’re pregnant also protects babies from getting the flu in the first 6 months of life, when they are too young to get a flu shot themselves. The flu shot given in the form of an injection is safe for you and your baby when you are pregnant because they are made from an inactivated viruses. You should not get the nasal spray flu vaccine while pregnant because it is made with the live flu virus.
Whooping cough vaccine: The Tdap vaccine protects your newborn baby from whooping cough, which can affect babies very severely because their immune systems are still developing. It is important to get the vaccine while you are pregnant because babies can’t get vaccinated against whooping cough until they are two months old. The best time to get your Tdap shot is in your third trimester, between 27 and 36 weeks of pregnancy.
What not to get: Vaccines that contain live viruses are not recommended during pregnancy. Some examples are Chickenpox (varicella) vaccine, Measles-mumps-rubella (MMR) vaccine, and Shingles (varicella-zoster) vaccine. If needed, it is best to get these at least a month before conception if you are planning for pregnancy.

Meds Safety Tips For Expecting Mothers

NewSpring Pharmacy Meds Safety in PregnancyEvery substance you consume can cross the placenta and reach your baby. So how can you protect your little one in the womb and stay healthy yourself when it comes to taking medication in pregnancy. Here are some tips…

Prescription meds: We can’t know whether a new drug is safe for use in pregnancy because there is no way to test it. Some drugs are known to be unsafe for use in pregnancy because they have caused birth defects in the past. If you already take a prescription medication and you are pregnant or plan to become pregnant, don’t stop taking it or make any adjustments yourself. Talk to your healthcare provider right away for advice.

Over the counter: Do not use any over-the-counter drug, supplement or herbal product without advice from your healthcare provider or pharmacist. Some that may be perfectly safe to take at other times may be inappropriate and even harmful to your baby during pregnancy. For example, some meds contain caffeine, which is to be used with caution in pregnancy.

Compounding: A compounding pharmacy such as NewSpring can work with you and your healthcare provider to adjust doses, dosage forms and ingredients to make your necessary meds safer for you and your baby during pregnancy. Call us at 623-932-9800.

Help for addiction: There is help available for pregnant mothers or those planning to become pregnant who are struggling with addiction. A great resource is ‘Addiction and Pregnancy: A Guide for Mothers’ at www. drugrehab.com/guides/pregnancy

Resources: An excellent resource for information on meds and other exposures during pregnancy is OTIS. Visit their website or to speak to with an OTIS counselor, call 1-866-626-6847.

Health Before Birth Matters: AMAZING milestones in the womb

NewSpring Pharmacy Pregnancy MilestonesWhen does health begin? Well, right from the very beginning of course. Health before birth matters. It’s just the perfect head start that your baby needs to begin life on the right footing.

We watch with awe after birth as baby makes amazing milestones; the first smile, the first word, the first step. But equally amazing are the ones we don’t see – the ones in the womb, before your baby is born. Here are just a few…

No one like you
The magical moment of conception is the awesome beginning of a unique individual. In that instant when the sperm and egg come together to form a single entity, your baby’s genetic code is complete. The color of your baby’s eyes and hair is already contained in this code. Will your baby have dimples? Are you having a boy or a girl? These and many other secrets will be unveiled gradually over time, but the answers are already there, in baby’s genetic code right from the start.

A cheerful heart
Did you know that at 6 weeks pregnant your baby’s heart has already already beat more than one million times! Baby’s heart begins beating at 5 weeks and one day. You can see this cheerful heartbeat by ultrasound almost immediately. By 6 weeks, the little heart has all four chambers and is already hard at work, pumping blood to baby’s brain and body.

It’s a boy! Wait…no…it’s a girl!
If your baby is a girl, 11 weeks into the pregnancy, her ovaries already have reproductive cells and she has a uterus. At 16 weeks of pregnancy, your daughter moves her jaw more often than boys of the same age. Perhaps she’s preparing for a tete-a-tete with the girls.

Thumb sucking
Babies suck their thumb for the first time in the womb. At about 11 to 11 and a half weeks into pregnancy, your baby can stretch, yawn, and yes, suck his thumb. Baby also swallow amniotic fluid, which is filtered through his little kidneys, then pees it back into the uterus.

Mamma, can I have some broccoli
Your baby’s mouth and tongue have developed taste buds by 14 weeks into your pregnancy. Research has shown that your baby’s palette begins to develop in the womb, where amniotic fluid is flavored by the food you eat. Your baby will later be more accepting of flavors first encountered in the womb!

Singing in the womb
A study showed that babies are able to hear sounds as early as 16 weeks into pregnancy. Not only did the babies in this study hear music, they responded by moving their mouths and tongues as though they were trying to sing.

Smile and the world smiles
Baby’s first cry at birth is exciting for us, but did you know your baby has the ability to cry in the womb during the third trimester. Research showed babies appear to cry in the womb in response to disruptions such as ingestion of cigarettes or cocaine. Babies also smile in the womb from about 26 week into pregnancy. So go ahead, give your little one something to smile about.

 

Pharmacogenomics: MTHFR and blood clotting in Pregnancy

NewSpring Pharmacy Pharmacogenomics Some people have a higher tendency to form blood clots than others. For pregnant women, this can cause miscarriage and other complications. One of the possible causes is a genetic mutation. We all have an enzyme called MTHFR which enables our bodies to use folic acid. Among other things, it influences the way our blood clots. Inherited variations in the MTHFR gene are one possible cause for blood clotting problems.

The remedy depends on the type of MTHFR variation. Some people have two sets of a variation or two different variations in their MTHFR gene. When you are pregnant or planning to get pregnant, it helps to know whether you do have a MTHFR gene variation, but you should not be alarmed if you find out that you do. Your healthcare provider can work with you to prevent the harmful effects of the genetic variations, for your health and the health of your baby.

Pharmacogenomic testing can detect variations in the MTHFR gene. It also helps determine how an individual may react to various drugs. The test procedure is simple – a cheek swab at the pharmacy, which will be sent to the lab for analysis. In 2 weeks you will meet with our lead pharmacist who will explain the results, review your medication against the analysis, and provide recommendations.

If you have any questions about Pharmacogenomic testing, Come into the pharmacy or call us at 623-932-9800.

ADHD: Your Child’s DNA profile can help your doctor choose the right meds

NewSpring Pharmacy Pharmacogenomics CodeineFinding the best treatment for ADHD can involve a trial and error process. This is because a drug which works effectively for one person may not work for another. A drug that works perfectly well for one individual may cause intolerable side effects for another.

Take for instance the case of Ritalin, which is commonly prescribed for ADHD. For About 20% of people, Ritalin just doesn’t work, even though it works well for 80% of people. Besides, no single dose fits everyone, and finding the right dose for an individual also involves trial and error.

Some people experience side effects such as irritability, tics, drowsiness, anxiety and blurred vision, while others do not.

Genetic differences are the reason for the different individual experiences. This is good news, because we can look to DNA for answers, instead of relying on the trial and error method.

Pharmacogenomic testing helps determine how an individual may react to various drugs, including ADHD meds. The test procedure is simple – a cheek swab at the pharmacy, which will be sent to the lab for analysis. In 2 weeks you will meet with our lead pharmacist who will explain the results, review your medication against the analysis, and provide recommendations.

If you have any questions about Pharmacogenomic testing, Come into the pharmacy or call us at 623-932-9800

Kids Summer Skin Care Tips

NewSpring Pharmacy summer skincare tips kidsChic shade: Girls, what’s prettier than a big, colorful floppy hat? Boys, you’ll look handsome in a stylish bucket hat. Hats are great for summer skin care – like carrying the shade with you wherever you go. A good hat will protect your head, neck, ears and face from the sun.

BEENS: Don’t be caught outdoors in the daytime without sunscreen on; not even on a cloudy day! Put your sunscreen on 20 minutes before you go outside. Think about the areas that are so easy to forget. Spelling ‘BEENS’ will help you remember: Back of knees, Ears, Eye area, Neck, and Scalp. Carry your sunscreen with you when you leave the house if you’ll be gone more than two hours so you can apply some more. Going swimming? Remember to apply your sunscreen again afterwards.

Sweat much? In this heat? Are you kidding me? You should be sweating loads. Sweat is made by sweat glands in your skin. Sweating is your body’s way of cooling itself. When the sweat on your skin evaporates, you feel cooler. If you don’t drink enough water you don’t sweat enough. Your skin will also get dry much faster. Kids, you need at least 6 glasses of water every day; more if you’re playing sports or doing other activities.