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The consensus recommendation appears to be to avoid prolonged use of paracetamol in pregnancy and use it only when necessary, at the lowest effective dosage, and for the shortest time. [82] [102] [103] In pregnancy, paracetamol and metoclopramide are deemed safe as are NSAIDs until the third trimester. [104]
Although a small preliminary study [54] indicated xylitol may be safe for dogs, other studies show significant toxicity. [55] There have been cases of foods, candies and gums containing xylitol causing toxic or even fatal liver damage in dogs. [56] [57] [58] Ingestion may cause hypoglycemia. [38]
In contrast, paracetamol (acetaminophen) is regarded as being safe and well tolerated during pregnancy, but Leffers et al. released a study in 2010, indicating that there may be associated male infertility in the unborn. [92] [93] Doses should be taken as prescribed, due to risk of liver toxicity with overdoses. [94]
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In contrast, paracetamol is a safe and effective medication that is taken without complications by millions of people. [52] In addition, alternative pain relief medications such as aspirin are more toxic in overdose, whereas non-steroidal anti-inflammatory drugs are associated with more adverse effects following normal use.
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