Southern Maryland Women’s Healthcare, P.A. 41680 Miss Bessie Drive, Suite 102 • Leonardtown, Maryland 20650 23127 Three Notch Road, Suite 104 • California, Maryland 20619 Phone: (301)997-1788 • Fax: (301)997-1790 www.smwomenshealth.com Pregnancy Medication List It is recommended that you take NO medication during the first trimester unless medically indicated. Medication Name ANTACIDS/REFLUX/UPSET STOMACH Plain Maalox, Mylanta, Tums, Rolaids Pepto-Bismol (bismuth subsalicylate) Pepcid (famotidine) Zantac (ranitidine) Tagamet (cimetidine) Aciphex Rx (rabeprazole) Nexium Rx (lansoprazole) Prevacid Rx (pantoprazole) Prilosec (omeprazole) Protonix Rx (pantoprazole) ANTIBIOTICS (ALL RX) Amoxicillin, Ampicillin Augmentin (amoxicillin +clavulanate) Bactrim (trimethoprin/sulfamethoxazole) Cipro (ciproflaxcin), Levaquin (levofloxacin) Clindamycin Doxycycline Erythromycin Keflex (cephalexin) Macrobid, Macrodantin (nitrofurantoin) Metronidazole Tetracycline Zithromax (azithromycin) ANTI-DEPRESSANTS Discuss w/ Provider---- NO Paxil (paroxetine) ANTI-DIARRHEALS Imodium capsules (loperamide) Kaopectate (bismuth subsalicylate) ANTI-EMETICS/NAUSEA Unisom Sleep Tabs (doxylamine) Kytril Rx (granisetron) Phenergan Rx (promethazine) Reglan Rx (metoclopramide) Zofran Rx (ondansetron) Diclegis Rx (doxylamine, pyridoxine) ANTIFUNGALS/YEAST/BV Diflucan Rx (fluconazole) Monistat 1-day (miconzole, ticonazole) Monistat 3 or 7-day (miconazole) Updated 7/2016 1st Trimester 0-12 weeks 2nd Trimester 13-28 weeks 3rd Trimester 29-40 weeks Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes No Yes Yes With Doctor Approval Yes No Yes Yes Yes No No Yes No Yes Yes With Doctor Approval Yes No Yes Yes Yes No No Yes No Yes Yes With Doctor Approval Yes No Yes No No No Yes No Yes No Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes ANTIHISTAMINES/ DECONGESTANTS/COUGH/COLD* Allegra Rx (fexofenadine) Afrin nasal spray (oxymetazoline) Benadryl (diphenhydramine) Chlor-trimeton (chlorpheniramine) Clarinex, Alavert (loratadine) Cough Drops Mucinex (guaifenesin) Mucinex-D (guaifenesin+pseudoephedrine) Phenylephrine Robitussin Cough, Delsym (dextromethorphan) Robitussin CF cough & cold (dextromethorphan+guaifenesin+phenylephrine) Robitussin DM (dextromethorphan+guaifenesin) Sudafed (pseudoephedrine) Tamiflu Zicam Zyrtec (certirizine) ANTIVIRALS Famvir Rx (famcyclovir) Valtrex Rx (valcyclovir) Zovirax Rx (acyclovir) LAXATIVES/STOOL SOFTENERS Citrucel (methylecellulose powder) Colace (docusate sodium) Dulcolax Tablets (bisacodyl) Lactulose Rx Milk of Magnesia Miralax (PEG) Senokat (senna) HEMORRHOIDS Preparation H Anusol Witch Hazel Tucks Pads PAIN/FEVER Aleve (naproxen sodium) Aspirin (81 mg) Tylenol (acetaminophen) including Extra Strength Tylenol with codeine Rx TOPICAL CREAMS/ OINTMENTS Benadryl, hydrocortisone, caladryl Retin A No No Yes Yes Yes Yes Yes No No Yes No No No Yes Yes Yes Yes Yes Yes No Yes No No No Yes Yes Yes Yes Yes Yes No Yes No Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No No Yes Yes No Yes Yes No No Yes Yes No Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Low Dose ONLY if If Prescribed by a Doctor RECOMMENDED Yes Yes Yes Recommended Dose ONLY Yes No Yes No Yes No *Any decongestants ending in PE contain phenylephrine should NOT be taken during pregnancy. Most decongestants ending in D contain pseudophedrine which is okay to take in the 2 nd and 3rd trimester. Be sure to check your active ingredients list on any medication. Disclaimer: No medication is considered to be completely safe during pregnancy. These medications have been shown to be the safest and should only be taken as directed and when needed. During pregnancy, try to take medications with as little active ingredients as needed. Updated 7/2016
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