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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 until you talk to your doctor. 

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

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


  • 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.

Download a copy of our Medication Guide During Pregnancy for an easy reference or bookmark this page. 

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Problem Over-the-Counter Medications Call Your Obstetrician If You Have
Mild Headaches/Aches & Pains Tylenol (Acetaminophen) 325 mg
Extra Strength Tylenol (Acetaminophen) 500 mg
DO NOT exceed 4,000mg a day
Severe and/or Persistent Headaches
Nasal Congestion/Cough Due to a Cold, Sinusitis

Afrin Nasal Spray (for 3 days only)
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, 1 per day 


No Relief
Heartburn Tums
Pepcid (as directed)

No Relief


If taking Nexium or omeprazole prior, then consult MD


Ginger tablets 250-500 mg 2-3 times daily Vitamin B6 25mg tablet 3-4 times per day (up to 200 mg/day) 
Unisom (Doxylamine 25 mg tablet) ½ tablet (12.5 mg) 2 times/day or full tablet at bedtime, may cause drowsiness

If you are unable to keep ANY liquids or foods down for 24 hours or more, call the office.
Sore throat

Alcohol-Free Lozenges

Severe or persistent sore throat

Colace Stool Softener
Milk of Magnesia

Severe straining

Imodium, Lomotil

No Relief
Gas Gas-X (Simethicone) No Relief
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) at bedtime
No Relief
Symptoms of vaginal yeast  7-day Monistat treatment No relief call for an appointment to evaluate.

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 325mg (extra strength is ok - 500mg)
Heat pad on low (do not place directly over your abdomen).
No Relief



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