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Can You Take Cold Medicine While Pregnant? What To Do for a Cold or the Flu

Jan 17, 2023

Navigating pregnancy can be challenging, especially during cold and flu season. You’ve probably taken over-the-counter (OTC) decongestants to combat cold symptoms in the past, but if you’re pregnant, you’re probably wondering which remedies are safe for you and your baby. Here’s what you should consider when looking for relief from cold and flu symptoms while pregnant. 

Pregnant Woman testing for cold and fever

 

What should I do if I get a cold while pregnant?

If you find yourself with a case of the sniffles during pregnancy, start managing your symptoms by getting lots of rest and drinking plenty of fluids. Because some OTC cold medications can lead to complications or harm your unborn baby, you need to know which to avoid. Before reaching for your medicine cabinet, talk to your doctor about which cold medications are safe during pregnancy. 

Are pregnant people more susceptible to colds and the flu?

Yes. During pregnancy, your immune system is naturally suppressed to protect your baby, making it easier for viruses to take hold. This reduced immunity is why it's crucial to take extra precautions during cold and flu season. Strengthening your immune system can help you stay healthy. Focus on eating a balanced diet rich in fruits, vegetables and whole grains, and make sure you're getting enough sleep. Regular exercise, staying hydrated and reducing stress through relaxation techniques can also boost your immunity.

Can having a cold or the flu while pregnant hurt the baby?

“Your baby is protected by the placenta, your immune system and their own immune system, so having a common cold won’t affect them,” said Julia Youssef, M.D., a physician at Inspira Medical Group Obstetrics and Gynecology. However, more severe infections like the flu can be dangerous and cause complications that may affect fetal development. If you suspect you have the flu, talk to your doctor to learn about pregnancy-safe treatments that can help reduce symptoms and get you on the path to recovery. 

Which medications are safe for pregnant people?

Cold medications that are generally considered safe for pregnant people include:

  • Acetaminophen (Tylenol)
  • Some antihistamines, including loratadine (Claritin) and diphenhydramine (Benadryl) 
  • Most steroid-based nasal sprays 
  • Some cough medications, including expectorants, cough suppressants and most cough drops 

Always talk to your doctor before starting a new medication, whether it's prescription or OTC. “Your doctor is your partner in healthy living, and they can help you determine what’s safe for you and your baby,” said Dr. Youssef. 

Which medications should I avoid while pregnant?

Cold medications that are generally considered off-limits during pregnancy include: 

  • Some pain relievers and fever reducers, including ibuprofen, aspirin, and naproxen (Aleve)
  • Most decongestants, including Claritin-D, DayQuil, NyQuil or Sudafed 
  • Non-steroidal nasal sprays, such as Afrin 

“Both NyQuil and DayQuil contain ingredients that may not be safe during pregnancy, such as alcohol and certain antihistamines,” said Dr. Youssef. “It’s essential to avoid these and consult your doctor for safer alternatives.

Always read medication labels carefully and avoid alternative or homeopathic remedies, such as echinacea, vitamins, supplements, and herbal remedies, until you have approval from your doctor. 

What natural remedies offer relief to cold and flu symptoms? 

“Natural remedies can be surprisingly effective at reducing your symptoms,” said Dr. Youssef. “They can provide a good first line of defense without the risk of side effects.” For symptom relief, use a humidifier or saline-based nose drops or sprays to alleviate dry nasal passages. Consider gargling with warm salt water to ease a sore throat, and mix filtered honey into your tea to suppress coughing. 

How can I avoid getting sick while pregnant?

One of the best ways to avoid getting sick while pregnant is to wash your hands thoroughly with warm, soapy water. Make sure you’re up to date on your flu, COVID and RSV vaccines, and talk to your doctor about other ways to stay healthy. 

Inspira women’s health specialists provide personalized maternity care to pregnant people throughout South Jersey. Explore our pregnancy and childbirth services or schedule an ob/gyn appointment.

Inspira Health is a high reliability organization (HRO), which means safety is the top priority for patients and staff. To make an appointment, call 1-800-INSPIRA.
 

Topics: Maternity, Obstetrics & Gynecology, Women's Health