Some over the counter medicines are safe during pregnancy, but many are not. The safest approach is always to check with your doctor or pharmacist before taking anything. This article covers the most commonly needed OTC medicines and what is generally considered safe or unsafe.
Safe OTC Medicines by Symptom
Pain and Fever
Acetaminophen (Tylenol) is the most recommended OTC pain reliever during pregnancy. It is considered safe for short-term use at all stages, according to the American Academy of Family Physicians.
Avoid ibuprofen (Advil, Motrin) and naproxen (Aleve). These are NSAIDs and can cause serious issues, especially in the third trimester, including heart defects in your baby.
Nausea and Vomiting
Vitamin B6 (pyridoxine) and ginger are safe and effective first choices for morning sickness, according to the AAFP. The combination of vitamin B6 and doxylamine (found in Unisom) is also widely recommended and can reduce nausea by up to 70%.
Allergies and Congestion
Antihistamines such as Claritin (loratadine) and Benadryl (diphenhydramine) are generally considered safe. A saline nasal rinse is a great drug-free option for congestion and is safe at any stage.
Avoid decongestants with pseudoephedrine or phenylephrine, especially in the first trimester.
Heartburn and Constipation
Calcium carbonate antacids like Tums are safe for heartburn. For constipation, fiber supplements like Metamucil and osmotic laxatives are generally safe options.
What to Avoid During Pregnancy
Never take combination cold medicines that treat multiple symptoms at once. The more ingredients, the higher the risk of exposure to something unsafe. Treat one symptom at a time.
Avoid all OTC medicines in the first trimester if possible. This is the most critical window for your baby’s development, according to the March of Dimes.
Final Thoughts
Knowing which over the counter medicines are safe during pregnancy gives you peace of mind when you are not feeling well. When in doubt, your pharmacist is one of the best resources you have. Visit VillageRx for a medication review or medication therapy consultation, or browse our over-the-counter products. Contact us anytime with questions.