A List of Over-the-Counter Medications You Can Take While Pregnant

Disclaimer: This article is intended as a general guideline. Every pregnancy is unique, and before taking any over-the-counter (OTC) medications, you should always consult your doctor or obstetrician to ensure they are safe for your specific condition.

Pregnancy comes with many joys — and its fair share of discomforts. From morning sickness and headaches to allergies and heartburn, you may find yourself reaching for relief more often than expected. But with a baby on the way, knowing which over-the-counter medications are considered safe and which are not is essential.

In this article, we’ll go through a list of OTC medications that are generally deemed safe during pregnancy, based on credible medical sources. We’ll also discuss medications to avoid and non-drug alternatives you can try. This list can serve as a handy reference, but remember, your healthcare provider’s advice is always the most accurate and suitable for you.

General Guidelines for Taking Medication During Pregnancy

Before we dive into the list, let’s talk about a few ground rules.

• Read labels carefully. Look for active ingredients and ensure they don’t conflict with other medications you may be taking.
• Avoid combination medications. Many OTC products are designed to treat multiple symptoms and may contain ingredients that aren’t safe for pregnancy.
• Pay attention to timing. The first trimester is the most sensitive period of pregnancy, so it’s best to avoid unnecessary medications during this time unless approved by your doctor.
• ‘Natural’ doesn’t always mean safe. Some herbal ingredients or remedies may pose risks during pregnancy. Always ask your doctor before taking any supplement.

Safe OTC Medications by Symptom

Here’s a symptom-by-symptom breakdown of OTC medications generally considered safe during pregnancy. We’ve included reference links from reputable medical sources like the NHS and Mayo Clinic.

1. Headaches and Mild Pain Relief

• Safe: Paracetamol (Acetaminophen) – This is the most commonly recommended pain reliever during pregnancy. Stick to the recommended dose.
• Avoid: Ibuprofen, aspirin, and naproxen, especially during the third trimester.

2. Colds and Flu Symptoms

• Safe:
  • Saline nasal spray – Great for congestion without any medication.
  • Plain lozenges (menthol-based) – Soothe sore throats without added drugs.
  • Acetaminophen – Helps manage fever and mild aches.
  • Honey and lemon – A natural alternative that soothes sore throats.
• Use with caution: Decongestants like pseudoephedrine should only be taken with your doctor’s approval.

3. Allergies

• Safe: Loratadine (Claritin) and Diphenhydramine (Benadryl) are usually considered safe. Again, seek medical advice if you are unsure.
• Avoid: Newer antihistamines or those with multiple ingredients.

4. Heartburn and Indigestion

• Safe:
  • Tums (calcium carbonate) – Effective for neutralising stomach acid.
  • Ranitidine (now replaced in many countries with alternatives like famotidine) – Take only with medical advice.
• Avoid: Antacids high in sodium or containing aluminium.

5. Constipation

• Safe:
  • Fibre supplements such as psyllium (Metamucil).
  • Stool softeners like docusate sodium (Colace).
  • Increasing water and fibre-rich food intake can help naturally.

6. Nausea and Morning Sickness

• Safe:
  • Vitamin B6 supplements – Shown to ease nausea.
  • Ginger supplements or tea – May provide relief.
  • Doxylamine – Sometimes prescribed in combination with Vitamin B6.
• Avoid: Herbal remedies unless your doctor gives you the green light.

Medications to Avoid During Pregnancy

Some over-the-counter medications pose potential risks to both the mother and the baby. Avoid the following unless specifically prescribed:

• Ibuprofen – Can affect the baby’s circulation and kidney function, especially in late pregnancy.
• Aspirin – Linked to bleeding issues in both mother and baby.
• Certain cold and flu tablets – Especially those with multiple active ingredients.
• Retinoid creams or acne treatments – These are linked to birth defects.

Always double-check before taking any medication not mentioned in the “safe” category.

Non-Medication Alternatives

There are several natural and non-pharmaceutical options you can try before reaching for a tablet:

• Headaches: Use a cold compress or rest in a dark room.
• Congestion: A humidifier can help keep your airways moist.
• Indigestion: Eat smaller, more frequent meals and avoid spicy or greasy foods.
• Constipation: Drink more water and increase your intake of whole grains and fruits.
• Nausea: Avoid strong smells, eat bland foods, and snack throughout the day.

These options can be particularly useful during the first trimester when it’s best to avoid most medications unless essential.

Conclusion

Managing minor health issues during pregnancy can be tricky, but you’re not alone. With guidance from your doctor and a bit of planning, you can find relief without compromising your baby’s safety.

Remember, this list is meant to serve as a general reference. Always seek medical advice before taking any medication while pregnant. And when in doubt — ask your doctor!

PEM – Support Beyond Pregnancy

At PEM, we understand that pregnancy and the postnatal period can be overwhelming, especially for first-time mums. That’s why we’re here to offer more than just advice — we provide real support when you need it most. Our experienced nannies and confinement lady services are designed to assist you in your journey through motherhood, from pregnancy to postnatal recovery.

As a trusted confinement agency Singapore mothers rely on, we’re committed to ensuring both you and your newborn are well taken care of. Whether it’s help with baby care, preparing nutritious meals, or simply giving you time to rest, PEM is here every step of the way.

Still unsure? Just read any confinement nanny agency review about PEM, and you’ll see why so many mums choose us.