Can pregnant women use gentamicin for local treatment via inhalation?

Patient's question:

Medical Description: Frequent tonsillitis after pregnancy, now developed into pharyngitis at four and a half months. The doctor recommended using gentamicin for local aerosol treatment.
History of Treatment and Effect: Each time when inflamed, penicillin was used, but it recurred after a few days.
Help Needed: Can pregnant women use gentamicin for local aerosol treatment? Will it affect the fetus?

Doctor's answer:

Erythromycin is a medication with a relatively high hazard level and is contraindicated during pregnancy and lactation. It can still have a certain impact on the auditory nerves of the fetus, and this can only be detected after birth. We advise you to stop using erythromycin immediately. Erythromycin is known to have significant side effects, which may affect the fetus's hearing and could also trigger kidney insufficiency. It is not recommended for use during pregnancy. However, this medication is not absorbed when taken orally, and very little 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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