Guidelines for Medications in Pregnancy

medication guideline during pregnancy from Waukesha obstetriciansFOR PAIN: regular or extra-strength acetaminophen such as Tylenol or Datril. Avoid Advil, ibuprofen, or aspirin.

FOR DIARRHEA: Kaopectate or Maalox. Do not use Pepto-Bismol. If severe, you may call to see if you can use Imodium for 1-2 days.

FOR CONSTIPATION: any fiber supplement such as Fiber-Con, Metamucil, or Citrucel. Miralax, Surfak or Colace stool softeners are also okay to use. Do not use anything that is a medical stimulant laxative.

FOR HEARTBURN: Antacids with or without anti-gas supplement such as Mylanta or Mylanta II, Tums, Tums EX or Rolaids. Do not use Alka-Seltzer.

FOR THE COMMON COLD: In pregnancy, your resistance is down and you are particularly susceptible to the common cold. Most women will have several colds during pregnancy. First, increased rest and fluid intake is encouraged. The use of a humidifier can also be helpful in soothing a dry throat.

Medication suggestions for allergies include antihistamines such as Chlor-Trimeton. Pseudoephedrine is also okay to take. Other safe medications include Sudafed, Sudafed-Plus, Actifed and Robitussin. Do not use epinephrine or phenylephrine. Do not use medications such as Allerest ARM, Contact, Coricidin, Dimetapp and Sinarest.

TOPICAL DECONGESTANTS: saline nose drops are often helpful and relieving. In general, any medications contained in nasal decongestants are safe. As a rule, nasal decongestants should not be used longer than three days.

COUGH MEDICATIONS: one should be aware that some liquid cold preparations do have a significant amount of alcohol content and should be avoided. Robitussin Night Relief, Vicks, and NyQuil and should be avoided. Robitussin and throat lozenges such as Cepacol can be used with a cough.

FOR HEMORRHOIDS: Preparation H, Anusol and Dermoplast Spray are all acceptable. One should try to use the same medications as suggested for constipation to avoid recurrence of the hemorrhoids.

Ginger and lemon in a cup

MORNING SICKNESS: You should opt for foods with a dry consistency and neutral taste. Avoid spicy foods and foods with a strong smell. Small frequent meals throughout the day are helpful. Liquids are best if noncarbonated, non-acidic, and at room temperature. Liquids should be sipped slowly throughout the day. Rapid ingestion of high volume of fluids can worsen nausea. Some find double sweetened Kool-Aid a helpful mixture.

Ginger, such as found in ginger ale, may help nausea. Adding ginger to tea may also be helpful. Ginger can be found in some health food stores in 500mg tablets.

Life savers or hard candy such as peppermint, lemon, butterscotch, or sweet candies can be used throughout the day to help keep your blood sugar level up.

Over the counter remedies for nausea:

  • Vitamin B6, approximately 25mg three times daily
  • You may also use Vit B6 25mg three times daily with ½ tab of Unisom with the first and second dose followed by 1 tab of Unisom with the third dose
  • Emetrol – dosing per directions on the bottle
  • Anti-nausea wristbands can be found without a prescription

Pregnant woman drinking waterPharmacological Treatments for nausea:

  • Unisom – to be used at night time
  • Benadryl – liquid gel or soft gel to be used every 4-6 hours
  • Dramamine – tablets to be used every 4-6 hours. It is not advised to take Dramamine II.

To avoid severe dehydration: try to drink fluids as much and as often as tolerated. Severe dehydration may require a brief hospitalization for IV fluid replenishment and medication for nausea.

NOTE: Using nothing is best for the first trimester up to 13 weeks of pregnancy. Avoid ALL alcohol and cigarettes.

Please call our office before taking any medication not listed if prescribed by another physician. Be sure to inform other providers you see that you are pregnant.

Call Waukesha OB-GYNs at Women's Health Care for information on medication guidelines during pregnancy