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What Medications Should I Take During Pregnancy?

May 31, 2022

Before you became pregnant, some medications may have been safe for you to take. However, when you become pregnant, you cannot just take any medications including painkillers. This is because some of these medications are not safe for you or your baby during pregnancy. In some cases, the effects may be unknown.

So, it's best you ask your physician or healthcare provider what meds are okay and what meds you may need to find alternatives for. Your local doctor will weigh the risks and benefits to help you know what's safe. 

Also, let your pharmacist or other doctors know you are pregnant if they are prescribing any medications for you.

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What Medications Are Safe to Take During Pregnancy?

First of all, if you are using any medications while pregnant, write them out and give your healthcare provider. This includes over-the-counter (OTC) medications, prenatal vitamins, nutrition supplements, herbal medicine, alcohol, and illegal drugs.

Prenatal vitamins are safe and must be taken when pregnant. Take extra precautions before taking other vitamins, herbal remedies, and supplements. Ask your doctor before taking any of the aforementioned substances.

Certain prescription drugs may pose more risks than benefits if you take them. On the other hand, some potential risks may be overlooked because not using a certain medication may pose a greater risk to you and/or your baby.

Illegal or street drugs are injurious to your health and even worse during pregnancy. These substances can be passed to your baby through the placenta and umbilical and can affect its life, growth, and development in utero and when delivered. No amount of street drugs or alcohol is proven to be safe when pregnant.

Your baby can be born with congenital problems due to illegal drugs and alcohol. Examples of these drugs include cocaine, heroin, angel dust, marijuana, crack, and LSD.

Other problems include premature birth, low birth weight, birth defects, fetal alcohol disorders, placental abruption, miscarriage, stillbirth, and developmental problems.

Safe Medications to Take During Pregnancy

The following medications below are proven safe to take during pregnancy. Please note that no drugs can be considered 100% safe to use during pregnancy. Hence, check with your doctor before taking these drugs, especially during the first trimester. There's no harm in being extra sure.

Headache

Acetaminophen (Tylenol)

Allergy

Diphenhydramine (Benadryl®)

Loratadine (Claritin®)

Steroid nasal spray (Rhinocort®)

Cetirizine (Zyrtec®)

Cold and Flu

Acetaminophen (Tylenol®)

Saline nasal drops or spray

Warm salt/water gargle

Diphenhydramine (Benadryl®)

Mentholated or non-mentholated cough drops

Nausea and Vomiting

Diphenhydramine (Benadryl)

Vitamin B6

Diarrhea

Loperamide ([Imodium®] 

Constipation

Docusate (Colace®)

Psyllium (Fiberall®, Metamucil®)

Methylcellulose fiber (Citrucel®)

Polycarbophil (FiberCon®)

Heartburn

Aluminum hydroxide/magnesium carbonate (Gaviscon®)

Aluminum hydroxide/magnesium hydroxide (Maalox®)

Famotidine (Pepcid AC®)

Ranitidine (Zantac®)

Calcium carbonate (Titralac®, Tums®)

Calcium carbonate/magnesium carbonate (Mylanta®)

Sleep

Diphenhydramine (Unisom SleepGels®, Benadryl)

First Aid Ointment

Bacitracin

Neomycin/polymyxin B/bacitracin (Neosporin®)

Polysporin

Rashes

Diphenhydramine cream (Benadryl)

Hydrocortisone cream or ointment

Caladryl lotion or cream

Oatmeal bath (Aveeno®)

Hemorrhoids

Phenylephrine/mineral oil/petrolatum (Preparation H®)

Witch hazel (Tucks® pads or ointment)

Yeast Infection

Miconazole (Monistat®)

Insect repellant

N, N-diethyl-meta-toluamide (DEET®)

What Medications Should Be Avoided During Pregnancy?

The following substances are not considered safe for use in concentrated amounts. They can harm your baby, and cause premature birth, and birth defects.

Oral supplements

The following oral supplements should be avoided in pregnancy:

  • St. John's wort
  • Wormwood
  • Vitamin A
  • Rue
  • Juniper
  • Sage
  • Cotton root bark
  • Kava kava
  • Black cohosh
  • Blue cohosh
  • Pennyroyal
  • Licorice
  • Beth root
  • Chinese angelica (Dong Quai)
  • Feverfew
  • Cascara
  • Arborvitae
  • Poke root
  • White peony
  • Senna
  • Meadow saffron
  • Chaste tree berry
  • Yellow dock
  • Slippery root
  • Goldenseal
  • Tansy
  • Cinchona
  • Ginseng
  • Yarrow

Essential oils

You should avoid the following aromatherapy essential oils if you are pregnant:

  • Sage
  • Basil
  • Pennyroyal
  • Wintergreen
  • Thyme
  • Marjoram
  • Calamus
  • Hyssop
  • Mugwort
  • Myrrh 

What we can help you do

A visit to us helps you get your prenatal care started while you await your appointment with your local OB doctor. At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise, including concerns about medications. 

We are in-network with many insurance health plans including Medicaid, Medicare, United HealthCare, and Blue Cross. 

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