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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 

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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