Safe Medications

Safe Medications During Pregnancy

You may use this as a guideline for medications safe to use during your pregnancy. Please call the office if your symptoms persist or if you have a fever over 100.4 degrees.

Antibiotics

Antibiotics, when prescribed by a dentist or family doctor, should be taken as directed and finished completely. AVOID Tetracyclines Drugs and Cipro. If your dentist or primary care physician has a question, they should contact our office.

Dental Visits

Routine Dental checkups are encouraged. Dental X-rays should be avoided unless absolutely necessary in which case, the abdomen should be well shielded. Make sure your dentist is aware that you are pregnant.

Cold Symptoms

For allergy or cold symptoms, you may take Sudafed (plain), Entex LA or Sinus Tylenol, Robitussin (Plain or DM) for cough, and Sucrets or Cepacol lozenges for sore throat associated with allergies or a cold. Increase your fluid intake. You may use a humidifier or cool mist vaporizer.

Indigestion/Heartburn

Mylanta (either chewable or liquid), Maalox, Tums, Pepcid AC, Rolaids, Riopan, Zantac, Tagament, and Priolsec OTC are all safe to take for indigestion. If you have persistent problems with indigestion, there are some things you can do: eat small, frequent meals, avoid carbonated beverages and spicy foods, do not drink through a straw, and do not lie down after eating. If these changes don’t help or if you have nausea and vomiting or severe abdominal pain, contact your physician.

Headaches or Discomfort

Tylenol – Regular or Extra Strength, Anacin 3 or other Acetaminophen. DO NOT USE ASPIRIN, ADVIL OR ANY MEDICATION CONTAINING IBUPROFEN. Call the office if pain persists or if headaches are accompanied by blurred vision, pain in the upper right abdomen, sudden weight gain, or swelling of the face and/or hands.

Minor Bladder Irritations

Eliminate all carbonated beverages, coffee, and tea from your diet. Increase your water intake to 8-10 glasses per day and drink 3-4 glasses of cranberry juice per day. If not better within 24 hours, please call the office.

If urinary symptoms include hesitancy when you start to void, a strong sense of urgency to void, increased frequency and burning on urination, fever, chills, low abdominal pain or cramping, back or flank pain, blood in the urine, or foul-smelling urine, please call the office immediately.

Sleeplessness/Sleep deprivation

If you are not sleeping, a soothing bath, warm milk or relaxation techniques can be helpful. If you are still unable to sleep, Tylenol PM or Benadryl are safe to use.

Summer Fun (swimming)

Hot tubs and Saunas should be avoided until you are in your 2nd trimester. It is ok for you to go swimming. You should also avoid long periods of exposure to direct sunlight and make sure that you increase your fluids and wear sunscreen.

Swelling/Edema

Do not add salt to your food (get rid of the salt shaker!) and decrease high-sodium foods such as chips, salted nuts, pretzels, soy sauce, bouillon and canned soups, bacon or ham and other processed meats. Many canned and processed foods contain a lot of sodium. Check nutrition labels and limit your sodium intake to 2 gms. per day. Elevate your feet whenever possible. Please call the office if swelling continues, if you notice significant swelling in your face or hands, or if swelling is accompanied by a headache or epigastric pain.

Backache

Avoid wearing shoes with heels and standing for long periods of time. Sit in chairs that provide good back support. A warm bath, heating pad, or cold compresses can help ease back pain. You may take Tylenol as needed for pain. Call the office if backache continues.

In the late second and third trimesters, back pain can be a sign of preterm labor or urinary tract infection. If you have back pain that is intermittent and rhythmic, doesn’t respond to any of the above treatments, or is accompanied by severe pain and/or fever, call the office immediately.

Nausea

Try eating dry crackers before getting out of bed in the morning. Eat every two or three hours throughout the day. Avoid smells that trigger nausea, highly seasoned or fatty foods, alcohol, caffeine, and cigarette smoke. Sometimes peppermints or ginger tea can help reduce nausea. Do not take prenatal vitamins on an empty stomach or if feeling nauseated. If not controlled with diet, try Emetrol (if not diabetic). If vomiting continues, call the office.

Leg Cramps

Avoid standing or sitting with your legs crossed for long periods and stay well-hydrated. Eat a balanced and calcium-rich diet. Get regular exercise and stretch your calf and thigh muscles by stretching them three times a day and before you go to bed (see below). Lie down on your left side to improve circulation to your legs. Try taking a warm bath before going to bed to help relax your muscles.

If you do get a cramp, immediately stretch your calf muscles by straightening your leg – press down on your heel first and gently flex your toes back toward your shins. It might hurt at first, but it will ease the spasm and the pain will gradually go away. Walking around for a few minutes after the cramp subsides may be helpful, too.

Call the office immediately if your muscle pain is continuous and is accompanied by redness, warmth, tenderness, or swelling. These can be signs of deep vein thrombosis.

Stool Softener

Surfak, Docusate, Dialose, Metamucil, Fibercon are all safe to take during pregnancy.

Constipation

Try to avoid constipation by staying well-hydrated (drink plenty of fluids), eating fresh fruits and vegetables, and exercising. Bran cereal such as dry raisin bran, eating green salads, spinach, prunes and raisins will help. Milk of Magnesia, Colace, Peri-Colace, Citracel, Metamucil, Fibercon and Perdiem are safe to take for constipation.

Diarrhea

If you have diarrhea, start a BRAT diet (Bananas, Applesauce, Rice and Toast). It is safe to take Kaopectate or Immodium AD as directed to treat diarrhea. Increase your fluids to stay hydrated, drink Gatorade and decaf tea. Avoid spicy or greasy foods, fruits and vegetables, fruit juice and carbonated beverages. No milk or milk products. If diarrhea lasts more than 48 hours (2 days) call the office.

Hemorrhoids

To prevent hemorrhoids, eat a healthy diet that includes fresh fruits and vegetables, drink plenty of liquids, exercise regularly, and use a stool softener (if needed). If you develop hemorrhoids, warm shallow bath soaks are helpful. Preparation-H, Anusol, Anusol HC and Tucks can be used to treat hemorrhoids. If heavy rectal bleeding occurs, contact the office.

Yeast Infections

If you think you may have a yeast infection, please contact our office.