Medications in Pregnancy

Medications in Pregnancy 2017-12-14T14:59:18+00:00

Pain or headache:

  • Tylenol (acetaminophen)
  • Ibuprofen (Advil, Motrin) up to 32 weeks pregnant. Tylenol and Motrin may be used together.
  • To alleviate a migraine headache, drink a caffeinated beverage with Tylenol and Motrin

Cold, runny nose:

  • Vaporizer at bedside
  • Vicks VapoRub
  • Nasal irrigation: 1/2 tsp. salt, 1/2 tsp. baking soda in 8 oz. warm water. Irrigate nasal passages 3-4 times daily
  • Cepastat lozenges or throat sprays
  • Afrin (oxymetazoline)—theoretic precautions in IUGR cases
  • Antihistamines
    • Chlor-trimetron (chlorpheniramine)—after 12 weeks pregnant
    • Sudafed (pseudoephedrine)—after 12 weeks pregnant
    • Novahistine—after 12 weeks pregnant
    • Tylenol cold and sinus—after 12 weeks pregnant
    • Advil cold and sinus—after 12 weeks and before 32 weeks pregnant
    • Claritin (loratadine)—after 12 weeks
    • Zyrtec—after 12 weeks
    • Mucinex D—after 12 weeks

Cough:

  • Robitussin (guaifenesin)—after 12 weeks pregnant
  • Delsym (dextromethorphan)
  • Any over the counter cough/throat lozenge

Sinus tenderness:

  • Vaporizer/Vicks VapoRub
  • Antihistamines as above
  • Saline nasal spray/irrigation
  • Afrin (oxymetazoline)
  • Warm packs to eyes and sinuses

Heartburn/Gastroesophageal Reflux Disease (GERD):

  • Papaya enzymes
  • Tums
  • Maalox
  • Pepcid (famotidine)
  • Zantac (ranitidine)
  • Pepto Bismol: do not use during pregnancy

Nausea and vomiting

  • Strategies
    • Avoid odors and triggers
    • Avoid spicy and fatty foods
    • Omit iron supplement
    • Eat bland, dry high protein foods
    • Eat small frequent meals with fluids between
    • Avoid an empty stomach
    • Keep crackers at bedside; eat before rising
  • Alternative therapies
    • Ginger: ginger ale or capsules (250mg 4 times per day taken orally)
    • Vitamin B6
    • P6 elastic wristband (acupuncture point)
  • Antihistamines
    • Dramamine (dimenhydrinate) 50mg 4 times per day
    • Antivert (meclizine) 25mg 3 times per day
    • Vistaril (hydroxyzine) 25-50mg 4 times per day
    • Benadryl (diphenhydramine) 25mg 3 times per day

Diarrhea: (Call your care provider if symptoms last more than 24-48 hours)

  • Clear liquids/bland diet until symptoms resolve
  • Imodium AD

Constipation:

  • Water consumption should be at least 8-10 glasses of water per day
  • High fiber diet
  • Fiber laxatives such as Metamucil, Citrucel, Fibercon
  • Milk of magnesia
  • Magnesium Citrate—120 to 240 mL orally
  • Glycerine suppositories

Hemorrhoids:

  • Increase fluids
  • Drink Natural Calm
  • Increase fiber through diet or supplementation as above for constipation
  • Avoid straining with defecation and avoid prolonged times on the toilet
  • Use sitz baths to soothe
  • Try topical therapies~Tucks, Preparation H, Hydrocortisone and epi-foam