Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Over The Counter Medications and Pregnancy
Document related concepts
no text concepts found
Transcript
WOMEN’S HEALTH AND FAMILY CARE OVER-‐THE-‐COUNTER MEDICINES AND PREGNANCY This fact sheet lists over-‐the-‐counter medicines considered low risk for pregnant women when taken for the occasional mild illness. Some common name brands are also listed for your convenience, but please check all labels as brand names DO NOT reflect the actual content of the product. If any symptoms persist for more than a few days, please call our office at 307-‐734-‐ 1313. If you have a problem that is not resolving, we need to be informed in order to treat your issue appropriately. Regarding all medications, nothing is 100 percent safe for all women. If you have any doubts, check with us first, even if the product is over-‐the-‐counter. Don’t take more than the recommended dose, and if possible, avoid taking anything during your first trimester when your developing baby is most vulnerable. For information about various herbs in pregnancy, please go to our Patient Resources section and browse Herbs in Pregnancy. RECOMMENDED OVER-‐THE-‐COUNTER MEDICATIONS IN PREGNANCY: With additional tips HEARTBURN Antacids (Tums, Rolaids, Maalox) Ranitidine (Zantac) 75 mg twice per day OR 150 mg once per day Omeprazole (Prilosec) 20 mg in the morning before eating or drinking GAS AND BLOATING Simethicone (Gas-‐X, Maalox Anti-‐Gas, Mylanta Gas, Mylicon) DIARRHEA Loperamide (Imodium, Kaopectate II, Maalox Anti-‐Diarrheal) Bismuth subsalicylate (Pepto-‐Bismol): use ONLY 1st and 2nd trimester, do not exceed recommended dose HEMORRHOIDS Topical witch hazel preparations (Anusol, Preparation H, Tucks) CONSTIPATION Psyllium (Metamucil, Metamucil Cookie, Modane Bulk, Perdiem) Polycarbophil (Equalactin, Fiber-‐Lax, FiberNorm, Mitrolan) Methylcellulose (Citrucel, Unifiber) Milk of Magnesia Docusate sodium (Colace) Bluebonnet blueberry-‐flavored Magnesium/Calcium/Vitamin D Liquid PREGNANCY-‐RELATED NAUSEA Please go to our Patient Resources tab and browse Nausea and Vomiting of Pregnancy. ALLERGY RELIEF Loratidine (Claritin) Doxylamine (Unisom)—preferred over Diphenhydramine**sedating Diphenhydramine (Benadryl)**sedating Chlorpheniramine COUGH/COLD: please check all labels as most products are a combination of multiple ingredients Guaifenesin (expectorant) Dextromethorphan (cough suppressant) Guaifenesin plus Dextromethorphan (Robitussin DM, Vicks 44E) Cough drops/throat lozenges Vicks VapoRub Acetylcysteine Netty Pot and saline nasal sprays Note: Popular decongestants such as phenylephrine and pseudophedrine (both marketed as Sudafed) should be taken only AFTER the first trimester, and then for short duration (1-‐2 days). Note: Please AVOID cold remedies that contain alcohol (Nyquil) and decongestant nasal sprays with oxymetazoline (Neosynephrine, Afrin). PAIN RELIEF/HEADACHE/FEVER Acetaminophen (Tylenol, Anacin Aspirin-‐Free) YEAST INFECTIONS Miconazole (Monistat 3, Femizol-‐M) Clotrimazole (Gyne-‐Lotrimin 3, Mycelex 7, Lotrimin AF) Tioconazole (Monistat 1, Vagistat 1) Butenafine (Lotrimin Ultra) INSOMNIA Doxylamine succinate (preferred) (marketed as Unisom Nightime: check label) Diphenhydramine (Benadryl, Unisom sleep gels, Sominex) RASH/BUGBITES 1% hydrocortisone cream (Cortaid, Lanacort) Diphenhydramine (Benadryl) (may use topical or oral) Aquaphor emollient CUTS/SCRAPES Polysporin ointment Aquaphor emollient (by Eucerin) Bacitracin ointment ACNE: Benzoyl peroxide (topical washes) Salicylates (topical ONLY) Alpha hydroxy acids-‐AHA (glycolic acid, lactic acid) Regarding SKIN CARE products: AVOID all topical Retinoids (Vitamin A derivatives) in pregnancy, used to treat acne and wrinkles (tretinoin, Retin-‐A, Tazorac, Refissa, Renova, Retinol, Retinoic Acid, Differin). HAIR REMOVERS/MINIMIZERS All “depilatories”, chemical hair removal agents, do not penetrate skin and are considered safe in pregnancy. SUNSCREENS All commercially available sunscreens are considered safe in pregnancy. We prefer: titanium dioxide and zinc oxide because they are powerful physical sunscreens and do not penetrate the skin. Regarding effects of other products, foods, and environmental factors, please go to the Patient Resources tab and browse Myths in Pregnancy 1 and 2 and Food Safety and Pregnancy for more information!
