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Approved Medications for Obstetric and Breast-feeding Patients
If you are pregnant and plan to see us for Obstetric care, you may take these medications without contacting us.
Headaches
Regular or extra strength Tylenol one or two tablets every four hours. With extra strength Tylenol do not take more than ten tablets in 24 hours. Tylenol PM can also to be taken at one or two every six to eight hours. Please do not use ibuprofen, Naprosyn, aspirin, or Excedrin as these medications are not recommended during pregnancy.
Constipation
Milk of Magnesia, Peri-Colace, Citrucel or other fiber laxatives, and Miralax over-the-counter are recommended. We also recommend increasing water intake, fruits, and vegetables.
Reflux, Gas, or Heartburn
Maalox, Mylanta, Gaviscon, Riopan, or Tums are recommended for reflux symptoms. If these medicines are not helping your heartburn, over-the-counter Pepcid or Zantac can be used. Gas symptoms can be treated with Phazyme or similar medications.
Nausea
A certain amount of nausea is normal especially early in pregnancy. If the nausea is severe or is accompanied by vomiting, Unisom can be used at one half tablet twice daily. Also, vitamin B6 at 25 mg daily can also be effective. If you are unable to hold down fluids or liquids for more than three days, please call for assistance. In addition, we recommend popsicle, frozen juice, Gatorade, and ginger ale.
Colds
We recommend Actifed, Contac Cold, Tylenol Cold, Sudafed, and Tavist. Also recommended is Claritin-D and Mucinex either plain or Mucinex D. Sore throats can be treated with Cepacol throat lozenges. You do not have to buy the name brand medicine. An equivalent Wal-Mart, CVS, Walgreens, or other store brand is satisfactory. Please avoid Sudafed Sinus Advanced.
Cough
Robitussin or Robitussin DM is recommended at 1 teaspoon every 4 to 6 hours as needed. Sore throats can be treated with Cepacol lozenges.
Diarrhea
Donnagel or Kaopectate II or Kaopectate Advanced can be used as directed. Imodium AD also effective and recommended.
Hemorrhoids
Preparation H with hydrocortisone, tucks pads, Americaine ointment, or Anusol HC or Anusol HC 1 should be used after bowel movements and at night for hemorrhoids. Sitting in warm water several times per day (with nothing in the bath water) helps also. Avoid constipation and sitting on the toilet for long periods.
Yeast Infections
If you have vaginal itching and burning with a clumpy vaginal discharge, you may have a yeast infection. If you are unsure about whether you have a yeast infection or not, please call the office for assistance. If you have had a yeast infection before and are sure this is what you have, it would be OK to use Monostat or generic equivalent for either 3 or 7 days.
Any questions about medications should be directed to the office during office hours if at all possible. Office hours are from 8:30 a.m. to 5:00 Monday through Thursday and Friday from 8:30 a.m. until 12:30 p.m. Please try will avoid calling our physicians after hours unless you have tried these medications first.
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