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Over-The-Counter
Medication Guide
During Pregnancy

Pregnant women may safely use the following over-the-counter (OTC) medications. Please follow the directions on the package for adult dosage and use. Generic substitutions are OK. If taking other medications, please consult with your doctor first .  *Avoid the use of all essential oils and herbal supplements, including Elderberry syrup/supplements. 

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 (unless instructed by MD)
  • Ibuprofen (Advil)
  • Naproxen (Aleve)

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

 

Problem Over-the-Counter Medications Call Your Obstetrician If You Have
Mild headaches/aches and pains Tylenol (Acetaminophen) 325 mg
Extra Strength Tylenol (Acetaminophen) 500 mg -DO NOT exceed 3000mg a day
Severe and/or persistent headaches
Nasal congestion/cough due to a cold, sinusitis

Afrin Nasal Spray (for 3 days only)
Humidifier
Mucinex (guaifenesin)
Neti Pot, Saline nasal spray, Pseudoephedrine decongestant, after 14 weeks
Plain Robitussin, DM ok after 14 weeks
Vicks Vapo Rub
Emergen-C Original, Cold Eeze,
NO AIRBORNE

No Relief
Heartburn Tums
Mylanta
Maalox
Pepcid as directed
NO PEPTO-BISMOL

No Relief

 

If taking Nexium or omeprazole prior, then consult MD

Nausea

Ginger tablets 250-500 mg 2-3 times daily Vitamin B6 25mg tablet 3-4 times per day (no more than 200 mg/day)  Unisom with active ingredient of Doxylamine 25 mg tablet, ½ tablet (12.5 mg) 2 times/day or full tablet at bedtime, may cause drowsiness

No Relief
Sore throat

Alcohol-free lozenges

Tylenol

Severe or persistent sore throat
Constipation

MiraLAX
Colace stool softener
Milk of Magnesia
Metamucil

Severe straining
Gas Gas-X (simethicone)  
Hemorrhoids  Anusol HC cream/ointment
Chilled witch hazel packs
Sitz bath
Tucks pads
Preparation H cream/ointment
Bleeding or severe pain
Insomnia Warm bath
Warm milk
Vitamin B6 (50 mg)
Benadryl (25 mg)
Tylenol PM
Unisom, 1 tablet (25 mg) 
 
Symptoms of vaginal yeast  3-7 days Monistat treatment No relief call for appointment to evaluate
Allergies

Flonase, Nasacort short term-Afrin (for 3 days only)
Benadryl (may cause drowsiness)
Claritin (plain-no “D”)
Zyrtec (plain-no “D”)

No relief with plain antihistamines.
Sore muscles Icy Hot
Tylenol (Acetaminophen) 325mg
Extra Strength Tylenol is OK too (Acetaminophen) 500 mg
Heat pad on low (do not place directly over your abdomen).
 

 

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