Relief from cold during pregnancy

Which Cold & Flu Medication Is Safe to Take During Pregnancy? | UNM Health Blog

By Maria Montoya, MD | February 04, 2022

You are pregnant and start feeling sick. Before you reach for that bottle of cold or flu medicine, are you certain it is safe for your baby?

When you are pregnant, your baby will be exposed to everything you are exposed to. This means that when you are sick with a cold or flu your baby will not only be exposed to the cold or flu virus, but also any medication you may take.

Typically, with most viruses, you must wait for your immune system to fight the infection. Over-the-counter medications can help soothe your symptoms while you wait.

However, not all over-the-counter medicines are safe to take during pregnancy. Certain medications may hurt the baby or cause problems for you, such as increasing your blood pressure.

Use this quick list of pregnancy-safe natural cold and flu remedies and over-the-counter medications as a starting point. Remember, read the directions on the package for any medication you might take. It’s also a good idea to talk with your doctor or midwife before taking a cold or flu medication.

Natural, Pregnancy-Safe Remedies

Before you try any medications, there are natural remedies you may find adequate relief from first. Here are a couple of safe, natural remedies to try:

Gargle warm salt water
Get as much restful sleep as possible
Sip honey in hot water
Stay well hydrated
Use nasal saline sprays
Try a humidifier

While not all herbs and supplements are safe in pregnancy. You may be able to safely take:

Vitamin C
Zinc
Manuka Honey
Elderberry

Talk with your doctor or midwife before taking any supplements or trying at-home remedies or essential oils during pregnancy.

If natural remedies don’t provide enough relief, consider these pregnancy-safe medications.

Pregnancy-Safe Cold & Flu Medication

It is best to avoid taking medications when possible. If you do need to take something, follow the package directions carefully. Talk with your doctor or midwife before taking medication during pregnancy.

These over-the-counter medications are considered safe for most pregnant patients:

Acetaminophen (Tylenol)
- Safe during the entire pregnancy.
- Take only as needed.
- Try to limit regular exposure.
- Not safe if you are allergic to it or have liver problems.
Pseudoephedrine (Sudafed)
- Safe in the second and third trimester
- Not safe in the first trimester due to a small risk of abdominal wall birth defects
- Not safe if you have high blood pressure (hypertension) or a history of heart disease
Chlorpheniramine (Chlor-Trimeton)
- Safe during pregnancy.
- Not safe while breastfeeding.
Diphenhydramine (Benadryl)
- Safe throughout pregnancy.

Watch out for extra ingredients. Many cold and flu medications treat more symptoms than you may be experiencing. For example, Tylenol Cold Multi-Symptom treats headaches, fever, body aches, cough, chest congestion, stuffy nose, and more. If you just have a stuffy nose, this is more medication than you need.

A word about antibiotics. Some sinus infections are treated with antibiotics. In general, pregnant patients should not take antibiotics unless it is necessary. Make sure your health care provider knows you are pregnant if they prescribe antibiotics.

The dangers of high blood pressure in pregnancy

How to spot symptoms and get help

Medications to Avoid in Pregnancy

Nonsteroidal anti-inflammatory (NSAID) medications can hurt your developing baby. Do not take NSAIDs such as these when you are pregnant:

Ibuprofen (Advil, Motrin)
Naproxen (Aleve, Midol)
Celecoxib (Celebrex)
Aspirin (Bayer), unless your doctor or midwife prescribes daily low-dose aspirin.

Do not take these medications during pregnancy. These drugs can hurt the developing baby:

Benzocaine (throat lozenges/throat sprays)
Codeine (a pain and cough medication)
Phenylephrine (i.e., Sudafed PE): it not considered safe while pregnant because studies with animals showed adverse effects to the fetus.

When you don’t feel well, the last thing you might want to do is read a medication label. However, it is worth taking a few extra moments to read the label and avoid additional risks. If you’re not sure what medicine is safe to take, call us. We are always here to help you.

To find out whether you or a loved one might benefit from Ob/Gyn care

Call 505-272-2245.

Categories: Women's Health

Treating a Cold or Flu When Pregnant

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.

Medications

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

Home remedies for cold and flu during pregnancy

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

Get plenty of rest.
Drink a lot of fluids.
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

Is it a cold or the flu?

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.

Things you can do to reduce your risk

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

When should I call my doctor?

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.

Colds during pregnancy: how to treat?

Any cold or respiratory disease in early pregnancy, during the primary formation of the fetus, can lead to unpredictable consequences and complications. The matter is complicated by the fact that most medications are absolutely contraindicated for use during gestation.

In this regard, the treatment and prevention of colds in pregnant women is an important issue, which should be approached especially responsibly! The main thesis is: be careful with medicines and apply mild preventive measures based on alternative medicine methods to avoid respiratory diseases and flu.

"One for two - immunity"

This is a very fragile system, it is not necessary to interfere in its work, but it is necessary to support and strengthen it. Pregnancy belongs to the category of special, albeit temporary, conditions during which a woman needs additional protection.

This issue will help simple recommendations that are available to everyone:

• During the period of frequent weather changes, it is necessary to dress warmer, paying special attention to footwear.
• During an epidemic, it is better for a pregnant woman to refrain from being in crowded places - transport, metro, shops and hospitals. If there is an urgent need, to prevent possible infection, a protective respiratory mask should be worn before leaving the house.

• Be especially careful about hygiene after visiting the street and public places. Upon returning home, the first thing to do is wash your hands thoroughly.

Interesting: More than 90% of all acute respiratory infections are caused by viruses, about 10% are bacteria and other pathogens. Accordingly, any soap can be used, not necessarily antibacterial.

• Before going outside, you can lubricate the nasal mucosa with oxolin ointment. Upon returning home, flush the upper respiratory tract with soda solution.

• Rationalization of nutrition and intake of vitamins will strengthen the immune defense. It is especially useful to eat fruits and vegetables that are enriched with vitamins and have not undergone heat treatment.

Interesting: our grandmothers used to say: in order not to get sick, you need to drink chicken broth! Strange, but until recently, scientists did not attach much importance to this prophylactic. Pulmonologist Stefan Rennard decided to find out if this was true or not. The professor conducted a study and proved that the use of chicken broth affects the mobility of neutrophils, white blood cells that protect the body from infections and activate the immune system.

Vitamins can be taken using ready-made pharmaceutical multivitamin complexes. Before choosing a drug, you should consult your doctor.
Compliance with the regimen and duration of sleep - at least 9 hours a day. The possibility of psychotraumatic situations should be minimized.
Maintaining cleanliness in the living quarters (ventilation, wet cleaning).
Air humidification is an important aspect in the prevention of influenza and respiratory diseases. If air conditioners or heaters are used in the house of a pregnant woman, it would be best to purchase a mechanical humidifier.

Medications for prevention

Grippferon - a drug in the form of drops for the nose, which provides prevention and treatment of influenza, is not contraindicated for pregnant and lactating women. The drug stimulates an increase in immunity, has a pronounced antiviral effect that can protect against colds, infections and influenza varieties.
Ascorbic acid - can be used as a separate source of vitamin C in a synthetic version, with a reduced daily intake from food. Ascorbic acid not only prevents infection, but also fights viruses that have already entered the body of a woman.
Viferon - nasal ointment, which is prescribed for the prevention of influenza and respiratory infections during an epidemic. The ointment has protective and immunomodulatory effects, and also allows you to deal with disorders that are already occurring in the body at the time of use. Viferon in the form of a nasal ointment has no contraindications for use in pregnant women at any time, including the first trimester.
Aquamaris is a natural drug in the form of a nasal spray that allows you to moisturize the nasal mucosa, thereby reducing the risk of influenza viruses entering the nasal cavity.

I would like to say a few words about such a method of prevention as vaccination. Most often, the expectant mother may be at risk of infection due to the annual influenza epidemic. This disease is dangerous for a pregnant woman precisely because of its complications: pneumonia, bronchitis, otitis media. Influenza in a pregnant woman can also affect the health of the fetus. Most of all, it is dangerous in the early stages of pregnancy, when the tissues and organs of the human embryo are laid and formed. Viral intoxication or drug exposure can lead to pathology of the child's organs. In later pregnancy, there is a risk of infection of the fetus.

The most dangerous consequence of influenza in a pregnant woman is threatened miscarriage or premature birth!

It is quite natural that expectant mothers often wonder whether or not to vaccinate.

Studies have concluded that the use of inactivated ("killed") influenza vaccines does not have a teratogenic effect on the fetus and does not harm the health of a pregnant woman. After consulting with your doctor about such an inoculation, you can come to an optimal solution. If an influenza epidemic is inevitable, and the pregnant woman has no contraindications, then the vaccine should be given. If a pregnant woman has a negligible risk of infection, she does not come into contact with a large number of people, or is opposed to vaccination, then you can not do it. According to research, it is known that vaccination of mothers reduces the risk of influenza infection of a born child by 63%. Seasonal influenza prevention is carried out in September, October. Vaccinations for pregnant women are recommended from the second trimester of pregnancy.

In the period of a planned pregnancy, a flu shot is given 1 month before it: the formation of immunity occurs 2-4 weeks. Protection after vaccination lasts about a year.

If infection does occur, action should be taken immediately if at least one symptom of the disease is detected. The health of a pregnant woman and her unborn child depends entirely on her responsibility and respect for her own body.

Proven folk remedies will be used first. Since pregnant women cannot steam their legs, steam their hands, and this will facilitate nasal breathing. Bundle up, put on woolen socks and crawl under the covers: warmth, peace and sleep are good for colds. Do not forget to drink plenty of water - hot green tea with lemon and honey, lime blossom tea, cranberry juice, rosehip broth, dried fruit compote. Ginger in the form of tea also helps, not only with catarrhal symptoms, but with nausea in the morning.

Various hot milk drinks are also suitable. Honey can be added to milk, and it is best to boil it on onions. It must be emphasized right away that not all herbs for colds during pregnancy can be used. Here is a list of medicinal plants that are contraindicated: aloe, anise, barberry, elecampane (grass and root), sweet clover, oregano, St. John's wort, strawberries (leaves), viburnum (berries), raspberries (leaves), lemon balm, lovage, wormwood, licorice ( root), celandine, sage. Accordingly, preparations containing these plants should not be taken.

The use of medicines for colds during pregnancy must be treated with great care!

It is contraindicated to use the following drugs : Pertussin, Tussin plus, Joset, Glycodin, Ascoril, Travisil, Broncholitin, ACC, Grippeks, Codelac, Terpinkod. Do not use lozenges and lozenges for sore throat or cough are also undesirable due to the likelihood of allergic reactions.

Spray Pinosol, judging by the components indicated in the instructions, is not dangerous during pregnancy. However, the essential oils contained in the preparation - pine, peppermint, eucalyptus, thymol, guaiazulene (wormwood oil) - can lead to an allergic reaction with swelling of the nasal mucosa.

Viferon suppositories are allowed to be used only after 14 weeks from the start of conception. This drug contains recombinant human interferon alpha-2, ascorbic acid and alpha-tocopherol acetate and has antiviral, immunomodulatory and antiproliferative effects. It is used in the treatment of various infectious and inflammatory diseases in adults and children (including newborns). In the form of an ointment, Viferon is used to treat herpetic lesions of the skin and mucous membranes. The ointment is applied in a thin layer to the affected areas of the skin 3-4 times a day for 5-7 days.

The homeopathic preparation Stodal, which includes predominantly herbal ingredients, acts on various types of cough and has an expectorant and bronchodilator effect.

Viburkol - homeopathic suppositories - have analgesic, anti-inflammatory, sedative, antispasmodic action. They are prescribed in the complex therapy of acute respiratory viral infections and other uncomplicated infections (including in newborns), as well as in inflammatory processes of the upper respiratory tract and inflammatory diseases of the genitourinary system.

So, you can try to eliminate a slight ailment on your own, but there are conditions under which you need to call a doctor at home:

Prolonged fever;
Myalgia, fatigue, fatigue, general malaise;
Difficulty breathing, nasopharyngeal lumps and dry or wet barking cough;
A pregnant woman is troubled by severe pressing headache.

In conclusion, I would like to emphasize the importance of treating chronic diseases before pregnancy, a healthy lifestyle during childbearing and following all doctor's orders.

I wish expectant mothers and their loved ones to try to maintain a good mood: optimists live longer and happier, they are more productive. Remember your victories and pleasant moments more often and everything will be fine!

SARS during pregnancy

Unfortunately, sometimes it happens that during pregnancy, the expectant mother herself can catch a cold and get sick. Runny nose, cough, as well as a sharp sore throat - all these are symptoms of ARVI familiar to us from childhood, which, by the way, must be treated in a timely manner.

However, it must be said that in order to be able to correctly and naturally effectively carry out the usual treatment of a cold or even flu during pregnancy, it is worth first learning how exactly to be able to recognize ARVI. And besides, let's note how dangerous this seemingly simple disease is, and only then we will consider many methods of its treatment that are popular in the modern world.

Let's start with the usual definition of SARS. What is behind this abbreviation?

SARS - this concept stands for - this is an acute respiratory viral infectious disease. That is, we can say that this is a disease caused primarily by the entry of a certain virus into the human body. Such a disease manifests itself primarily by complete congestion of the nose and even throat, and subsequently it can also manifest itself with a cough, possibly even with an increase in body temperature, and weakness in all muscles. And the most unpleasant thing for us is that such viruses can lie in wait for us literally anywhere. Viruses are especially rampant in the cold season, which is probably why all preventive measures are recommended to be carried out without fail in advance. So literally just hearing that a new “wave” of some acute respiratory infections or even the flu is approaching next to you - try to wash your hands as often as possible, and apply the famous oxolin ointment directly under your nose, and of course try to avoid crowded places. At home, try to ventilate the room, do wet cleaning as often as possible, and in those unpleasant cases when, among your household, someone is already sick, try to minimize all contact with a sick person.

And how can such a disease as ARVI be dangerous for the pregnant woman herself and the fetus?

I must say that depending on the timing of pregnancy, and the degree of influence of such a viral infection directly on the body of the mother and, of course, the development of the fetus will be completely different. So, directly in the very first days or weeks of pregnancy, such a disease can even lead to an extremely unpleasant spontaneous miscarriage. And let's say during the first twelve weeks, when the embryo is laying and forming all the main systems and organs of your unborn child. And, of course, ARVI, moreover, can have an extremely negative impact on the very process of organ formation, but also cause real malformations. But just before the birth, this seemingly simple disease is dangerous, first of all, because your baby may already be born with symptoms of SARS. And this, in turn, means that he can be born extremely weakened and not quite healthy. I must say that in the remaining periods of pregnancy, this disease is still not considered too dangerous, but, however, this does not mean at all that it could not be treated on time.

How to properly treat this disease in a woman during pregnancy?

As we have already said, adequate treatment, which should be carried out most correctly under the strict supervision of a doctor, must occur without fail. But the methods and methods of such treatment will directly depend on the degree of the disease itself. However, it should be noted that some of the nuances that will relate specifically to the state of pregnancy should definitely be taken into account.

So, if you accidentally fell ill with ARVI while already pregnant, then the very first thing that would be desirable to do is to visit or call your local doctor at home. After all, self-treatment is categorically not recommended during pregnancy, since not all drugs can be taken by pregnant women, and even from a series of so-called traditional medicine. However, it will, of course, be possible to help your not always strong body accelerate the active process of recovery. Which of the methods can be considered the most popular and of course the most effective, and most importantly the safest for both the mother and her unborn child - we will now consider this.

Proper treatment of a runny nose during pregnancy

Thus, during habitual nasal congestion, it becomes extremely difficult for the expectant mother herself to breathe, which, as a rule, can not only cause a lot of discomfort to the pregnant woman, but also contributes to blocking oxygen for the unborn child. And that is why it will be necessary to treat a runny nose in the very first place. But for this, a solution of salted water is perfect, which will need to be instilled into the nose 3 or even 4 times a day. It is even possible to buy such a ready-made solution in any pharmacy, but if there is no such real possibility, then prepare it yourself. To do this, dissolve one teaspoon of salt in half a glass of fairly warm and clean water. Then, using a regular pipette, you can bury your nose. It is also possible to actively wash the nose with the same salt water but with a syringe. In addition, inhalation of various essential oils is considered to be extremely effective. The most commonly recommended oils are eucalyptus, sage, or orange oils. But from ready-made medicines for the common cold, doctors usually recommend future mothers such drugs as "Pinosol", like "Aqua Maris" or "Sinupret". After all, these medicines are made on the basis of the safest, and absolutely natural ingredients.

Treatment of sore throats

Usually, for sore throats, plain warm milk with the addition of a spoonful of honey is an excellent remedy that can alleviate the condition. And also simple rinses can help to quickly get rid of acute inflammation in the larynx. To do this, dissolve enough warm water in a glass of one teaspoon of soda and salt and rinse your throat with this solution. In addition, decoctions of chamomile, or sage, sometimes mint, or calendula flowers could be used for such rinses. From ready-made pharmaceutical preparations, it is possible to use the famous lollipops with honey or lemon. An extremely important point with a cold is always the fact that your feet should always be kept warm, for example, in warm or woolen socks. But soaring your legs during pregnancy is categorically not recommended.

Cough treatment

When coughing, inhalations are always the most effective of all known methods. It is inhalations that usually help to increase expectoration, which actually speeds up the healing process. But for this it is customary to use inhalers with a few drops of essential oils of herbs such as sage, eucalyptus. Usually, when there is no inhaler, these essential oils will need to be dripped into an aroma lamp, which is installed in the room, in fact, where the patient herself is. If there is no aroma lamp in the house, then all inhalations can be carried out simply over the pan, as our grandmothers did. All of the above herbs or just a few potato tubers are usually steamed in a saucepan. Immediately after inhalation, you should be as warm as possible, hiding, immediately go to bed and rest calmly.

Temperature

But when the body temperature rises above 38 degrees, doctors strongly recommend the so-called acetic rubbing and even lotions. Ingoda there are cases when it is necessary to take drugs based on paracetamol. But before the temperature rises to 38 degrees, it is not recommended to knock it down. In addition, linden or optionally raspberry tea can increase sweating, which will naturally help reduce the temperature.

Also, in order to remove the virus that has entered the body as soon as possible, it is necessary to drink as much as possible plentiful and warm. So you can make yourself tea with honey or lemon, and best of all, if it is still green. In addition, drinks such as cranberry juice, as well as linden or chamomile decoctions, or tea with the addition of raspberry jam, and simply brewed rose hips are considered excellent means for removing an unpleasant virus from the body.