Safe Medications for Nausea, Headaches, and Heartburn in Pregnancy
By: Alliance Ob/Gyn in Alpharetta, GA
Pregnancy often comes with physical discomforts like nausea, headaches, and heartburn—but not all medications are safe during this sensitive time. What can you safely take to feel better? This blog offers a quick reference for managing common pregnancy symptoms with options that are generally considered safe. As always, check with your OB/GYN at Alliance Ob/Gyn in Alpharetta, GA before starting or continuing any medication during pregnancy.
What Can I Take for Nausea During Pregnancy?
Morning sickness and nausea are common, especially in the first trimester. Here are some options considered safe:
- Vitamin B6 (pyridoxine): Often recommended first-line, usually 25 mg three times daily.
- Doxylamine: An antihistamine found in Unisom SleepTabs. It can be combined with B6 (under medical supervision).
- Ginger supplements: Up to 1 gram per day, divided into doses, may help.
- Prescription option: Diclegis (a combination of B6 and doxylamine) is FDA-approved for pregnancy-related nausea.
Avoid: Pepto-Bismol and other bismuth-containing medications, which are not safe during pregnancy.
What Can I Take for Headaches in Pregnancy?
Headaches can be triggered by hormonal shifts, stress, or dehydration. Safe options include:
- Acetaminophen (Tylenol): Generally considered safe throughout pregnancy.
- Rest and hydration: Simple but effective first-line strategies.
- Caffeine: In small amounts (less than 200 mg/day), may relieve headaches.
Avoid:
- Ibuprofen, aspirin, and naproxen (NSAIDs): These are not recommended during pregnancy, especially in the third trimester, due to potential risks to the baby.
If your headaches are severe or persistent, talk to your doctor—they could indicate a more serious issue like high blood pressure or preeclampsia.
What Can I Take for Heartburn During Pregnancy?
Heartburn is extremely common, especially in the second and third trimesters. Safe treatment options include:
- Antacids: Tums (calcium carbonate) or Rolaids are usually safe and offer fast relief.
- H2 blockers: Medications like ranitidine (note: withdrawn in many markets) or famotidine (Pepcid) are generally safe.
- Proton pump inhibitors (PPIs): Omeprazole (Prilosec) and lansoprazole (Prevacid) may be prescribed if other measures don’t help.
Avoid: Sodium bicarbonate-containing antacids and Alka-Seltzer, which may contain aspirin.
Final Thoughts: Always Consult Your OB/GYN First
Even over-the-counter medications can affect pregnancy. Before using any medication—whether herbal, OTC, or prescription—consult your healthcare provider. If you’re experiencing persistent nausea, headaches, or heartburn, the team at Alliance Ob/Gyn in Alpharetta, GA, is here to help with personalized, pregnancy-safe care.
Contact us: https://allianceobgyn.com/contact-us/
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