Can pregnant women use gentamicin inhalation therapy

Patient's question:

Medical Description: Frequent tonsillitis after pregnancy, now developed into pharyngitis at four months. The doctor recommended using gentamicin for local treatment via inhalation.
History of Treatment and Effect: Each time I have an inflammation, I use penicillin, but it gets better in a few days and then recurs.
Help Needed: Can pregnant women use gentamicin for local treatment via inhalation? Will it affect the fetus?

Doctor's answer:

Erythromycin is a medication with a relatively high hazard level and is contraindicated during pregnancy and breastfeeding. It can still have a certain impact on the auditory nerve of the fetus, and hearing tests can only be conducted after birth. We advise you to stop using erythromycin immediately. Erythromycin is known to have significant side effects and may affect fetal hearing, as well as potentially induce kidney dysfunction. It is not recommended for use during pregnancy. However, this medication is not well absorbed orally, and only a small amount is absorbed when used topically, which may reduce its impact on the fetus. If you have a cough during pregnancy, we recommend getting a complete blood count test. If the test supports a bacterial infection, you can use penicillin-based medications for treatment. For cough relief, you can try honey-cooked pears.

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