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Migraine Medications That Are Safe During PregnancyMotherToBabyMedications and More during pregnancy and lactation paracetamol (2 March 2020) This sheet discusses the exposure to paracetamol (also known as paracetamol) in a pregnancy and while breastfeeding. This information should not take the place of medical care and advice from your healthcare provider. What is the paracetamol? Acetaminophen (paracetamol) is a medication used to treat fever and mild to moderate pain. Acetaminophen is available alone and in combination with other medicines to treat symptoms of colds, flu, headache and osteoarthritis. You can buy acetaminophen in different forms, including liquids, tablets, capsules and suppositories. A common brand name is Tylenol®. I take paracetamol. Can it be harder for me to get pregnant? No studies have been conducted to see if acetaminophen could make it difficult for a woman to become pregnant. I just found out I'm pregnant, should I stop taking acetaminophen? Talk to your healthcare providers before making changes to this medication. They can exceed the amount of acetaminophen recommended for you. Is taking acetaminophen increasing the chance of abortion? Risk can occur in any pregnancy. Based on available studies, taking acetaminophen in recommended doses is unlikely to increase the chance of abortion. Is acetaminophen taking in the first trimester increasing the likelihood of birth defects? In each pregnancy, a woman begins with a 3-5% probability of having a baby with birth defect. This is called your background risk. When used in the recommended dose, acetaminophen has not shown to increase the probability of birth defects. Could acetaminophen take in the second or third trimester cause other pregnancy complications? Acetaminophen is considered by most healthcare providers as the analgesic of choice during pregnancy. It is best to use only as needed and with the lowest effective dose. Your health care providers may have a recommendation how much you want me to take. The recommended maximum dose of acetaminophen is 4000 mg in one day. Acetaminophen is also in many combination medications. Carefully check the ingredients of any other medication you take to see if they also have acetaminophen. You will need to add the amount of acetaminophen in the medications to make sure you are not taking more than 4000 mg in one day. Taking too much acetaminophen can cause liver damage, kidney damage and anemia (low iron in the blood) in a pregnant woman. It has also been reported to cause the same problems in the baby. Is taking acetaminophen in pregnancy causing long-term problems in behavior or learning for the baby? Some studies have suggested that taking acetaminophen daily or most of the days during the second half of the pregnancy could slightly increase the likelihood of sybilance or asthma in children. However, other factors may be the reason for the development of asthma in the child, such as the illness that the mother has, or why the mother needs to use acetaminophen during her pregnancy, and not acetaminophen itself. Studies have also been conducted in which a possible association with mild developmental delays (including language delays) and hyperactivity was observed. This association was stronger when acetaminophen was used for 28 days or more during pregnancy. It is unclear whether these findings are related to acetaminophen or other factors. Another study compared the use reported by acetaminophen women during pregnancy and then evaluated their children at the age of four. This study did not find a greater possibility of harmful effects on the I.Q. of children, learning or development. Can I breastfeed while I take paracetamol? Acetaminophen is found in low levels of breast milk. When necessary, babies are given at higher doses than they would receive from breast milk. Negative effects on exposed newborns are rare. Be sure to talk to your healthcare provider about your breastfeeding questions. If a man takes acetaminophen, could he affect his fertility (capability of becoming pregnant) or increase the probability of birth defects? There is no evidence to suggest that acetaminophen would affect man's ability to conceive or increase the risk for a pregnancy. In general, parents are unlikely to increase the risks to a pregnancy. For more information, please refer to the MotherToBaby Datasheet Parental Exhibition in . Please click for references. Related Baby BlogsRelated Fact Sheets Footer Hot Links Current StudiesContact Exposure Information Service 866.626.6847 Pregnancy studies 877.311.8972 Media applications 619.368.3259 OTIS National Office 5034A Thoroughbred Lane Brentwood, TN 37027 Copyright © 2021 The Organization of Specialists in Therapeutic Information

Main navigation Drugs and Medicines in Pregnancy Breadcrumb Medicines and Medicines in Pregnancy Share inSome medicines can damage your growing baby, and this may include certain standard free-sale painkillers, such as ibuprofen (Nurofe, for example). Because many medicines can be unsafe during pregnancy, it is always better to ask your doctor, midwife, pharmacist or dentist before taking anything. This page covers prescription or over-the-counter medicines and medicines. If you were taking any particular medication before your pregnancy, you should also ask your doctor if this is still good to take now that you are pregnant (or plan to become pregnant). For many medicines, there may be no evidence or research to be able to give a definitive answer about whether or not you are safe to take, so you and your doctor will have to discuss the risks and benefits of taking the medication. It is usually safer to take your regular medication than letting a condition like asthma, diabetes, or high blood pressure is not treated. This is also true in the treatment of mental health problems. Your doctor may be able to prescribe a different medication that is known to be safe to use during pregnancy. If possible, you should talk about this when you are planning to become pregnant, but if you are already pregnant discuss it as soon as possible. All medication should be taken as indicated in the package or as prescribed by a doctor or midwife. Do not retract the prescribed dose. What medicines can I take in pregnancy? There are some medicines listed here that are safe to take for common conditions. Tos and colds The cough and cold remedies usually contain a mixture of ingredients to always check what is in them. You can take:Constipation The first step to help with constipation is to try to increase the amount of water or fluids you are drinking. Target for about eight glasses (200ml) per day. Having a lot of fiber like fruits and vegetables in your dietary help. Target at least five portions a day. If this does not help you can also try these medicines: Hayfever and allergies Avoid products that contain antihistamines, such as brompheniramine, meclozine, diphenhydramine, doxylamine, cetirizine and loratadine, as there is not enough information about your safety. The same applies to nasal decongestants, with ingredients such as pseudoephedrine, phenylephrine, xylometazoline and oxymetazoline. You can use: acidity and indigestion If dietary changes such as avoiding fizzy drinks, spicy foods and acids do not help then there are medicines that can help. Medicines containing aspirin (such as Alka-Seltzer) should also be avoided during pregnancy. Aspirin may be listed on a label such as salicylate or acetylaltic acid. Pain, like headache or back pain Headaches are common in pregnancy and can be caused by dehydration so try to drink more water before taking the following. You can take: What medicines should I avoid in pregnancy? Aspirin, ibuprofen and other non-steroidal anti-inflammatory drugs (NSAIDs)These may interfere with blood clotting. In recent weeks of pregnancy, they could also cause a problem with the baby's heart and lungs. It is used late in pregnancy, ibuprofen may interfere with work or cause you to have less amniotic fluid (waters) around the baby. This is called oligohidramnios. Sometimes a small dose of aspirin is prescribed in the pregnancy (by its obstetrics). This is considered safe. Isotretinon (Roaccutane), Co-cyprindiol This is used to treat chronic acne and psoriasis, but it can cause malformations while the organs of the baby are forming. Topical drugs (gels and creams) are believed to be safe to use as benzoyl peroxide and antibiotic creams, however, the gel or vitamin A cream should be avoided. Sodium Valproate (Epilim)This is used to prevent epileptic seizures. However, during pregnancy it can cause problems with the development of the spine, the heart and face of the baby, as well as with the development of the brain. If you are taking valproate sodium and discover that you are pregnant, it is important to talk to your doctor as soon as possible instead of stopping the medication immediately. If a doctor advises you to continue taking sodium valproate during your pregnancy, a higher dose of 5 mg folic acid should also be prescribed to take up to at least the end of the first quarter. There are limited tests on other antiepileptic drugs such as carbamazepine, lamotrigine, miltytiracetam and phenitoin. Anti-migration drugs, such as ergotamine and methergy These drugs are used to prevent migraine attacks, but increase the risk of abortion and childbirth. There is limited evidence on the safety of the triptans. Anticoagulant drugs that you take by mouth These are used to lighten your blood when it comes to heart disease or if you are at greater risk of stroke or blood clots. Warfarin is a common example. Taken during early pregnancy, they can cause problems with facial and mental development. Later, they increase the risk of uncontrolled bleeding. Antidepressants and Other Mental Health Medicines It is important that you do not stop taking medications that are prescribed for your mental health without arguing with your doctor. AromatherapyAromatherapy oils may be 'natural', but they are still strong chemicals, and some are not recommended for use in pregnancy. Not all alternative remedies are safe for pregnant women, so always check first. If you go to a qualified professional, they will be trained to advise you on what is best. Contact him to find a practitioner in your area. Last revision: 16 November 2016 Next review: 16 April 2020Illegal or recreational drugs and pregnancyAsking for pain relief during labour Behind Mail Online's headline on paracetamol and pregnancyShare on© 2020. Tommy's is a charity registered in England and Wales (1060508) and Scotland (SC039280).

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