Pregnancy is a period of exceptional vulnerability of the organism, when any substance taken by the mother can affect the development of the fetus. In the case of disulfiram, there are important questions about safety, both for the woman's health and for her unborn child. On one hand, alcohol addiction during pregnancy carries enormous risks, on the other, the use of an implant may involve danger.
What is an Alcohol Implant (Esperal)?
An alcohol implant is a method of addiction treatment involving the surgical implantation of a tablet containing disulfiram under the skin. This substance blocks the enzyme responsible for breaking down alcohol in the body, which leads to the accumulation of toxic acetaldehyde. As a result, even a small amount of alcohol causes a strong and unpleasant reaction – symptoms include:- nausea, vomiting
- shortness of breath
- heart palpitations
- sudden weakness.
Alcohol Implant and Pregnancy – Can It Be Used?
Disulfiram penetrates through the placenta, which may indicate a teratogenic effect (damaging to the fetus). Additionally, adverse effects can also be dangerous for the expectant mother. In case of alcohol consumption, a violent body reaction may occur (disulfiram reaction), the symptoms of which can pose a threat to both her and the child. According to recommendations, disulfiram is classified as a drug harmful during pregnancy, and its use should only be considered when potential benefits outweigh the risks. In practice, however, alcohol implants are not recommended for pregnant women or those planning pregnancy. Definitely safer are other forms of addiction treatment that do not require pharmacological intervention.Pregnancy and Esperal – Side Effects and Risks
Disulfiram has not been sufficiently studied in terms of its effect on pregnant women and child development. Due to the risk of toxic effects, its use during pregnancy is considered potentially dangerous. Although there are no conclusive human studies, some data suggest that disulfiram metabolites may negatively affect, for example, the development of the nervous system in the fetus. The use of disulfiram is associated with the risk of hormonal disorders that can affect the functioning of the reproductive system and increase the risk of miscarriage. Some women also experienced changes in prolactin levels and menstrual cycle disorders, which may suggest an impact on the hypothalamic–pituitary–ovarian axis.Esperal and Pregnancy – When Is the Implant Contraindicated?
Esperal implantation is strictly contraindicated in pregnant women and those planning pregnancy in the near future. Disulfiram may negatively affect fetal development and increase the risk of complications, so its use during this period is considered too risky. Contraindications also include cases where the woman suffers from liver, heart, cardiovascular diseases or is taking other medications that may interact with disulfiram. The decision to use an implant should always be preceded by a thorough medical consultation. In the case of women of reproductive age, the doctor should ensure that the patient is not pregnant and inform her about the potential risks associated with becoming pregnant during the drug's action.Alternatives to Alcohol Implant During Pregnancy
For pregnant women struggling with alcohol addiction, an alcohol implant is not a safe solution. Instead of pharmacological treatment, methods that are safe for both mother and child are recommended, primarily psychotherapy and specialized psychological support. An effective and recommended form of help is addiction psychotherapy conducted by specialized doctors. Participation in support groups or programs dedicated to pregnant women with alcohol problems can be complementary. Many treatment centers have programs adapted to the needs of pregnant patients, also including social assistance, prenatal education, and support in daily functioning.Implant and Pregnancy – Too Risky a Combination
In the therapy of pregnant women, an individual approach adapted to the patient's health condition, level of addiction, motivation, and life situation is crucial. Instead of pharmacological treatment, it is worth using proven psychotherapeutic methods and providing comprehensive care combining medical, psychological, and social support. Such an approach provides the greatest chance for a healthy pregnancy and effective recovery from addiction.:::cta Need help fighting addiction? Our specialists are ready to help you. Call or schedule an online appointment. Call: 880 808 880 | Schedule an appointment :::
