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What cold medicine can a pregnant woman take: Treating the common cold during pregnancy

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Cold Medicine and Pregnancy – Cold and Flu Center

Get tips for reducing cold symptoms while keeping your baby-to-be safe.

By Diana RodriguezMedically Reviewed by Cynthia Haines, MD

Reviewed:

Medically Reviewed

Coming down with the common cold is always unpleasant, let alone if you’re pregnant. While many medications are off-limits during pregnancy, there are some remedies to relieve your symptoms.

Common Cold Medicine and Pregnancy: Go Natural

Before you consider taking drugstore medicines for the common cold, you might want to consider some good old-fashioned home remedies, says Elisa Ross, MD, an obstetrician and gynecologist on staff with the Cleveland Clinic in Ohio.

The reason: No over-the-counter medicines are really treating the cold or helping you get better, they just control symptoms.

Dr. Ross suggests:

  • Hot showers
  • A vaporizer
  • A saline nasal wash
  • Chicken soup

Common Cold Medicine and Pregnancy: What’s Safe?

If you can’t get enough relief from those home remedies, it’s possible to use common cold medicines with a few precautions. First, guidelines say it’s best to avoid all medication during the first trimester.

“In the first 12 weeks the baby is making its organs, and so in general, if people don’t need to take something during that time it would be great if they didn’t,” says Dr. Ross. “[There are] more serious consequences at the beginning of the pregnancy.”

Next, Ross says the safest bet is to look for medications with the fewest ingredients possible.

“The main thing about [common cold] medicine is it’s best to take the ingredient you need for the symptom and not the combination, one-size-fits-all,” says Ross. “It’s better to separate your ingredients and take the ones that you need at a usual adult dose.”

There are also specific medicines to avoid during pregnancy:

  • Ibuprofen (such as Advil, Motrin)
  • Aspirin
  • Any herbal medications or remedies

Herbal medications in particular aren’t regulated, so it’s difficult to know exactly what ingredients they contain and whether they’re safe. Herbs can cross the placenta and reach the baby, so it’s best to avoid them.

Common Cold Medicine and Pregnancy: The Safe List

The best option is always to talk to your doctor before taking any medication during your pregnancy, but here are some medications that have been found to be generally safe for pregnant women:

  • Acetaminophen (Tylenol)
  • Diphenhydramine (Benadryl)
  • Pseudoephedrine (Sudafed)
  • Loratadine (Claritin)
  • Zinc lozenges
  • Chloraseptic spray (but a salt water gargle is just as effective, with no risks)

Of these possibilities, Ross recommends Sudafed the most for the common cold. “Sudafed is okay for a decongestant after the first trimester unless the woman has high blood pressure,” says Ross. “Sudafed sometimes is the medication that packs the most bang for its buck.”

Remember, the simpler the better. Ross recommends that pregnant women steer clear of products that contain multiple ingredients or tackle a combination of symptoms, such as Nyquil, Robitussin DM, and Claritin-D.

A bad cough is certainly annoying, but you might also be concerned that you will cough so hard it will hurt the baby, or that your water will break. Ross says there’s no need to worry — your baby will be fine.

Common Cold Medicine and Pregnancy: Check With Your Doctor

Ross cautions pregnant women to be careful not to assume that what you have is the common cold. If it’s actually an illness like the swine flu, it can pose a much more serious problem for pregnant women. If you experience fever and muscle aches, or if symptoms don’t subside within about 10 days, see your doctor to see if it’s an illness that requires special treatment.

Yes, many over-the-counter cough and cold medications are considered safe for pregnant women and their developing babies. But that doesn’t mean you should just grab something at the drugstore and take it. Call your doctor before you take anything, even if you think it’s safe.

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What Medicines Are Safe During Pregnancy? Cold, Headache & More

Overview

During pregnancy, your focus may have shifted to your growing baby. But you, too, may need some extra TLC, especially if you get sick. According to the Centers for Disease Control and Prevention, some 9 in 10 women take medication at some point during their pregnancies.

Many over-the-counter (OTC) drugs and prescription medications are classified by the U.S. Food and Drug Administration (FDA) according to risk.

Those falling in categories A, B, or C are generally considered “safe” for use during pregnancy. This is because the benefit of taking the medication outweighs any associated risks demonstrated by studies on animals or humans:

-OR-

Animal studies have shown adverse effects that weren’t confirmed by studies on women in the first trimester.

C
Animal studies have shown adverse effects on fetus.

-AND-

There are either no controlled studies in women or studies on women/animals aren’t available. Drugs in this category are given with caution — only if the benefit justifies the potential risk.

D

Evidence of fetal risk exists with animal or human studies.

Drugs in this category may still be used if benefit outweighs risk; for example, in a life-threatening situation.

X
Adverse effects have been confirmed by animal or human studies.

-OR-

Adverse effects have been demonstrated in the public. Risk of taking drug outweighs any benefit. Not prescribed for women who are or may become pregnant.

Pain or headache relief

Acetaminophen (Tylenol; category B) is the drug of choice for pain during pregnancy. It’s widely used with very few documented adverse effects.

Aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs), on the other hand, should be avoided during pregnancy.

NSAIDs include:

  • ibuprofen (Advil, Motrin)
  • ketoprofen (Orudis)
  • naproxen (Aleve)

If your pain is particularly severe — after a surgery, for example — your doctor may prescribe a short course of opioid pain relievers. When taken as directed, they may not affect fetal development.

That said, opioid use during pregnancy does carry the risk of withdrawal, called neonatal abstinence syndrome (NAS), after delivery.

Cold medicine

Cold medications are not well-studied for use during pregnancy. Some doctors suggest trying to wait until after your 12th week to minimize any potential risks to your baby.

Safe options include:

  • plain cough syrup, such as Vicks
  • dextromethorphan (Robitussin; category C) and dextromethorphan-guaifenesin (Robitussin DM; category C) cough syrups
  • cough expectorant during the day
  • cough suppressant at night
  • acetaminophen (Tylenol; category B) to relieve pain and fever

The active ingredient in Sudafed, pseudoephedrine, may elevate blood pressure or affect blood flow from the uterus to the fetus. This drug isn’t classified by the FDA. It may be safe during pregnancy, but speak with your doctor if you have high blood pressure or other concerns.

Doctors often recommend trying home treatments before taking medications:

  • Get plenty of rest.
  • Stay hydrated by drinking water and warm liquids, like chicken soup or tea.
  • Gargle salt water to ease sore throat.
  • Use saline nose drops to fight stuffiness.
  • Humidify the air in your room.
  • Use menthol rub on your chest.
  • Try nasal strips to open airways.
  • Suck on cough drops or lozenges.

Heartburn and acid reflux

OTC antacids containing alginic acid, aluminum, magnesium, and calcium are generally safe during pregnancy:

  • aluminum hydroxide-magnesium hydroxide (Maalox; category B)
  • calcium carbonate (Tums; category C)
  • simethicone (Mylanta; category C)
  • famotidine (Pepcid; category B)

For severe heartburn, your doctor may suggest taking h3 blockers, such as:

  • ranitidine (Zantac; category B). Ranitidine, brand name Zantac, is now marketed as Zantac 360, which contains a different active ingredient (famotidine). Famotidine is in the same class as ranitidine and works the same way but has not been found to contain unacceptable levels of NDMA.
  • cimetidine (Tagamet; category B)

Lifestyle changes may also help take the edge off heartburn:

  • Wear loose-fitting clothing that doesn’t put pressure on your abdomen.
  • Try keeping a food diary to help identify certain foods that may trigger your reflux.
  • Wait three hours to lie down after meals. Avoid late meals right before bedtime.
  • Sleep with your head elevated at night.
  • Eat small meals throughout the day.

Speak with your doctor if your heartburn becomes severe. In rare cases, it may be a sign of HELLP syndrome. This is a serious pregnancy complication.

Mild and severe allergies

Mild allergies may respond well to lifestyle measures. If you need some extra help, the following OTC oral antihistamines are generally considered safe:

  • diphenhydramine (Benadryl; category B)
  • chlorpheniramine (Chlor-Trimeton; category B)
  • loratadine (Claritin, Alavert; category B)
  • cetirizine (Zyrtec; category B)

If your allergies are more severe, your doctor may suggest taking an OTC corticosteroid spray at a low dose along with an oral antihistamine. Options include:

  • budesonide (Rhinocort Allergy; category C)
  • fluticasone (Flonase; category C)
  • mometasone (Nasonex; category C)

You may also try the following lifestyle changes:

  • Avoid going outdoors or opening windows on high pollen days.
  • Take off clothing you’ve been wearing outdoors. Rinse off pollen from skin and hair with a quick shower.
  • Wear a mask while completing outdoor chores or enlist the help of someone else for tasks like mowing.
  • Rinse nasal passages with saline spray or a neti pot.

Constipation

Stool softeners are generally considered safe during pregnancy. Options include Colace or Surfak.

Laxatives, like Senokot, Dulcolax, or Milk of Magnesia, may also help, but speak with your doctor before trying any of these medications.

Other treatment options for constipation include the following:

  • Drink more water and fluids. Prune juice is another good choice.
  • Add more exercise to each day.
  • Eat more fiber. You can find fiber in fruits and vegetables (with skins, if possible), beans, and whole grains.
  • Ask your doctor about fiber supplements, like Metamucil.

Nausea and vomiting

Morning sickness is common in the first trimester of pregnancy. Treatment isn’t always needed. Try home remedies, like eating small meals throughout the day or sipping ginger ale, before reaching for medications.

You might try:

  • vitamin B-6, 25 milligrams by mouth three times a day
  • doxylamine succinate (Unisom; category B)
  • dimenhydrinate (Dramamine; category B)

There are medications your doctor may prescribe if you’re experiencing severe nausea and vomiting (hyperemesis gravidarum):

  • doxylamine succinate-pyridoxine hydrochloride (Diclegis; category A)
  • ondansetron (Zofran; category B)

Hemorrhoids

Hemorrhoids may develop during pregnancy due to swollen blood vessels or constipation.

Safe treatment options include:

  • Tucks pads or other witch hazel pads
  • Preparation H
  • Anusol

You may want to try other methods first:

  • Soak the hemorrhoids by filling a tub with warm water. Don’t add soap or bubble bath.
  • Stand or lie on your side when possible.
  • Try a ring cushion or hemorrhoid pillow for when you must sit.
  • Treat constipation by taking stool softeners, drinking more fluids, getting more exercise, and eating more fiber.

Yeast infections

Yeast infections are common in pregnancy. Still, it’s a good idea to contact your doctor for a proper diagnosis before treating it at home.

Safe medications include:

  • miconazole (Monistat; category C)
  • clotrimazole (Lotrimin; category C)
  • butoconazole (Femstat; category C)

Home remedies and natural treatments are generally not recommended for yeast infections during pregnancy.

Skin rashes, cuts, scrapes

Rashes and itchy skin can be treated with OTC hydrocortisone cream during pregnancy. But mention these symptoms to your doctor to rule out conditions like pruritic urticarial papules and plaques of pregnancy (PUPPPs). You doctor may prescribe steroidal creams for certain conditions.

For cuts and scrapes, clean the area well with soap and water. You may then apply an OTC antibiotic ointment, like Neosporin, for added protection.

Difficulty sleeping

Safe medications for insomnia are those in the diphenhydramine (category B) family, including:

  • Sominex
  • Nytol

Doxylamine succinate (Unisom; category B) is another possibility that may also be used if you’re experiencing insomnia.

If OTC methods don’t work, your doctor may prescribe the following after weighing the benefits and risks:

  • sedating tricyclic antidepressants (Amitriptyline, Nortriptyline; category C)
  • benzodiazepines (Ativan, Klonopin; category D)

Benzodiazepines may be associated with risk of cleft or lip palate. Use in later pregnancy may not carry this risk.

Lifestyle changes you can try include the following:

  • Schedule sleep for consistent wake and bedtimes.
  • Get regular exercise.
  • Limit napping to no more than 30 minutes per day.
  • Skip caffeine and other stimulants.
  • Create a nighttime ritual. For example, take a bath, listen to music, or do yoga.
  • Explore alternative treatments, such as meditation or acupuncture.

Supplement use during pregnancy

Discuss any supplements you take or plan to take during your pregnancy with your doctor.

While prenatal vitamins are recommended to support levels of essential vitamins and minerals, like folate, other supplements may pose risks to your baby. They may also interact with medications you’re already taking.

Note that just because something is labeled “all-natural” doesn’t always mean it’s safe. Supplements are not regulated by the FDA in the same way as prescription drugs. Approach them with caution and discuss using with your doctor before starting any.

Prescription medications you’re already taking

Before pregnancy, you may already be taking prescription medications for thyroid issues, high blood pressure, or other conditions. Speak with your doctor about continuing these medications, especially if you’re already pregnant or plan to become pregnant in the near future.

In many cases, you may safely take your medication during pregnancy. Sometimes you may need to either adjust dosages or switch to another medication that’s considered safer for you and baby.

Alternative therapies

Complementary and alternative therapies may be good options to during pregnancy. Examples include:

  • acupuncture
  • acupressure
  • chiropractic care
  • massage therapy

Certain complementary and alternative medication methods, especially those involving herbs or supplements, may not be safe, however. In general, alternative therapies aren’t well-studied, so discuss any you plan on trying with your doctor.

Also, do your homework on different practitioners before heading in for a visit. Ensure they have the appropriate licenses to practice on pregnant women.

The takeaway

There are many medications you can safely take during pregnancy. The key is communicating with your healthcare provider.

A great online, evidence-based resource to check is Mother to Baby. It provides fact sheets on different drugs as well as additional information on potential interactions and birth defects.

Even better, most obstetrics offices have a helpline you can call between appointments. Don’t hesitate to dial in with any and all of your questions or concerns.

Colds ARI, SARS during pregnancy, consequences, treatment


Colds can suddenly take our wonderful future mothers by surprise.

What should I do if I get a cold (ARI/ARVI) during pregnancy?

Is it possible to protect yourself from SARS?

Which drugs are allowed and which are not?

Is it dangerous for the baby?

Pregnancy is a wonderful state, but, unfortunately, even this wonderful period in a woman’s life can be overshadowed by exacerbation of pre-existing chronic diseases of the respiratory system (almost 10% of the population suffers from one or another pathology of the respiratory organs and do not go to a doctor for treatment ).

What threatens neglect in acute respiratory infections/ARVI during pregnancy

  • The causative agents of viral and infectious diseases can contribute to miscarriage, increased blood loss during childbirth.
  • Viruses can also activate existing in the body and other “dormant” infection, contribute to the development of inflammatory diseases of the internal genital organs.
  • There is no particular predisposition to infection in pregnant women, but respiratory diseases of an infectious and viral nature in pregnant women are often more severe and give much more complications if treatment is not started on time.
  • The most common diseases in pregnant women are SARS and influenza.
  • Colds are dangerous during pregnancy, both in the 1st trimester, 2nd trimester, and 3rd trimester.

ARVI is an acute respiratory viral infection, i.e. The source of the disease is viruses that a sick person releases in large quantities when coughing, sneezing, talking. We are especially prone to viral infections during the cold season, as well as during the transitional periods of autumn and spring – when it is hot during the day, cold in the morning, and sometimes we dress completely inappropriate for the weather.

The onset of SARS is usually gradual with a general malaise, lethargy, slight fever, and a runny nose or sore throat.

Influenza, unlike SARS, is more severe and poses a great danger to both the mother and the fetus. Influenza epidemics recur almost every year, during which 30-40% of the population falls ill.

This is an acute viral disease transmitted by airborne droplets. The influenza virus penetrates through the respiratory tract, affects the mucous membrane, increases the permeability of the walls of blood vessels. The flu virus lowers the immune system, which can exacerbate chronic diseases. The onset of influenza is acute, sudden: 30 minutes ago everything seems to be fine, but now it’s temperature, chills, fever.

What to do if you get SARS during pregnancy?

Treat for sure!!!

Do not hope that it will go away on its own and somehow manage to lie down. Even with a slight malaise, the likelihood of complications in a pregnant woman is high.

Be sure to visit the doctor, a competent therapist or general practitioner will give you comprehensive recommendations on drug therapy, as well as the use of home remedies that will not harm you and your baby.

Do not self-medicate, antiviral drugs, herbs, lozenges, antibiotics and antibacterial drugs should not be taken without a doctor’s prescription. Your body during pregnancy may react differently than in normal life.

Is it possible to protect yourself from SARS during pregnancy?

SARS prevention measures are simple and affordable:

  • dress for the season and the weather.
  • Proper balanced nutrition, vitamin intake and more positive emotions are of great importance.
  • After coming back from the street or working at home, it is a good idea to gargle with sea water and clean the nose.
  • Before work, lubricate the nasal cavity with oxolin ointment or peach oil.
  • At work and at home, take care of proper air humidification (ionizers, humidifiers)
  • Important! Do not forget about regular walks in the fresh air, a full sexual life (if there are no contraindications) and sports (taking into account the physiological characteristics of the pregnant woman)

What medicines can be taken during pregnancy if you have ARVI?

  • Medications are prescribed individually, based on the situation, the doctor selects.
  • You can bring down the temperature with Paracetamol (both tablets and suppositories).
  • Absolutely everyone is shown a warm alkaline fortified drink.

Is SARS dangerous for a baby?

  • If you start treatment on time and be under the supervision of a doctor, your baby will not be harmed by a cold.
  • However, if you self-medicate, then the risk of miscarriage, intrauterine hypoxia and the formation of various abnormalities in the development of the baby increases.

We hope that pregnancy management at the Ona clinic will leave only positive emotions. Our doctors will take care of your health and the health of your unborn baby.

Clinic address

Multidisciplinary clinic “ONA”

Multidisciplinary clinic “ONA”

Multidisciplinary clinic “ONA”

Multidisciplinary clinic “ONA”

Publication date: 09/26/22

Updated: 02/27/23 04:12

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  • Treatment of SARS in pregnant women

The standard duration of pregnancy is 38-42 weeks. In whatever month pregnancy occurs, part of it will definitely fall on the epidemic season of SARS and influenza, which falls in autumn-spring. Any acute infectious disease during pregnancy is undesirable and potentially dangerous to the fetus. In this regard, it is important for a woman to know about the approved methods of treating ARVI and influenza and about the main methods of prevention.

What can pregnant women with SARS?

The correct intake of antiviral drugs during pregnancy is a reception based on the rules established by the regulator. To date, such rules are the clinical recommendations “Acute respiratory viral infections (ARVI) in adults”, approved by the Ministry of Health of the Russian Federation in 2021. The document contains 10 antiviral drugs, for 7 of which the period of pregnancy is indicated as a contraindication, or it is stated that “the efficacy and safety have not been studied in pregnant women”, which also excludes the possibility of their use during gestation. For two more medicines – this is Interferon alfa-2 or Interferon gamma in the form of intranasal forms – it is indicated that they can be used “in complex therapy regimens”, that is, in conjunction with other drugs. And only one drug, in accordance with clinical recommendations, can be used in pregnant women – Umifenovir – and then only in the second and third trimesters of pregnancy (after the 13th week).

It is also worth paying attention to the fact that clinical recommendations and an annotation to the drug, which are equally a regulatory document for a medical worker, give an unequal assessment of the possibility of using the drug during the period of gestation. So the annotation to Umifenovir does not allow its use without a relative trimester of pregnancy. That is, if one regulatory act permits and another prohibits a medicinal product, then we focus on the prohibiting one.

Thus, of the antiviral agents, only intranasal interferons (grippferon) are definitely allowed for pregnant women!

In addition to antiviral agents, the patient can use safe symptomatic agents – washing the nose with saline solutions for a runny nose, gargling with antiseptics (miramistin, furatsilin) ​​approved for pregnant women, taking antipyretics (paracetamol) that are allowed during gestation (paracetamol), expectorants with a productive cough based on acetylcysteine. All these drugs and intranasal interferons are allowed at any stage of pregnancy!

All patients with acute respiratory viral infections, and especially pregnant women, are shown to carry out non-invasive therapy, which includes bed rest, heavy drinking and an easily digestible fortified diet.

When to treat SARS in a pregnant woman?

Antiviral and symptomatic drugs for pregnant women should be taken only after the doctor confirms the diagnosis of ARVI. The fact is that the typical symptoms of SARS – runny nose, sore throat, fever, cough, malaise – are typical of other diseases. For example, a runny nose can be with allergic rhinitis or sinusitis, sore throat – with tonsillitis and occupational pathology of people working with voice load, etc. The initiative to prescribe an antiviral agent should come from a medical worker, who also determines the name of the drug, the dosage regimen and the duration of therapy.

Prevention of SARS in pregnant women

From all of the above, we can draw the following conclusion – the best option for women is not to get ARVI during the entire pregnancy. To do this, it is necessary not only to observe all precautions after conception (wearing a mask and gloves in public places, washing the nasal mucosa with running tap water after returning home, washing hands with soap, avoiding contact with sick people . ..), but also before the onset of “interesting situation” get vaccinated against influenza and Covid-19. If ARVI still happened during pregnancy, then nasal interferons should be preferred in combination with symptomatic treatment, as the safest treatment option in which the annotation and national recommendations do not contradict each other.

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  • Lavrenchuk Dmitry Vadimovich

    Infectionist,
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