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Most medications cross the placenta and some may have an adverse effect on your baby. Many medications are also excreted in the breast milk. Therefore, it is best to avoid taking any medications during pregnancy especially in the first trimester and while nursing. However, if other remedies do not give you relief, taking medication may be necessary. Here is a list of medications we think are relatively safe during pregnancy and lactation. Before taking any medications not appearing on the list or ones not prescribed by your obstetrician, discuss their safety with us.

Tylenol, one or two tablets every 4-6 hours. Extra-Strength Tylenol is permitted. If you headache is not relieved in one day or is associated with nausea or vomiting, contact the office. Do not use aspirin or ibuprofen (Advil or Motrin) or Naproxen (Aleve).

Sinus Congestion
Sudafed, Dimetapp, Benadryl, Tylenol Sinus, Claritin, or Zyrtec according to the directions.

Sore Throat
Chloraseptic throat spray or lozenges, according to the directions.

Nasal Congestion
Ocean Spray. Try to use sparingly or only at night as needed.

Robitussin cough syrup, according to the directions on the bottle. Choose the bottle that best fits your symptoms. Cough drops are permitted, any brand.

Maalox liquids or tablets. Tums or Mylanta, as needed. Pepcid or Zantac are also permitted.

Metamucil, Citrucel, or Fibercon as directed. Colace stool softeners as directed. Milk of Magnesia (2 TBSP) for severe constipation.

Anusol cream or suppository, or Preparation H once or twice a day as directed.

Leg Cramps
Calcium tablets (1000-1200 mg per day). May use Tums containing calcium as well.

Kaopectate or Immodium AD as directed. Do not use Pepto Bismol.



  1. Any of your symptoms are not relieved after 2-3 days.
  2. Your symptoms become worse.


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