Medication in Pregnancy / Lactation
During your prenatal and lactating period, the best policy is to avoid all medications, (especially in the first 3 months!) except your prenatal vitamins. However, when you are troubled by common discomforts, there are a number of over-the-counter medications we recommend that are considered safe during pregnancy and/or with breastfeeding. Please take the adult dose listed on the medication.
- Diphenhydramine [Benadryl]
- Chlorpheniramine [Chlor-trimeton]
Combination Allergy / Decongestant
- Actifed [Pseudoephedrine plus Triprolidine]
- Docusate Sodium [Colace]
- Fiber pills / supplement
- Milk of Magnesia
- Dulcolax suppository usage should be once a week or less.
- Increase your fluid and fiber intake
- Guaifenesin [Robitussin Plain or DM]
- Mucinex Plain or DM
Decongestant (Stuffy nose)
- Pseudoephedrine [Sudafed]
- Saline nasal spray
- Oxymetazoline [Afrin] nasal spray (has a rebound effect
- if used for more than 3 days).
- Do not take any drugs containing phenylephrine
- HCl, i.e. Sudafed PE.
- Loperimide [Imodium A-D].
- Do not take Pepto-Bismol or Kaopectate as it contains salicylates (aspirin).
- Tylenol PM
- Acetaminophen [Tylenol]
- Do not take Aspirin [acetylsalicylic acid] or aspirin-containing products unless prescribed
- Do not take Ibuprofen [Motrin, Advil, Nuprin] during pregnancy, but can be taken while nursing, as little is excreted in the breast milk.
- Maalox Mylanta Riopan Gelusil Pepcid AC – may increase to 20mg 2x daily
- Preparation H
Nausea / Vomiting
- Vitamin B6
- Chloraseptic lozenges or spray
- If you have a fever and sore throat, you may need to be checked for strep throat.
- Do not take Chloraseptic liquid -it contains a high percentage of alcohol.
- Do not take mega doses of unprescribed vitamins.
- Monistat -Miconazole
- Do not take Diflucan
If you have questions about specific medications or if symptoms continue after use, please call the office (563-557-5959) between 8 am and 4 pm Monday through Friday. If the office is closed, please ask to talk to the provider on call.