Prenatal Care Book 2023 | Page 46

WHAT MEDICATIONS ARE SAFE FOR ME TO TAKE WHILE I ’ M PREGNANT ?

Because most prescription medicines and over-the-counter drugs cross the placenta and reach the developing baby , we recommend that you consult your doctor prior to taking any medicine except those specifically recommended . Your doctor can help you weigh the risks and benefits of drugs that you may need to take during your pregnancy . In general , we recommend using the fewest medications possible during pregnancy , especially during the first three months when your baby is developing . It is important that you consult with your provider before starting or stopping medications .
The first 12 weeks of pregnancy are the most critical time of development for babies and the most dangerous time for exposure to medications that maybe harmful in pregnancy . During these early weeks , babies begin developing their organ systems .
The following medications have been proven or are suspected to be harmful to a developing fetus , so they should not be taken without consulting with your health care team .
• ACE inhibitors ( Lisinopril , enalapril , benazepril )
• Androgens ( testosterone , DES , danazol )
• Seizure medications ( valproic acid , carbamazepine , Dilantin )
• Blood-thinners ( Coumadin )
• Acne medications ( isotretinion , etretinate , spironolactone )
• Psychiatric medications ( lithium )
• Antibiotics ( tetracycline , streptomycin , doxycycline )
• Chemotherapy agents ( aminopterin , methotrexate , busulfan )
• Sleep medications
Over-the-counter medications that may cause harm to your baby include vitamins A , D , and K when taken in excess . Drugs known as NSAIDS ( Motrin , Advil , Anaprox , etc .) should be taken only when prescribed by your physician .
Common medications that appear to be safe after the 12th week of pregnancy include low-dose aspirin , penicillin , acetaminophen ( Tylenol ), Benadryl , Sudafed / Actifed , and Maalox . Please contact our office for additional questions .
44 My Prenatal Care Book