Over-the-counter medications and pregnancy

Pregnancy When you’re pregnant, the most important thing is the health of your baby. It can be confusing trying to figure out whether or not it’s OK to use over-the-counter medications if the need arises.

While some medications are considered safe during pregnancy, most medication effects in pregnancy are unknown. That doesn’t mean these other medications cause problems or birth defects. If you have questions about taking medications while you are pregnant, it’s important to speak with your doctor. This is especially true in the first trimester when fetal development is most important. 

Via Christi Clinic obstetricians recommend not taking over-the-counter medications unless it’s absolutely necessary. Below is a list of medications they have compiled that have no known harmful effects in pregnancy when taken appropriately. 

Allergy
Benadryl, Zyrtec, Claritin, Dimetapp

Cough and cold
Robitussin DM (non-productive cough), Robitussin (cough), Vicks vapor rub, Mucinex, cough drops, Triaminic

Congestion
Sudafed (do not use if you have elevated blood pressure), Ocean Mist nasal spray (saline solution).
Do not use: Phenylephrine

Constipation
Metamucil, Citrucil, FiberCon, Fiberall, Colace, Milk of Magnesia, Miralax, Senekot

Diarrhea
Imodium (1 dose — if it persists, notify your physician), drink fluids (water, Gatorade, juice)

Heartburn, Indigestion and Gas
Tums, Zantac, Pepcid, Prilosec, Gas-X, Maalox, Mylanta.
Do not use: Pepto-Bismol 

Hemorrhoids
Preparation H, Anusol, Tucks medicated pads, Witch hazel

Lice treatment
Rid
Do not use: Kwell

Nausea and vomiting
Vitamin B6 (25mg 3x per day); small, frequent meals; sweet fruit syrup from canned fruits
(i.e. peaches, pears)

Insomnia
Benadryl

Pain
Tylenol for minor aches, pains or headaches
Do not use: Motrin, Advil, Aleve or aspirin

Rash/Derm
Hydrocortisone cream, Benadryl cream

Toothache
Orajel.
See your dentist. You may have x-rays with lead shield.

Yeast infection
Monistat, Gyne-Lotrimin

Vitamins
Prenatal vitamins, prescription or over the counter omega fatty acid products (i.e. Enfamil lipil) — often included in prescription vitamins now.

Other
Neosporin, Bacitracin

About Maria Loving

I am the coordinator of the Women's Connection's blog and have worked for Via Christi Health for 11 years. I'm also the mother of two boys, ages 11 & 13.
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