Pregnancy

Medications: A
Pharmacist guide
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 How to handle some
conditions in pregnant
women

Drugs should be safe during pregnancy

Non pharmacological ttt are prefered

 Acetaminophen
Pain and Safest during pregnancy

Fever Dosage
500-1000 mg every 4-6 hours as needed,
not to exceed 3000 mg per day.

Patient Counseling
Avoid use of NSAIDs like ibuprofen
and aspirin

Pregnancy
Category B
 Loratadine
Allergic human studies done and showed no risk.

Rhinitis Dosage
10 mg PO qDay or 5 mg twice daily; not
to exceed 10 mg qDay

Patient Counseling
May cause drowsiness, be cautious

Pregnancy
Category B
 Dextromethorphan
About 15-30 mg dextromethorphan equal
Cough and to 8-15 mg codeine as an antitussive
Cold Dosage
Liquid and syrup:10-20 mg PO q4hr OR
30 mg q6-8hr

Patient Counseling
Concurrent use nonselective MAO
inhibitors is contraindicated

Pregnancy
Category C
 Psyllium
Constipation Metamucil

Dosage
2.5-30 g/day PO in divided doses

Patient Counseling
Increase fluid intake and dietary
fiber.

Pregnancy
Category B
 Loperamide
Diarrhea Imodium

Dosage
4 mg initially, then 2 mg after each
loose stool; not to exceed 16 mg/day

Patient Counseling
Discontinue if no improvement seen
within 48 hours

Pregnancy
Category B
 Hydrocortisone cream
Skin Rash over-the-counter strength

Dosage
Apply a thin layer to the affected area
up to 4 times daily.

Patient Counseling
Prolonged use may increase risk of
secondary infection

Pregnancy
Category: C
 Calcium carbonate
Heartburn Tums

Dosage
Chew 2-3 tablets as symptoms occur,
do not take for symptoms that persist
for >2 weeks

Patient Counseling
Kidney stones reported with use; exercise
caution in patients with history

Pregnancy
Category B
 Cetirizine
Allergy Zyrtec

Dosage
5-10 mg PO qDay, depending on
severity of symptoms; not to exceed 10
mg qDay

Patient Counseling
May cause CNS depression; avoid
activities requiring mental alertness until
accustomed to medication

Pregnancy
Category B
 Clotrimazole
Thrush Gyne-Lotrimin

Dosage
10 mg PO slowly dissolved in mouth tid
or until steroids reduced to
maintenance levels

Patient Counseling
For maximum efficacy, must dissolve
dosage form in mouth

Pregnancy
Category C
 Vitamin B6
Nausea and Pyridoxine

Vomiting Dosage
10-25 mg PO q8hr

Patient Counseling
Small, frequent meals and avoiding
triggers can also help.

Pregnancy
Category: A/C-when exceeding RDA
recommendations
 Amoxicillin
Urinary Tract Mild to moderate infections

Infection
Dosage
500 mg PO q12hr or 250 mg PO q8hr

Patient Counseling
Complete the full course of antibiotics
even if symptoms improve; drink plenty
of fluids.

Pregnancy
Category: B
 Sitz Baths
Hemorrhoids Also witch hazel or hydrocortisone topical

Dosage
Sitting in warm water for 10-15 minutes
several times a day can help relieve
symptoms.

Patient Counseling
Increase fiber intake and water
consumption to prevent constipation.

Pregnancy
Category B for witch hazel or C for
hydrocortisone topical,
 Clindamycin
Bacterial Cleocin

Vaginosis
Dosage
Clindamycin: 300 mg PO q12hr for
7 days.

Patient Counseling
Complete the full course of antibiotics
even if symptoms resolve.

Pregnancy
Category B
 Thank you
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