Medicines During Pregnancy
Medicines you can take during pregnancy
It can be hard to know if a medicine is safe for your baby. Most medicines are not studied in pregnant women. That's because researchers worry about how the medicines might affect the baby. But some medicines have been taken for so long by so many women that doctors have a good idea of how safe they are.
In general, doctors say it is usually safe to take the following.
- Prescription medicines
- Over-the-counter medicines
- Acetaminophen (such as Tylenol) for fever and pain
- Some allergy medicines, including loratadine (such as Alavert and Claritin) and diphenhydramine (such as Benadryl)
- Some over-the-counter cold medicines
Talk to your doctor or midwife about any medicines you take. This includes over-the-counter medicines, vitamins, and supplements.
Deciding about medicines during pregnancy
Doctors usually tell women to avoid medicines during pregnancy, if possible, especially during the first 3 months. That is when a baby's organs form.
But what if you take medicine for a health problem, such as high blood pressure or asthma? Your doctor or midwife will look at the risks. A medicine may have risks, but not treating your illness could be risky too. If you or your baby would face worse problems without treatment, then your doctor or midwife may keep you on your current medicine or switch you to another one. Some medicines that aren't safe in the first trimester may be safe to use later in the pregnancy.
Medicines you need to avoid during pregnancy
Some medicines are known to increase the chance of birth defects or other problems. But sometimes there's more risk for the mother and the baby if the mother stops taking a medicine (such as one that controls seizures) than if the mother keeps taking it. You can work with your doctor or midwife to make the safest medicine choices.
Some medicines that increase the risk of birth defects are:
- The acne medicine isotretinoin. This medicine is very likely to cause birth defects. It should not be taken by women who are pregnant or who may become pregnant.
- ACE inhibitors, such as benazepril and lisinopril. These medicines are used to treat high blood pressure and some heart conditions.
- Some medicines to control seizures, such as valproic acid.
- Methotrexate. It is sometimes used to treat arthritis.
- Warfarin (such as Coumadin). It helps prevent blood clots.
- Lithium. It is used to treat bipolar depression.
- Alprazolam (such as Xanax), diazepam (such as Valium), and some other medicines used to treat anxiety.
- Over-the-counter pain medicines like ibuprofen (such as Advil and Motrin) and naproxen (such as Aleve). The risk of birth defects with these medicines is low, but acetaminophen (such as Tylenol) is a safer choice.
- During childbearing age, you should get 0.4 mg (400 mcg) to 0.8 mg (800 mcg) of folic acid. You can get it from fortified foods (such as cereals) and supplements.
- If you are pregnant with twins or more, you should get 1 mg (1000 mcg) of folic acid daily.
You may need even more folic acid if you have a family history of neural tube defects, had a baby with this defect, or take medicines for seizures. Experts recommend 4 mg (4000 mcg) of folic acid a day.
If you need extra folic acid, work with your doctor. Don't try to do it on your own by taking more multivitamins. You could get too much of the other substances that are in the multivitamin.
Current as of: February 23, 2022
Author: Healthwise Staff
Sarah Marshall MD - Family Medicine
Kathleen Romito MD - Family Medicine
Adam Husney MD - Family Medicine
Elizabeth T. Russo MD - Internal Medicine
Kirtly Jones MD - Obstetrics and Gynecology