MEDICATIONS IN PREGNANCY / LACTATION During your prenatal and lactating period, the best policy is to … VITAMINS Do not take mega doses of unprescribed vitamins. If you have questions … However, when you are troubled by certain common discomforts, there are a number of over-the-counter medications we recommend that are considered safe during pregnancy and/or with breastfeeding. Please take the adult dose recommended as listed on the medication. ALLERGIES Diphenhydramine [Benadryl] Chlorpheniramine [Chlor-trimeton] Claritin

During your prenatal and lactating period, the best policy is to avoid all medications, (especially in the first 3 months!) except your prenatal vitamins . However, when you are troubled by certain common discomforts, there are a number of over-the-counter medications we recommend that are considered safe during pregnancy and/or with breastfeeding. Please take the adult dose recommended as listed on the medication. ALLERGIES Diphenhydramine [Benadryl] Chlorpheniramine [Chlor-trimeton] Claritin Zyrtec COMBINATION ALLERGY / DECONGESTANT Actifed [Pseudoephedrine plus Triprolidine] CONSTIPATION Docusate Sodium [Colace] Metamucil Fibercon Fiber pills / supplement Milk of Magnesia Dulcolax suppository usage should be once a week or less. É Increase your fluid and fiber intake COUGH Guaifenesin [Robitussin Plain or DM] Mucinex Plain or DM DECONGESTANT (Stuffy nose) Pseudoephedrine [Sudafed] Saline nasal spray Oxymetazoline [Afrin] nasal spray (has a rebound effect if used for more than 3 days). Do not take any drugs containing phenylephrine HCl, i.e. Sudafed PE. DIARRHEA Loperimide [Imodium A-D]. Do not take Pepto-Bismol or Kaopectate as it contains salicylates (aspirin). DIFFICULTY SLEEPING Benadryl Tylenol PM Unisom HEADACHE Acetaminophen [Tylenol] Do not take Aspirin [acetylsalicylic acid] or aspirin- containing products unless prescribed Do not take Ibuprofen [Motrin, Advil, Nuprin] during pregnancy, but can be taken while nursing, as very little is excreted in the breast milk. HEARTBURN Maalox Mylanta Riopan Gelusil Pepcid AC - may increase to 20mg 2x daily Rolaids Tums HEMORRHOIDS Anusol Preparation H Tronolane Tucks NAUSEA / VOMITTING Unisom Vitamin B6

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