We would like to outline some medications and tips to follow for the treatment of nausea, minor colds, respiratory infections, and fever. These problems are very common in pregnancy, and it would be helpful for you to know how to deal with them. It will save you the trouble of calling us about your symptoms and having to wait for the staff to call you back with advice.
It is a general rule that medications should be avoided during pregnancy. But if you are ill, there are various medications that have been used for years and have been demonstrated to be safe. Nausea can be treated with BONINE tablets (similar to Dramamine) ½ -1 tablet twice a day. Also, Vitamin B-6, 50-100mg twice a day can be used. These are the same things people wear for boat rides and airplane sickness.
If you get a minor viral illness such as a cold, runny nose, mild sore throat, slight fever (under 100.4 which lasts less than 2 days), chills, muscle aches, and headaches, the following medications are recommended.
Cold & Allergy & Sinus- Claritin (Not Claritin D), Robitussin DM, Actifed & Sudafed (Do not use for more than 3 days, you must be more than 12 weeks. And you should not take this if you have High Blood Pressure.
SUDAFED: This is a decongestant and may keep you awake, so it is preferable for daytime use.
ACTIFED: This is a decongestant, which may cause drowsiness.
TYLENON-SINUS: A combination of Tylenol for fever and Sudafed for a decongestant.
ROBITUSSIN: This is a good cough syrup expectorant. There are various combinations available that can be used. Robitussin DM tends to make you a bit drowsy and is good to control a cough at bedtime.
Constipation – Milk of magnesia, Colace, Metamucil, Prune juice, or Citracil, stool softeners Senakot, or glycerin suppositories such as Dulcolax suppositories.
Diarrhea – Kaopectate, Imodium, (only for maximum of 24 hours)
Flu – Tylenol Cold
Headache – Tylenol
Heartburn – Maalox, Mylanta, Gaviscon, Tums, Rolaids, Pepcid, or Tagamet.
Yeast Infection – Monistat (do not use for more than 3 days)
If you get a high fever (one that is over 101 lasting 24 hours or more), a sore throat that persists for longer than 36-48 hours and seems to be getting worse, or if an earache is associated with the above symptoms, please call our office. If you have bloody, green, or yellow mucus drainage for your nasal passage or sinuses, let us know. All of these symptoms are likely to require antibiotics.If the recommended treatments do not bring you relief, feel free to call us and talk to one of the nurses concerning your symptoms.