Meds for Pregnancy

• Antibiotics safe in pregnancy

  • Penicillins
  • Cephalosporins
  • Clindamycin
• Antibiotics contraindicated in pregnancy

  • Tetracycline
  • Quinolones
  • Clarithromycin
  • Sulfonamides
• Anti-hypertensive medications contraindicated in pregnancy

  • ACE inhibitors (-pril ending)
  • ARBs (-sartan ending)
  • Direct-renin inhibitors (-kiren ending)
• Anti-hypertensive medications safe in pregnancy

  • Labetalol
  • Long acting nifedipine
  • Methyldopa
• Acetaminophen is the “go-to” medication to relieve fever and pain in pregnancy
• Analgesic medications to avoid in pregnancy

  • NSAIDs
  • Opioids
  • Tramadol
  • Aspirin
  • Meperidine
• First line drugs recommended for nausea in pregnancy

  • Doxylamine
  • Pyridoxine
• Medications safe to treat GERD in pregnancy

  • Calcium carbonate (preferred antacid)
  • Cimetidine (preferred H2RA)
  • Lansoprazole or omeprazole (preferred PPI)
• “Go to” SSRIs considered safe in pregnancy

  • Sertraline
  • Bupropion
• SSRIs that could lead to birth defects in pregnancy

  • Paroxetine: 1st trimester risk of CV defects
  • Fluoxetine: risk of birth defects
• Adverse effects noted with every SSRI medication

  • PPH
  • Preterm birth
• Non-pharmacologic cold interventions in pregnancy

  
  

  • Rest, oral hydration, good nutrition always 1st line
  • Nasal/sinus congestion: saline nasal spray, saline sinus rinses, humidification
  • Sore throat: hard candy, salt/water rinses, hot tea (double check tea is ok in pregnancy)