What to take for head cold when pregnant
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
Read More
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
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Read more about our vetting process.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 weeksof 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 likelythan 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
CDCrecommends 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.
Treatment of acute respiratory viral infections, acute respiratory infections and influenza in pregnant women in the clinic Health Territory
The first signs of acute respiratory viral infections - what should a future mother do?
How to help your body cope with illness, how not to harm the unborn child, and when serious professional help is needed? To help mothers, the specialists of our Center (obstetrician-gynecologist, midwives, homeopaths, ENT, naturopath and aromatherapist) offer an algorithm of actions that is consistent with all modern data from international recommendations.
But, most importantly, remember that an expectant mother, like no one else, is very important emotional mood - positive emotions will help you quickly cope with all the troubles.
Let's repeat, following our specialists: "Word and thought are material!".
- At the first sign of a cold (sore throat when swallowing, hoarseness or sore throat, runny nose, headache, body aches, weakness) - stay at home, keep a gentle regime, put on masks for all family members, remind everyone wash your hands more often.
- If it is impossible to get to a homeopath for the exact prescription of an individual remedy, you can take complex homeopathic remedies: "Ocillococcinum" once (!) Or homeopathic remedies "Agri" (according to the scheme in the instructions), "Influenza-Heel" (also according to the instructions).
- For pain in the throat, drugs - Tonsilotren, Tonsilgon or Angin-Heel will help. Necessarily - regular gargling with infusions of herbs (eucalyptus, calendula, chamomile) three to seven times a day.
- With a runny nose - "Corizalia" (with the first symptoms of a runny nose with strong discharge). You can use nose drops - hypertonic solutions of sea water, "Pinosol" (if there is no allergy). With nasal congestion - alkaline inhalation. If it helps you to breathe over boiled potatoes, then you can breathe.
- For coughs and colds, you can drink ginger tea - pour half a glass of grated ginger on a coarse grater to the top with good honey, insist for a day. Drink by adding 1-2 tsp. mixture per cup of hot water. Useful cranberry juice. With a dry cough, homeopathic preparations "Bronhalis-Heel" and "Tartefedrel" can be used.
- If hypothermia occurs and you feel chilly, drink hot tea with dried raspberries or raspberry jam. Chicken broth (strictly fresh) also helps.
- Aromatherapy will help not only to alleviate the symptoms, but also to cope with bacteria. Have an antiviral and antibacterial effect - noble laurel, peppermint, eucalyptus. Oils can and should be mixed (up to 8 drops per “portion”). To the above, you can add orange or lemon oil. And for evening-night spraying, add a soothing one to antiviral and microbial ones - lavender oil or tangerine oil. To treat a runny nose, cough, sore throat, you can prepare the following mixture: 4 tablespoons of peach oil (used as a base), 1 drop of lavender, 2 drops of eucalyptus, 1 drop of tea tree. This mixture is instilled into the nose 1-2 drops after washing the nose with a sea water spray.
- Motor mode (at the first sign - stay at home, but if you feel well, do not refuse a short walk in nature, in the park (not in the mall!).
- Mood. To improve your mood, you can hang garlands of Christmas trees (a variant of natural aromatherapy), pine twigs, cones. Let the sun into the house - light candles, and put bright fruits in places you can see - in the bedroom, for example - oranges, lemons, grapefruits, pomelo (again, natural aromatherapy) or pineapples - any favorite fruit. To wake up in the morning and immediately see a lot of bright “suns” by the bed, which accumulated all this joyful energy for us. ”
- And most importantly - be sure to tell your doctor about your health! The doctor will recommend you what is especially important for you.
- “If the temperature does not exceed 38.5, do not take antipyretics. If you have a very high temperature, severe weakness, bad breath, severe cough and any deviation from the course of a common cold, and if there is no improvement within THREE DAYS, be sure to consult a doctor "(chief physician of the Health Territory, obstetrician-gynecologist Alexander Sergeevich Gavrilenko).
For help in preparing the material, we thank the obstetrician-gynecologist of the Health Territory Irina Stepanovna Arefyeva.
Additions and recommendations of our specialists:
- Elena Lvovna Ten, ENT, homeopath.
“If the cold has penetrated deeply, then there is a watery coryza or sore throat, and then a cough. Then you can drip into the nose "Derinat" (not contraindicated for pregnant women, but recommended after consultation with a doctor) or "Pinosol". Gargle with calendula, and I also recommend gargling with NATURAL (!) apple cider vinegar (2 teaspoons per glass of water) 3-4 r / d. it is necessary to treat the whole body, to understand the cause of the cough! Is it just from hypothermia? Then it will pass quickly. But, if there is a “weak link” in the respiratory (lungs) or genitourinary (kidneys) systems, or there may be a problem in the intestines, then the treatment must be comprehensive.
- Olga Bannikova, obstetrician.
“You can turn on the aroma lamp for a long time (for the whole night, for example). But if you are not sure about the body's response, try turning it on for 2 hours, then wait a few hours and turn it on for another 2 hours. It is better to use ultrasonic aroma lamps (they are more efficient and, unlike those heated by a candle, are designed for a large area of application - 20-30 sq.m)”.
- Yulia Krushanova, microbiologist, Ph.D., specialist in medical aromatherapy and Ayurveda:
“You can prepare a universal solution for an aroma lamp: 5 ml of alcohol, 200 ml of water and 10 drops of a mixture of oils: coniferous oils, oils of lemon, leuzea, bergamot, grapefruit. This aroma mixture is good for both prevention and treatment. There is some correction for oils for the aroma lamp: you can’t evaporate thyme in the lamp (too active oil, can give bronchospasm), the aroma of orange increases appetite (it would be better to use lemon, grapefruit, bergamot), leuzea oil can only be used cold (that is, without heating in an aroma lamp with candles). In general, cold water sprays are preferable to heating, since when heated in an aroma lamp, some components of essential oils undergo changes and are destroyed, without having a beneficial effect. For the same reason, an ultrasonic aroma lamp is preferable to an aroma lamp heated by candles. It is very important that the aroma lamp heated by candles does not run out of water in the bowl, since it is clear that the oil should not burn, it should evaporate from the surface of the water.
- Laima Lankmane, naturopath and herbalist:
“It is especially important for a pregnant woman to carefully read all the instructions for herbal preparations - first of all, this applies to the first trimester, when the body of the expectant mother is extremely sensitive to everything and undergoes a strong hormonal restructuring. But even during the entire pregnancy, one should be careful with herbal remedies and it is better to consult with your doctor before use. With hypothermia, the first signs of the disease, you can - ginger with lemon, honey (better bite, because when heated above 40-50 degrees, it not only loses many of its nutritional properties, but can also harm a sensitive stomach), green teas and all natural drinks with a lot of vitamin C (for example, rosehip broth helps well). Leaves of linden and dry raspberries - yes, but raspberry jam (unless, of course, it is a frozen berry) will not bring much benefit. Unfortunately, during prolonged cooking, berries lose many of their antibacterial and phyto-properties. In addition, in the jam, in addition to the taste “from childhood”, there is a lot of excess sugar that you don’t need now. However, if a cup of tea with a spoonful of such jam lifts your mood and spirit, then definitely this is a medicine! And do not forget that the word and thought are material!” Source: Bone, K. (2003), A Clinical Guide to Blending Liquid Herbs, Churchill Livingstone, USA
Health Territory doctors will always be happy to answer your questions! 8 (495) 988 52 52
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 with particular responsibility! 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 shoes.
• 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 oxolinic 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 also said: 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).
- 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 prophylaxis
- Grippferon - a drug in the form of drops for the nose, which provides the prevention and treatment of influenza, is not contraindicated for pregnant and lactating women. The medicine 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 becoming infected 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 a pregnant woman has no contraindications, then vaccination should be done. 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!
The following drugs are contraindicated : 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.