Upper Respiratory Infection

 

Most pregnant women will have at least one URI while pregnant.

Drugs are to be avoided, but the following medications may be used to good advantage if necessary:

Acetaminophen

 

This will effectively relieve muscle aches and fever. It is considered safe during pregnancy. (Category B drug, the same as prenatal vitamins.)

Guaifenesin

 

This expectorant is considered safe during pregnancy. The addition of codeine (safe) will result in significant suppression of cough.

Pseudoephedrine

 

This sympathomimetic is a very effective decongestant. It's use during the 1st trimester is sometimes restricted because of indirect data suggesting a slight increased risk of fetal malformations. Late in the third trimester, its' use is again restricted because of its' somewhat unpredictable cardiovascular effects.
 

Triprolidine

An effective antihistamine, it is considered safe during pregnancy.

Antibiotics may be needed for those URI's complicated by bacterial sinusitis or bronchitis. In this case, the following are safe:

  • Penicillins
  • Cephalosporins
  • Macrolides

OB-GYN 101: Introductory Obstetrics & Gynecology
© 2003, 2004, 2005 Medical Education Division, Brookside Associates, Ltd.
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