Atlanta Gynecology & Obstetrics, OB/GYN Physicians logo for print

Decatur: 404-299-9724 | 315 Winn Way, Decatur, GA 30030
Gwinnett: 770-923-5033 | 449 Pleasant Hill Road, Suite 200, Lilburn, GA 30047
After Hours/Emergency: 404-487-2450
Decatur: 404-299-9724 | 315 Winn Way, Decatur, GA 30030
Gwinnett: 770-923-5033 | 449 Pleasant Hill Road, Suite 200, Lilburn, GA 30047
After Hours/Emergency: 404-487-2450

Safe Medications for Pregnancy and Lactation

Here are some suggested medications thought to be safe to take during pregnancy.

Pain/Fever

  • Tylenol 650 mg every 4 hours as needed
  • Ibuprofen (Advil, Motrin) 400-600 mg every 4-6 hours as needed.

****Do not use ibuprofen products before 12 weeks or after 28 weeks.

Nasal Congestion

  • Sudafed (Pseudoephedrine) 30-60 mg every 4-6 hours can be used in the second and third trimesters in women without HTN. Avoid use in the first trimester and with breastfeeding.
  • Sudafed PE (Phenylephidrine) should be avoided because its uncertain efficacy and safety in pregnancy.
  • Afrin 12 hour nasal spray can be used for severe congestion. Do not use for more than 3 days in a row.
  • Saline Nasal Spray
  • Nasal Strips

Allergies

  • Clartin (not Claritin D)
  • Zyrtec 10 mg daily
  • Benadryl 25 mg every 6-8 hours

Cough

  • Robitussin DM 2-4 teaspoons every 4-6 hours as needed
  • Dextromethorphan 10-20 mg every 4-6 hours as needed
  • May use sore throat or cough lozenges

Constipation

  • Fiber products: Metamucil, Citracel, Fibercon, Benefiber

Stool Softeners

  • Colace (Docusate): 1 tablet 2-3 times a day
  • Pericolace: (Docusate + Sennosides) 1 tablet 1-3 times a day
  • Laxatives: Milk of Magnesia, Correctal, Fleets enema, Miralax

Diarrhea

  • Imodium liquid or capsules. Use as directed

DO NOT USE Kaopectate or Pepto-Bismol

Gas

  • Simethocone (Mylicon, Gas- X) 80 mg 1-2 times a day

Heartburn

  • Tums, use as directed
  • Zantac (75 mg), Pepcid (20mg): may use 1-2 tablets twice a day (one of these doses may be before bedtime)
  • Maalox, Mylanta: use as directed

Nausea & Vomiting

  • Vitamin B6 (10 to 25 mg) three times daily
  • Sleep aids like Unisom® ½ tablet 30 minutes before bedtime
  • Diphenhydramine (Benadryl®) 25 mg every 6 hours as needed daily.

If these remedies are not helping, you may need a prescription medication from your doctor.

Insomnia

  • Benadryl 25- 50 mg before bedtime
  • Tylenol PM, Unisom

Hemorrhoids

  • Anusol, Tucks Pads