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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

* DO NOT take Motrin, Advil, Ibuprofen, Aleve, Naproxen, or Aspirin or any product containing these drugs products unless directed to do so by your provider. Many women are directed to take loss-dose aspirin throughout their pregnancy as a preventive measure, and this is an exception to the above rule.

Nasal congestion

  • Sudafed* (Pseudoephedrine) 30-60 mg every 4-6 hours can be used in the second and third trimesters in women without hypertension. Avoid use in the first trimester and while breastfeeding.
  • Nasal Strips
  • Saline Nasal Spray

Sudafed* PE (Phenylephrine) should be avoided because of its uncertain efficacy and safety in pregnancy.

Allergies

  • Claritin (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, Citrucel, Fibercon, Benefiber
  • Laxatives: Milk of Magnesia, Correctal, Senokot, Miralax, Dulcolax

Stool softeners

  • Colace (Docusate): 1 tablet 2-3 times a day
  • Pericolace (Docusate + Sennosides): 1 tablet 1-3 times a day

Diarrhea

  • Imodium liquid or capsules. Use as directed
* DO NOT USE Kaopectate or Pepto-Bismol

Gas

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

Heartburn

  • Tums: use as directed
  • Pepcid (20mg): may use 1-2 tablets twice a day (one of these doses can be before bedtime)
  • 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
  • Sea-Bands
  • Ginger capsule

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

Insomnia

  • Benadryl 25- 50 mg before bedtime
  • Unisom

Hemorrhoids

  • Anusol, Tucks Pads
  • Preparation H
  • Witch Hazel
  • Warm Baths
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