Pregnant women can take acetaminophen for pain and fever, and use remedies like honey for cough and saline nasal sprays for congestion, but they should always consult their doctor before taking any medication.
What Can Pregnant Women Take When Sick? | Safe Medications and Remedies for Common Illnesses
Being pregnant is an exciting time, but it can also bring challenges—especially if you catch a cold or flu. I remember when my sister was pregnant with her first child, and she came down with a nasty cold. She wasn’t sure what medications were safe, and like many pregnant women, she wanted to avoid anything that could harm her baby. The good news is, there are safe medications and remedies that can help you manage symptoms when you’re feeling under the weather during pregnancy.
This article covers safe options for pregnant women dealing with common illnesses such as colds, flu, headaches, and digestive issues. We’ll dive into what medications are safe, natural remedies you can try, and when it’s crucial to consult your doctor.
Common Illnesses During Pregnancy | What to Expect
Pregnancy can lower your immune system slightly, making you more susceptible to common illnesses like colds, the flu, and even stomach bugs. These are the types of illnesses many pregnant women face:
1. Colds
Colds are viral infections that cause symptoms like runny nose, congestion, sore throat, and coughing. While colds usually go away on their own, they can cause discomfort for several days.
2. Flu
The flu is another viral infection that typically causes more severe symptoms than a cold, such as fever, body aches, and fatigue. Pregnant women are at higher risk of complications from the flu, making it essential to manage symptoms and consider vaccination.
3. Digestive Upset
Pregnancy itself can cause nausea and digestive discomfort, but catching a stomach virus can add to the misery. Symptoms like diarrhea and vomiting can lead to dehydration, which is particularly concerning for pregnant women.
4. Headaches
Hormonal changes during pregnancy can trigger headaches, and tension headaches may become more common. Sinus congestion from colds or flu can also cause headaches.
Understanding how to manage these illnesses safely while pregnant is key to protecting both your health and your baby’s.
Table 1: Common Illnesses During Pregnancy and Their Symptoms
| Illness | Symptoms | Risk Factors During Pregnancy |
| Cold | Runny nose, sore throat, coughing, mild fatigue | Usually mild, but discomfort can be persistent |
| Flu | Fever, body aches, fatigue, cough | Higher risk of complications, including pneumonia |
| Stomach virus | Nausea, vomiting, diarrhea | Risk of dehydration |
| Headaches | Tension, sinus pressure, mild to severe pain | Can be worsened by hormonal changes |
Safe Medications for Pregnant Women | What You Can Take for Relief
Not all over-the-counter (OTC) medications are safe during pregnancy, so it’s important to know which ones are considered safe and which to avoid. Here are the most common medications that pregnant women can take for relief from cold, flu, and pain symptoms:
1. Acetaminophen (Tylenol)
Acetaminophen is generally considered safe during all stages of pregnancy and is the go-to medication for treating pain and fever. It can be used for headaches, body aches, and fever management.
Dosage: Follow the recommended dosage on the package, but avoid exceeding 4,000 mg per day to prevent liver damage.
2. Saline Nasal Sprays
For nasal congestion, saline nasal sprays are a safe and effective option. These sprays help moisturize nasal passages and thin mucus, making it easier to breathe without the use of medications.
3. Cough Drops and Lozenges
Cough drops and lozenges containing honey, menthol, or eucalyptus are safe to use during pregnancy to soothe a sore throat and ease coughing. Just be sure to check the label and avoid lozenges with high levels of sugar or alcohol-based ingredients.
4. Antihistamines (Certain Types)
Diphenhydramine (Benadryl) and chlorpheniramine are generally considered safe for pregnant women to use for allergies or cold symptoms, such as runny nose and sneezing. However, avoid using decongestants like pseudoephedrine, especially in the first trimester, as they can restrict blood flow to the placenta.
Table 2: Safe Medications for Pregnant Women
| Medication | Use | Safe During Pregnancy? |
| Acetaminophen (Tylenol) | Pain relief, fever reduction | Yes, when taken as directed |
| Saline nasal sprays | Nasal congestion relief | Yes, non-medicated option |
| Cough drops/lozenges | Sore throat, cough relief | Yes, with honey, menthol, or eucalyptus |
| Diphenhydramine (Benadryl) | Allergy or cold symptom relief | Yes, in recommended doses |
Natural Remedies for Cold and Flu | Safe Alternatives to Medications
If you prefer to avoid medications during pregnancy or want to supplement them with natural remedies, there are several safe and effective options for relieving cold and flu symptoms.
1. Honey and Warm Liquids
For a sore throat or cough, honey mixed into warm water or tea can be incredibly soothing. Honey helps coat the throat and reduce irritation, while warm liquids help keep you hydrated and thin mucus.
2. Steam Inhalation
Breathing in steam can help open up your nasal passages and ease congestion. You can do this by running a hot shower and sitting nearby or by placing your head over a bowl of hot water with a towel draped over your head to trap the steam.
3. Humidifiers
Using a humidifier in your bedroom can add moisture to the air, making it easier to breathe, especially if the air in your home is dry. This can help relieve nasal congestion and prevent your throat from drying out overnight.
4. Rest and Hydration
One of the best things you can do when you’re sick during pregnancy is to rest and stay hydrated. Drinking plenty of fluids helps flush out toxins and keeps your body functioning properly, while rest allows your immune system to fight off the illness.
Table 3: Safe Natural Remedies for Pregnant Women
| Remedy | How It Helps | Safety Considerations |
| Honey and warm liquids | Soothes sore throat, reduces coughing | Safe in moderate amounts |
| Steam inhalation | Relieves nasal congestion, opens airways | Safe, but avoid overheating |
| Humidifier | Adds moisture to the air, relieves nasal dryness | Safe for long-term use |
| Rest and hydration | Supports immune function, helps recovery | Essential for overall health |
What to Avoid When Sick During Pregnancy | Unsafe Medications and Remedies
While there are many safe options for treating illness during pregnancy, there are also several medications and treatments you should avoid to protect your baby. Here’s a list of common medications and remedies to steer clear of:
1. Ibuprofen and Aspirin
Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) and aspirin are not safe during pregnancy, especially in the third trimester. These medications can cause complications such as low amniotic fluid levels and premature closure of the baby’s heart vessel (ductus arteriosus).
2. Decongestants (Pseudoephedrine)
Decongestants like pseudoephedrine (Sudafed) should be avoided, particularly during the first trimester, as they can reduce blood flow to the placenta. Always consult your doctor before using any decongestants during pregnancy.
3. Herbal Supplements
While some herbal remedies may seem safe, many are not well-regulated, and some can have adverse effects during pregnancy. Avoid herbs such as echinacea, ginseng, and goldenseal, as they have not been proven safe for pregnant women.
4. High-Dose Vitamin C
While vitamin C is generally safe in normal dietary amounts, taking high doses of vitamin C in supplement form can lead to complications, such as an increased risk of preterm labor. Stick to getting your vitamin C from foods like oranges, strawberries, and bell peppers.
When to See a Doctor | Warning Signs During Pregnancy
While most common illnesses, like colds and mild cases of the flu, can be managed at home, there are some situations when it’s crucial to contact your healthcare provider. Here are some warning signs that indicate you need medical attention:
1. High Fever
If your fever reaches 100.4°F (38°C) or higher and doesn’t come down with acetaminophen, contact your doctor immediately. High fevers can be dangerous for both you and your baby.
2. Severe Headaches or Vision Changes
If you experience a severe headache, especially if it’s accompanied by vision changes, it could be a sign of preeclampsia or other complications. Seek medical advice if this occurs.
3. Persistent Vomiting or Diarrhea
If vomiting or diarrhea lasts more than 24 hours, you could become dehydrated, which is risky during pregnancy. Your doctor may recommend fluids or medications to help manage these symptoms.
4. Difficulty Breathing
If you’re having trouble breathing or experiencing chest pain, it could be a sign of a serious complication like pneumonia or bronchitis. Always seek medical attention for breathing difficulties.
Table 4: When to See a Doctor During Pregnancy
| Symptom | Potential Complication | Action to Take |
| High fever (100.4°F or higher) | Risk of harm to mother and baby | Contact doctor, seek medical attention |
| Severe headache or vision changes | Possible sign of preeclampsia | Contact healthcare provider immediately |
| Persistent vomiting or diarrhea | Risk of dehydration | Consult doctor if symptoms last more than 24 hours |
| Difficulty breathing or chest pain | Possible respiratory infection or pneumonia | Seek immediate medical attention |
FAQs – What Can Pregnant Women Take When Sick?
Can I take Tylenol while pregnant?
Yes, Tylenol (acetaminophen) is considered safe during pregnancy and is often recommended for pain relief and fever reduction. Be sure to follow the recommended dosage and avoid taking more than 4,000 mg per day.
Is it safe to use Vicks Vaporub during pregnancy?
Yes, Vicks Vaporub is generally safe to use during pregnancy to relieve nasal congestion and coughing. It contains ingredients like menthol, camphor, and eucalyptus oil, which help open up airways and soothe coughs. However, always consult your doctor before using any topical treatments.
Can I take Benadryl while pregnant?
Yes, Benadryl (diphenhydramine) is typically safe for pregnant women when used for allergy symptoms or mild cold relief. However, it may cause drowsiness, so avoid taking it if you need to stay alert. Always check with your healthcare provider before using any medication.
What can I take for a sore throat while pregnant?
For a sore throat during pregnancy, you can safely take honey, cough drops, or warm tea to soothe irritation. Acetaminophen (Tylenol) can also be used for pain relief if needed. Avoid using over-the-counter throat sprays without consulting your doctor.
Are decongestants safe during pregnancy?
Most decongestants, like pseudoephedrine (Sudafed), should be avoided during pregnancy, especially in the first trimester. Decongestants can reduce blood flow to the placenta, which can be harmful to the baby. Instead, try safe alternatives like saline nasal sprays or a humidifier.
Can pregnant women take antibiotics?
Some antibiotics are safe to take during pregnancy, but others are not. Your doctor will prescribe antibiotics that are safe for both you and your baby if you have a bacterial infection. Always consult your healthcare provider before taking any antibiotics.
How can I relieve nasal congestion while pregnant?
To relieve nasal congestion during pregnancy, try using a saline nasal spray, running a humidifier, or inhaling steam from a hot shower. These natural remedies are safe and effective for easing stuffy noses without medication.
Is it safe to take herbal remedies when sick during pregnancy?
Not all herbal remedies are safe during pregnancy. Avoid using herbs like echinacea, ginseng, and goldenseal, as their safety during pregnancy hasn’t been proven. Stick to known safe remedies like honey, ginger, and lemon for cold relief, and always consult your doctor before taking any supplements.
Can I get the flu shot while pregnant?
Yes, the flu shot is safe and recommended during pregnancy. It helps protect both you and your baby from the flu, which can cause serious complications during pregnancy. Avoid the nasal spray flu vaccine, as it contains a live virus and is not recommended for pregnant women.
What should I do if I get the flu while pregnant?
If you develop flu symptoms while pregnant, contact your healthcare provider immediately. You may be prescribed antiviral medication to reduce the severity and duration of the flu. Stay hydrated, rest, and monitor your temperature to ensure it doesn’t get too high.
Conclusion: What Can Pregnant Women Take When Sick? | Stay Safe While Treating Symptoms
Pregnant women have safe options for managing cold, flu, and other common illnesses. From acetaminophen for pain and fever to saline nasal sprays and honey for soothing sore throats, there are many ways to feel better without putting your baby at risk. Always consult your healthcare provider before taking any medications during pregnancy, and focus on rest, hydration, and natural remedies to support your recovery.