Obstetrical Services

 

 

Safe Medications for Pregnancy and Lactation

Pain, fever

  • Tylenol 650-1000 mg. Every 4 hours as needed
  • Ibuprofen (Advil, Nuprin) 600 mg. Every 6 hours with food.
    • Occasional use is okay.  Maximum three days in a row.
    • Do not use Ibuprofen before 12 weeks or after 32 weeks in any amount.

Nasal congestion, sinus congestion

  • Sudafed 30-60 mg. every 4-6 hours.  Do not use in first trimester or during breastfeeding.
  • Afrin 12 hours nasal spray at bedtime.   Not more than three days in a row.
  • Saline nasal spray

Allergies

  • Benadryl 25 mg. Every 6-8 hours. 
  • Claritan daily.  (Not Claritan D)
  • Zyrtec 10 mg. daily.

Cough

  • Robitussin DM 2-4 teaspoons every 4-6 hours as needed.
  • Dextromethoraphan every 4-6 hours as needed.
  • Add sudafed if your nose is dripping.  Avoid in first trimester and during breastfeeding.
  • Any sore throat or cough lozenge is okay.

Constipation

  • Fiber products: Metamucil, Citracel, Fibercon, Benefiber.
  • Stool softeners:    
    • Colace one tablet 2-3 times a day
    • Pericolace one tablet 1-3 times a day
    • Senekot one tablet 1-3 times a day (more stimulation)
  • Laxatives  Castor oil, mild of magnesia, ex-lax, correctal, Fleets enema okay, Miralax as directed on bottle.

Diarrhea

  • Immodium liquid or capsules as directed on the box.  May use after 24 hours of diarrhea.   (NOT Kaopectate)

Gas

  • Mylicon 80 mg. One chewable tablet after meals and at bedtime.
  • Gas-Ex one chewable tablet after meals and at bedtime.

Heartburn

  • Tums EX or Ultra.   One to two tablets at a time. Max: 8 per day.
  • Mylanta or Maalox.  Take as directed on bottle. Better choice if already burning
  • Zantac 75 mg. After meals and bedtime.  Great drug to prevent heartburn.
  • Pepcid AC for heartburn after eating.

Nausea

  • Dramamine or Immitrol as directed on package.
  • VitaminB6 50mg 3 t

Insomnia

  • Benadryl 25-50mg. one hour before bedtime.
  • Tylenol PM, Unisom, Chamomile tea, melatonin, hot bath.

Hemorrhoids

  • Anusol cream, tucks pads.

Yeast Infection

  • 3 day product like Monistat 3.  Insert into vagina at any time in pregnancy
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DO NOT use any aspirin products:

  • Excedrin, Kaopectate, Nyquil, Pepto-bismol.

 

 

 

 

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