What can pregnant women take for a cold

Safe Medications for Pregnant Women

Your obstetrician from Genesee Valley OB/GYN will review any medications you are currently taking to decide what is safe to continue taking during pregnancy. Some medications and herbal supplements can increase your chance of birth defects, and your doctor will review any medication you may need to stop taking if you’re pregnant or trying to become pregnant. Over-the-counter medicines like acetaminophen, allergy medicine, and cold medicines are generally safe to take, while aspirin and ibuprofen should be avoided.

Approved Over-the-Counter Medications During Pregnancy

Before you start or stop any medicine, it is always best to speak with the doctor who is caring for you while you are pregnant.

Pain Medication

Nausea

Tylenol (acetaminophen) or Extra Strength Tylenol DO NOT USE: Aspirin, Motrin, Advil (Ibuprofen), Aleve (unless specifically by your healthcare provider) Try small frequent meals. Ginger Ale, Vitamin B6, Sea Bands Sweet fruit syrup from canned fruits, i.e. pears/peaches

Anthistamines

Heartburn, Indigestion, Gas

Zyrtec, Claritin, Benadryl, Dimetapp Maalox, Mylanta, Zantac, Pepcid AC, Tums, Rolaids

Decongestants

Cough/Colds

Sudafed (pseudoephedrine), Robitussin CF, Tylenol Cold and Sinus, Actifed, Dimetapp Robitussin (cough)

Insomnia

Yeast Infections

Benadryl (for occasional use only) Monistat 3 or 7

Hemorrhoids

Toothache

Preparation H, Tucks Extra Strength Tylenol

Diarrhea

Constipation

Imodium AD or Kaopectate BRAT Diet (banana, rice, applesauce, toast) Increase fluid intake, Colace, Metamucil

How to Treat a Cold or Flu When You’re Pregnant

  • Medications
  • Home remedies
  • Cold or flu?
  • Reducing risk
  • Call a doctor

When you become pregnant, everything that happens to you can affect not just your body but the fetus, too. This can make dealing with being sick more complicated. Before pregnancy, if you got a cold or became sick with the flu, you may have taken an over-the-counter (OTC) decongestant. Now that you’re pregnant, you might wonder whether it’s safe. Although medications can relieve your symptoms, some may harm a developing fetus. But treating a cold or flu during pregnancy doesn’t have to be a stressful experience, and you can take many medications while pregnant.

According to most OB-GYNs, it’s best to avoid all medications in the first

12 weeks

of pregnancy. That’s a critical time for the development of a fetus’s vital organs. It’s a good idea to speak with your doctor if you’re pregnant or trying to get pregnant and currently taking medication or considering taking medication. Several medications are considered safe after 12 weeks of pregnancy. These include:

  • topical menthol
  • nasal strips
  • cough drops or lozenges
  • acetaminophen (Tylenol) for aches, pains, and fevers
  • cough suppressant at night
  • expectorant during the day
  • calcium-carbonate (Mylanta, Tums) or similar medications for heartburn, nausea, or upset stomach
  • plain cough syrup
  • dextromethorphan (Robitussin) and dextromethorphan-guaifenesin (Robitussin DM) cough syrups

Avoid all-in-one medications that combine ingredients to tackle many symptoms. Instead, choose single medications for the symptoms you’re dealing with. You should also avoid the following medications while pregnant unless your doctor recommends you take them. They increase the risk for problems:

  • aspirin (Bayer)
  • ibuprofen (Advil, Motrin)
  • naproxen (Aleve, Naprosyn)
  • codeine
  • Bactrim, an antibiotic

When you get sick while pregnant, your first steps should be to:

  1. Get plenty of rest.
  2. Drink a lot of fluids.
  3. Gargle with warm salt water if you have a sore throat or cough.

If your symptoms worsen, you might want to try:

  • saline nasal drops and sprays to loosen nasal mucus and soothe inflamed nasal tissue
  • breathing warm, humid air to help ease congestion; a facial steamer, hot-mist vaporizer, or even a hot shower can work
  • chicken soup to help relieve inflammation and soothe congestion
  • adding honey or lemon to a warm cup of decaffeinated tea to relieve a sore throat
  • using hot and cold packs to alleviate sinus pain

The common cold and the flu share many symptoms, such as a cough and runny nose. However, a few differences can help you tell them apart. If your symptoms are generally mild, then you likely have a cold. Also, chills and fatigue are more likely with the flu.

When you’re pregnant, your body’s immune system becomes weaker to prevent your body from rejecting the fetus. But, it also leaves you more vulnerable to viral and bacterial infections. Pregnant people are also

more likely

than nonpregnant folks their age to have flu complications. These complications may include pneumonia, bronchitis, or sinus infections. Getting a flu vaccination can reduce your risk of infection and complications. Other things you can do to reduce your risk of getting sick include:

  • washing your hands often
  • getting enough sleep
  • eating a healthy diet
  • avoiding close contact with sick family or friends
  • exercising regularly
  • reducing stress

Although most colds don’t cause problems for a fetus, you should take the flu more seriously. Flu complications increase the risk of premature delivery and birth defects. Get immediate medical help if you experience the following symptoms:

  • dizziness
  • difficulty breathing
  • chest pain or pressure
  • vaginal bleeding
  • confusion
  • severe vomiting
  • high fever that isn’t reduced by acetaminophen
  • decreased fetal movement

The

CDC

recommends treating pregnant people with flu-like symptoms immediately with antiviral medications. Call your doctor’s office if you have any questions or you’re not sure your symptoms are worrisome.

Takeaway

Getting sick while pregnant can be particularly unpleasant, and you might wonder whether it’s safe to take OTC medications to ease your symptoms. Generally, doctors recommend avoiding medications in the first 12 weeks of pregnancy. If you’re currently taking medication for a condition or it’s after 12 weeks, and you want to take something to reduce cold or flu symptoms, it’s a good idea to talk with a doctor about what’s safe and what you should avoid.

Last medically reviewed on March 9, 2017

  • Parenthood
  • Pregnancy
  • Pregnancy Health

How we vetted this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • Erebara, A., Bozzo, P., Einarson, A., & Koren, G. (2008). Treating the common cold during pregnancy.
    ncbi.nlm.nih.gov/pmc/articles/PMC2377219/
  • Flu & pregnancy. (2022).
    cdc.gov/flu/highrisk/pregnant.htm
  • Pregnancy complications. (2017).
    womenshealth.gov/pregnancy/youre-pregnant-now-what/pregnancy-complications
  • Rennard, B. O., Ertl, R. F., Gossman, G. L., Robbins, R. A., & Rennard, S. I. (2000). Chicken soup inhibits neutrophil chemotaxis in vitro. 
    ncbi.nlm.nih.gov/pubmed/11035691
  • Taking medicine during pregnancy. (2018).
    onlinelibrary.wiley.com/doi/10.1111/jmwh.12765

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Mar 9, 2017

Medically Reviewed By

Michael Weber, MD

Jul 17, 2015

By

The Healthline Editorial Team

Edited By

Nizam Khan (TechSpace)