Pregnancy Medication Guide:

Water carries nutrients from the food you eat to your baby.

The Institute of Medicine recommends about 10 cups (2.4 liters) of fluids a day during pregnancy.
Limit the amount of caffeine in your diet to less than 200mg a day.

*Please Note: No drug can be considered 100% safe to use during pregnancy*
Women who are between 4 and 12 weeks pregnant please contact office regarding safe medication use.
Women who are more than 12 weeks pregnant may take the following medications listed below.

Follow directions on the container for adult dosage/use.

Problem Recommendations
Allergies Zyrtec or Claritin WITHOUT the “D” (decongestant), Benadryl
Congestion/Cold Increase fluid intake. Tylenol Cold, Sudafed, or Mucinex for congestion. Robitussin or cough drops for cough and saline nasal spray for nasal congestion.
Constipation First try increasing your intake of fruits, juices, bran and water. If no improvement, Metamucil or Colace. If you need a laxative, try Miralax, Milk of Magnesia or Dulcolax (pill or suppository). Please make sure to continue increasing your intake of water.
Cramping/Groin Pain As your uterus grows it is normal to experience menstrual type cramps as early as 6 weeks. If cramping is severe or if you experience vaginal bleeding, call the office. Round ligament pain is a sharp, sudden pain in the groin area caused by the uterus growing. It is usually experienced while walking, turning from side to side, or anytime the ligaments are stretched. Warm compresses, Tylenol, and abdominal support belts may help.
Dental Visits Routine dental visits are fine during pregnancy. If x-rays are needed, wear an abdominal shield. Local anesthetics without epinephrine are fine. Avoid general anesthesia and nitrous oxide.
Diarrhea Try clear fluids for 24 hours and then try BRAT diet (Bananas, rice, applesauce, and toast). If no improvement and no fever present after 24 hours, try Immodium (if no blood in stool).
Dizziness, Lightheadedness, Fainting During pregnancy this is common, especially when you make sudden position changes (sitting or standing up). When you rise from lying down, get up slowly, turn to one side, and push up to a sitting position.
Exercise Avoid contact sports, scuba diving, or anything that may cause abdominal trauma. Sports requiring balance shifts like tennis and biking should be avoided in the 3 rd trimester. Low impact aerobics and walking are an excellent way to maintain fitness during pregnancy.
Gas Gas-X, Gaviscon
Heartburn Antacids (Maalox, Mylanta, Tums, Rolaids). If antacids not working well: Zantac, Pepsid AC, Tagamet, or Omeprazole
Headaches Tylenol, increase fluid intake, or caffeine (limit caffeine intake to less than 200mg/day). If persistent or if you have visual disturbances, call the office.
Hemorrhoids Witch hazel packs, Tucks pads, Anusol, Preparation H. Sitz baths may also help.
Immunizations Tdap and flu shots are recommended during pregnancy. PPD tests are also fine if needed.
Insomnia 50 mg Vitamin B6, Tylenol PM, Unisom, Benadryl 25-50mg
Leg Cramps These usually occur at night. Wearing support pantyhose and low-heeled shoes may help prevent them. Increasing water intake and supplementing 1200mg of calcium and/or 400mg of magnesium per day may also help.
Nausea/Vomiting Eating small frequent meals if the best way to combat nausea. Try eating something dry upon waking (toast/crackers). Can also try 50mg of Vitamin B6, Dramamine, Emetrol, or Bonine. Sea bands work for some patients.
Pain and/or Fever Increase fluid intake. Tylenol Cold, Sudafed, or Mucinex for congestion. Robitussin or cough drops for cough and saline nasal spray for nasal congestion.
Sexual Intercourse This is safe to continue for as long as you feel comfortable unless you
have any pregnancy complications such as bleeding or preterm labor.
Swelling Drink plenty of water and limit your salt intake. Support pantyhose, elevating feet, and resting on your left side may provide some relief. If you have significant swelling after resting, contact the office.
Travel Generally travel is restricted after 32 weeks or 8th month of pregnancy (sooner if any complications arise). Before planning a trip you may want to consider whether you will have adequate access to obstetrical health care at your destination. Airlines restrict pregnant women starting at 36 weeks and cruises restrict pregnant women at 24 weeks.
Vaginal Discharge It is normal in pregnancy to have more discharge than what you are used to pre-pregnancy. If signs of infection occur such as itching or a foul odor please call the office. If you have a yeast infection, use Monistat-7. It is best to not douche.
Varicose and Spider Veins Elevate your feet as often as possible. Support pantyhose or compression stockings will provide the best relief.