Microsoft word - pregnancy helps
Michelle M. Mulder, M.D.
300 West White Mountain Blvd, Suite D; Lakeside, AZ 85929
Over the Counter Medications for Pregnancy
Listed below are some problems that can occur during pregnancy along with several simple "self helps" and
commonly available over the co unter medications. If you have any ques tions, or if a ny symptoms persist after
these treatments, please call our office at (928) 367-1444.
: Sucrets or Chloraseptic or lozenges, Cepacol throat spray
: Robitussin plain or DM. Cough drops
Pain or Fever
: Tylenol or Extra Strength Tylenol (no aspirin or NSAIDS, such as Ibuprofen
: All over the counter antihistamines are safe during pregnancy. Sedating
antihistamines (ie: Benadryl, Tylenol Cold, Tavist D, Comtrex) are needed for colds and
severe attacks of seasonal allergies. Non-sedating antihistamines (Claritin, Allegra, Zyrtec)
are good for PREVENTING seasonal allergies. (Only Claritin is over the counter and is
available in many off-brand forms. The generic is loratadine.)
: Steam, Ocean Nasal spray, Sudafed, Tavist D, Dimetapp, Vicks vapor rub.
As a last resort: Afrin Nasal spray twice daily, NOT to exceed more than four days. DO
take decongestants (Sudafed*) if you have high blood pressure.
: Sudafed (psuedofedrine) products are now “behind the counter.” These
products are safe in pregnancy and are more effective than the “PE” products that replaced
Eat smaller, more frequent meals. Keep body upright for approximately 30 minutes after
: caffeine, chocolate, peppermint, fatty or spicy foods, and cigarettes.
: Mylanta, Maalox, Tums (liquid or chewable tablets), Zantac, Pepcid OTC.
Prilosec OTC, Zantac, Pepcid.
Mylicon, Gas-X, or Gaviscon chewable.
Eat smaller, more frequent meals. Try hot tea, crackers, or the “BRATT” diet (bread, rice,
applesauce, toast, tea). Encourage liquids, especially Sprite or 7-Up (let them go flat prior
to drinking them), Gatorade, or PowerAde (may be tolerated best if diluted with water).
: fatty or spicy foods.
: ginger root, Vitamin B-6 25 mg with Unisom 25 mg every 4 to 8 hours, or Emetrol.
Occasionally, nausea is due to heartburn. Try medications for Indigestion (above).
Extreme Nausea /
Call our office at (928) 367-1444 if extreme nausea or vomiting persists for more than 36
hours. You may need rehydration treatment.
Increase fluids (6 to 8 glasses of water per day.) Eat high roughage foods (fresh fruit,
vegetables, salads, bran, oatmeal.) Include bananas or grape, prune, or apple juice in your
Milk of Magnesia, Surfak, or Colace from one to three times daily for soft bowel
movements. If desired, add Metamucil, Benefiber, or Fibercon one to three times daily for
Headaches are common during pregnancy and are usually the result of inadequate fluid
intake. Increase fluid intake, especially with electrolyte fluids such as Gatorade or
Powerade. Try cold compresses to the eyes or the back of the neck. Try a caffeinated
beverage, especially if you have cut back on caffeine.
Advil, Motrin, Ibuprofen, Aleve, or aspirin.
Tylenol or Extra Strength Tylenol (acetaminophen). Migraine ice.
Call our office at (928) 367-1444 if your headache is severe.
Decrease salt from diet (chips, processed meats such as luncheon meats or SPAM, pork,
Mexican food, canned soup/vegetables, soda, fast food.)
Avoid high temperatures and prolonged standing or walking.
Elevate feet or rest on left side with feet elevated above heart level.
Pelvic tilt exercises, apply heat, rest, or massage therapy.
Tylenol, Ben Gay, Icy Hot, muscle cream.
Heating pads are fine, but avoid use with Ben Gay or muscle cream, as it may burn your
Sit in a tub of warm water frequently. Prevent constipation (see above.)
Tucks medicated pads, Preparation H ointment.
Encourage liquids, especially Sprite, Gatorade, or PowerAde (may be tolerated best if
Kaopectate, Pepto Bismol, Immodium AD.
Experienced as sharp, intermittent pains in sides or groin areas. Worse with twisting,
position changes, or after exertion. Do pelvic tilt exercise, sit with legs elevated, apply
warm moist heat, or take a warm tub bath. Lie on left side and draw knees up to chest.
: sudden movements.
Tylenol or Extra Strength Tylenol, if needed.
Use pillows for support (between the knees, behind the back, under the belly). Try a hot
Practice good sleep hygiene:
avoid caffeine, watching TV or reading in bed
Benadryl 25 mg, Tylenol PM, or Unisom. Try exercise before bed.
Alternate rest / activity. Try support hose, do dorsiflex exercises (stretching your toes
standing for long periods
Increase calcium intake:
3 to 4 glasses of milk daily, Oscal, Citacal, or Tums EX
: bananas or potassium salt substitutes (salt food to taste).
Pregnancy - When to seek professional help
There are a few symptoms that may indicate a serious problem. Please notify our office if any of the following
• Bleeding from the vagina that is as heavy as a menstrual period • Severe abdominal pain unrelieved by rest or Tylenol. • Chills or fever • Burning with urination • Severe headaches • Visual symptoms: blurred vision (a real inability to focus on an object), spots before your eyes,
or the preference of a darkened room over one with bright light.
• Severe decrease in fetal movement • A gush of fluid vaginally may indicate rupture or leaking of the "bag of water" (amniotic fluid)
Rhythmic tightening of the abdomen with or without pain, rhythmic low back pain, or labor pains, if you are less than 36 weeks along in your pregnancy.
Revised Aug 2004 SOUTHWEST SCHOOL CORPORATION MEDICATION ADMINISTRATION AT SCHOOL GUIDELINES The Purpose of administering medication at school is to help each student maintain an optimal state of health that enhances each student’s educational efforts. The intent of the following guidelines is to reduce the number of medications given at school, while providing safe
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