Medication Guide During Pregnancy

Pregnant women may safely take the following over-the-counter medications – following all the directions on the container for adult dosage/use. Generic substitutes are OK. If on other medications, consult your obstetrician before use.  It is safe for pregnant women to take Tylenol/ Acetaminophen when taken according to the package directions.

At any time during your pregnancy, it is NOT OK to consume

  • Alcohol
  • Beer
  • Wine
  • Marijuana
  • Street Drugs
  • Cigarettes
  • e-Cigarettes

DO NOT TAKE

  • Aspirin products
  • Advil
  • Aleve
  • Ibuprofen

If you have any further questions about a medication, be sure to ask your nurse or OB-GYN doctor.


Over-the-Counter Medications

ProblemOver-the-Counter MedicationsCall Your Obstetrician If You Have
Mild headaches/aches and painsTylenol (Acetaminophen) 325 mg- DO NOT exceed 3000 mg a day
Extra Strength Tylenol (Acetaminophen) 500 mg -DO NOT exceed 3000mg a day
Severe and/or persistent headaches
Nasal congestion due to a cold, sinusitis, or allergiesAfrin Nasal Spray (for 3 days only)
Claritin plain,
NOT Claritin D
Humidifier
Mucinex plain (600 mg) as directed on package
Neti Pot
Saline Nasal Spray
Sudafed (plain), after 1st trimester (13 weeks)--as long as not taking blood pressure medication
Cough due to a cold or minor throat irritationBenadryl (may cause drowsiness) — check with MD first if hyperthyroid, blood pressure, asthma, bladder problems, or ulcers, Robitussin plain
Robitussin DM (after first trimester)
Vicks VapoRub
Cough drops/Lozenges (sugar free if diabetic)
Persistent cough
Sore throatAlcohol-free lozengesSevere or persistent sore throat
HeartburnTums
Mylanta
Maalox
If above medications not effective, may try over the counter Pepcid or Zantac as directed
NO PRILOSEC
NO PEPTO-BISMOL
No relief
ConstipationMetamucil
Colace
Milk of Magnesia
Miralax
Severe straining
Mild to moderate diarrheaImodium
NO KAOPECTATE
No relief
GasGas-X (simethicone)
HemorrhoidsAnusol HC
Chilled witch hazel packs
Sitz bath
Tucks
Preparation H
Bleeding or severe pain
InsomniaWarm bath
Warm milk
Vitamin B6 (50 mg)
Benadryl (25 mg)
Tylenol PM
Unisom, 1 tablet (25 mg) at bedtime
Nausea (morning sickness)5 to 6 small meals per day
Peppermint Lifesavers or gum
Ginger tablets (250-500mg two to three times a day)
Vitamin B6 (10-25 mg three or four times a day)
Unisom 1⁄2 tablet (12.5mg) 2 times daily or 1 tablet (25mg) at bedtime
Persistent vomiting, weight loss, or inability to tolerate fluids for 24 hours
Yeast infectionsOTC 7-day Monistat (more effective than 1- or 3-day course)No relief – call for appointment to evaluate
AllergiesAfrin Nasal Spray (for 3 days only)
Benadryl (may cause drowsiness)
Claritin plain
Zyrtec plain
Sore musclesIcy Hot
Tylenol (Acetaminophen) 325mg
Extra Strength Tylenol (Acetaminophen) 500 mg
Heat pad

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