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Prescribe by two differnt lhv doctor to ky wife whate are thes medication and its good or bad my wife has pain in suprapibic area
Reading File
analyse_media
I can't reliably read several of these medicine names. The handwriting is too unclear, and guessing could mislead you. I can tell you what I'm fairly sure of and what I'm not. I haven't checked this against the medical library or any other source, so it comes from general knowledge.
One point first: a Lady Health Visitor (LHV) is a community health worker, not a doctor. For suprapubic (lower belly) pain, your wife should be examined by a doctor, ideally a general physician or gynecologist.
What I can read
| Prescription | Best reading | What it likely is |
|---|---|---|
| 1 (top) | Amoxil (1 dose in the morning, about 5 days) | Amoxicillin, an antibiotic. |
| 1 (top) | "abo-ca..." (appears twice), "Dupist..." | Illegible. I won't guess. |
| 2 (bottom) | BP 100/80 | Normal-low blood pressure, fine. |
| 2 (bottom) | "Neurogentin..." (1 at night) | Possibly a nerve-pain medicine of the gabapentin type. This is a guess. |
| 2 (bottom) | "Rilspafast", "Lysocell" (2+2), "Nabacel..." (1+1) | Cannot identify. |
Is it good or bad?
- An antibiotic like amoxicillin is reasonable if a urinary tract infection is suspected, which is a common cause of suprapubic pain. It should be given only after a urine test (urine R/E, and culture if possible). Many UTI bacteria are now resistant to amoxicillin, so it may not work.
- If she is not improving, or the antibiotic was started without a urine test, it may be the wrong choice.
- Nerve-pain medicines can cause drowsiness and dizziness. They don't treat the cause of suprapubic pain, only the symptom. They are not a first-line choice unless a doctor has examined her and found a reason for them.
- I can't judge the other medicines without knowing what they are.
- Giving two different prescriptions together risks duplicate medicines (for example two painkillers or two antibiotics) and side effects.
What to do
- Take clear photos of the medicine strips or boxes, including the generic name printed on them. Send them and I'll tell you exactly what each one is.
- Don't take both prescriptions together until a doctor or pharmacist has checked them.
- Ask for a urine R/E, a pelvic and abdominal ultrasound, and a pregnancy test if she is of childbearing age.
Go to the emergency room right away if she has:
- fever with chills
- vomiting
- blood in the urine
- severe or worsening pain
- vaginal bleeding or discharge
- fainting
- she may be pregnant
- she cannot pass urine
Is she pregnant or could she be, and does she have burning urination, fever, or abnormal bleeding or discharge? That would help me tell you what is most likely.
She is 5 motnh pregnant
Finding Sources
Finding Sources
Searching PubMed
"urinary tract infections"[MeSH Terms] AND "pregnancy"[MeSH Terms]
At 5 months pregnant, suprapubic pain needs a same-day check by a doctor, ideally an obstetrician. Please don't wait on the home prescriptions. Pregnancy changes both the likely causes and which medicines are safe.
Why this matters now
- Suprapubic pain at 20 weeks or so can be harmless, such as round ligament pain, which is a stretching pain that is usually brief and eased by rest or acetaminophen (paracetamol). - Swanson's Family Medicine Review, answers section
- It can also be a urinary tract infection (UTI). Bladder infection is common in pregnancy and can spread to the kidneys. Textbooks recommend treating even infection without symptoms in pregnancy. A 2024 meta-analysis links UTIs in pregnancy to preterm birth.
- It can also be preterm labor or uterine contractions, which feel like a tightening or cramping low in the belly. This one cannot wait.
The medicines
- Amoxil (amoxicillin): This is a reasonable and accepted antibiotic in pregnancy. Textbooks list amoxicillin 500 mg two to three times daily for 3 to 7 days, or cephalexin, as first-line treatment for bladder infection in pregnancy. - Tintinalli's Emergency Medicine, Pregnancy section. Two cautions apply:
- It should only be given after a urine test (urine R/E, and culture if possible). Resistance to amoxicillin is high, and a 2024 meta-analysis found resistance among pregnant women with UTIs is rising.
- A once-daily dose or a 5-day course may be too little. A urine culture should guide the choice.
- "Neurogentin..." (my guess is a gabapentin-type nerve-pain medicine): I am not sure of this identification. If it is gabapentin or pregabalin, I would not take it in pregnancy without an obstetrician's approval. These are not routine for suprapubic pain in pregnancy, and the safety data are limited.
- "abo-ca...", "Dupist...", "Rilspafast", "Lysocell", "Nabacel...": I can't identify these from the handwriting. Several could be safe, but some medicines are not appropriate in pregnancy. This includes some painkillers (NSAIDs such as ibuprofen, diclofenac or ketorolac), some antibiotics, and some muscle relaxants. Please do not take any of them until a doctor or pharmacist has checked the exact names against her pregnancy.
What I would do today
- Stop taking medicines from the two prescriptions together. Check each one with a doctor or pharmacist first.
- Have a doctor examine her today. Ask for a urine R/E and culture, an ultrasound (to check the baby, the cervix and amniotic fluid), and blood pressure and temperature checks.
- For pain only, acetaminophen (paracetamol) is the usual safe choice in pregnancy. Avoid NSAIDs.
- Send me clear photos of the medicine strips or boxes, showing the generic name. I'll then tell you what each one is and whether it is safe in pregnancy.
Go to the hospital immediately if she has any of these:
- regular tightening or cramps, or pain that keeps coming back
- vaginal bleeding or leaking fluid
- fever or chills
- back or flank pain
- burning urination or blood in the urine
- vomiting
- reduced baby movements
- a severe headache or swelling of the face and hands (possible pre-eclampsia)
I can't diagnose her from a photo of a prescription. The most important step is to get her examined and tested today.
Inlist name of medicine
Searching the Web
Lysocell capsule Pakistan composition
Searching the Web
Rilspa fast tablet OR Risfast tablet Pakistan drotaverine composition
Searching the Web
Duphaston 10mg tablet dydrogesterone uses pregnancy
Here are the medicine names as best I can read them. I'm sure of only the first one. The rest are my best guesses from the handwriting, so please check each against the strip or box.
Prescription 1 (top page)
| # | Written as | My reading | Confidence | What it is |
|---|---|---|---|---|
| 1 | Tab "abo-ca..." | Unclear | Low | I can't read it. |
| 2 | Tab "Dupist / Dophast (10)" | Duphaston 10 mg | Medium | Dydrogesterone, a progesterone-type hormone. Doctors prescribe it in pregnancy, mainly to prevent miscarriage, and it should be taken only under a gynecologist's supervision. |
| 3 | Cap "Amoxil" (about 5 days) | Amoxil | High | Amoxicillin, an antibiotic. It is acceptable in pregnancy, but it should be chosen after a urine test. |
| 4 | Syp/Sd "abo-C..." | Unclear | Low | I can't read it. It may be the same medicine as #1. |
Prescription 2 (bottom page)
| # | Written as | My reading | Confidence | What it is |
|---|---|---|---|---|
| 5 | Tab "Rilspa-fast" 1+1 | Possibly Relispa (drotaverine 40 or 80 mg) | Low to medium | An antispasmodic that relaxes smooth muscle, used for cramping pain. |
| 6 | Cap "Neuro-g......" 1 at night | Unclear | Low | I can't identify it. It might be a nerve-pain or vitamin product. |
| 7 | Cap "Lysocell" 2+2 | Possibly Lycocell | Low to medium | A lycopene antioxidant and vitamin capsule (vitamins A, C, E, zinc, selenium). |
| 8 | Tab "Nabacel / Nabacarl" 1+1 | Unclear | Low | I can't identify it. |
What this means for her
- Amoxicillin: appropriate in pregnancy if she has a urine infection.
- Duphaston: it is not clear why it was prescribed at 5 months. Ask the prescriber why, and for how long.
- Antispasmodic (if it is Relispa): this would fit cramping pain. It still needs an obstetrician's approval, and the cramping itself needs to be checked.
- The other four (#1, #4, #6 and #8), and the high-dose antioxidant capsule (#7): I can't confirm their safety in pregnancy.
I'd photograph the strips or boxes, showing the brand and generic names, and take them to a doctor or pharmacist before she takes anything else. If you send me those photos, I can give you exact names and safety information.
Because she is 5 months pregnant with lower belly pain, she should also be seen and tested today. The warning signs I listed earlier still apply.
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