Pregnancy and Breastfeeding Medication Chart

Pregnancy & Postpartum

 Pregnancy and Breastfeeding Medication


Reviewed by Dana B. Jacoby, MD, FACOG
Obstetrician and Gynecologist
Tinton Falls, NJ

Ailments don't stop when you're pregnant or breastfeeding. In fact, you may get more of them. But, your treatment options become more limited and may seem more confusing.

If you are pregnant (or trying to get pregnant) or are nursing, you should follow the basic guidelines for using medications safely, plus some additional precautions. And always talk with your health care provider before taking any medications while pregnant or breastfeeding.

Here are some general guidelines from HealthyWomen and the medical advisory board at HealthyMama:

WHAT MEDICATIONS ARE SAFE WHEN YOU'RE PREGNANT OR BREASTFEEDING?
What's Bothering You?What IS Recommended What is NOT Recommended Ask Your Health Care Provider
Aches and PainsAcetaminophenAspirin
Ibuprofen
Naproxen sodium
 
Sleeplessness With Aches and PainsDiphenhydramine hclAspirin
Ibuprofen
Naproxen sodium
Melatonin
Diphenhydramine/ ibuprofen (Advil PM, Motrin PM)
Alprazolam (Xanax)
 
HeadacheAcetaminophenAspirin
Ibuprofen
Naproxen sodium
 
Breast TendernessAcetaminophenAspirin
Ibuprofen
Naproxen sodium
 
FeverAcetaminophenAspirin
Ibuprofen
Naproxen sodium
 
Colds (fever, cough, congestion) Ibuprofen
Alcohol
Products containing antihistamines and acetaminophen (such as Tylenol Cold)
ConstipationDocusate sodiumSenna (Peri-Colace); avoid during pregnancy and discuss with health care provider if breastfeedingLaxatives, under the supervision of your health care provider to avoid severe uterine contractions
Bisacodyl (Dulcolax); only use under health care provider's supervision
Heartburn and IndigestionCalcium carbonate Some medications that are not generally recommended may be permitted with your health care provider's supervision
NauseaGinger
Hydration
Protein
Motion sickness band
B6 vitamins
  
Lack of EnergyB6 vitamins
Protein
Too much caffeine (moderate consumption of  less than 200 mg per day is generally considered safe)
Too much sugar
 
HemorrhoidsHemorrhoid wipes or creams
Eat a high-fiber diet and drink plenty of fluids to help avoid constipation
  
GingivitisFloss teeth
Mouthwash
  
Stuffy NoseNasal spray
Guaifenesin
Dextromethorphan
PhenylephrinePseudoephedrine (Sudafed); this can raise heart rate, so medical supervision is needed
GasSimethicone  


Looking for pregnancy-friendly options? Check out the HealthyMama brand products.

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