Approved medication list for obstetrical patients

APPROVED MEDICATION LIST FOR OBSTETRICAL PATIENTS

The following list of medications are approved by Dr. Martinez M.D., and Jennifer Stauss, CNP. These are
all over the counter medications, and it is very important that you read the labels carefully, and take the
medication as directed on the label. All over the counter medications will have a warning not to take the
medication if pregnant or lactating. We have provided this list of medications that are SAFE to use in
pregnancy. However, it is your choice whether or not to use these medications.
Gastrointestinal Upset
• Mylanta Antacid Liquid
INDICATIONS: Relieves heartburn, acid indigestion, sour stomach, associated symptoms of gas and upset
stomach, and overindulgence in food and drink.
INGREDIENTS: Active Ingredients:Per 5 mL Teaspoonful: Aluminum Hydroxide 200 mg; Magnesium
Hydroxide 200 mg; Simethicone 20 mg.
DIRECTIONS: Shake well. Take 2-4 teaspoonfuls between meals, at bedtime or as directed by a physician.
Do not take more than 24 teaspoonfuls in a 24-hour period, or use the maximum dosage for more than 2
weeks.
WARNINGS: Ask a doctor before use if you have kidney disease.
• Tums Chewable Tablets
INDICATIONS: Antacid Uses: It is for the relief of acid indigestion, heartburn, sour stomach and upset
stomach associated with these symptoms.
Calcium Supplement Uses: It is provides a daily source of extra calcium.
INGREDIENTS: Active Ingredients:Calcium Carbonate USP grade (1000 mg)
DIRECTIONS: Antacid: Chew 2-3 tablets as symptoms occur. Repeat hourly if symptoms return
• Phazyme or Gax-X
INDICATIONS: Relieves bloating, pressure or fullness commonly referred to as gas.
INGREDIENTS: Active Ingredients:Per Tablet: Simethicone 125 mg.
DIRECTIONS: Chew or swallow 1 or 2 tablets thoroughly as needed after a meal. Do not exceed 4 tablets
per day
SEVERE GI UPSET
Zantac or Pepcid AC. These medications are histamine blockers and work by decreasing the amount of
acid the stomach produces. Both medications are in the FDA pregnancy category B. This means that it is
unlikely to harm your unborn baby. Your may take these medications as directed on the label. Please notify
us at your next appointment if you are taking these medications regularly.
• Zantac 150 Tabs Max Strength
INDICATIONS: MAXIMUM STRENGTH Zantac 150 reduces the production of stomach acid. This is what
makes MAXIMUM STRENGTH Zantac 150 different from antacids, which neutralize the acid already in your
stomach. Antacids do not reduce the production of acid.
INGREDIENTS: Active Ingredients:Ranitidine 150 mg.
DIRECTIONS: adults and children 12 years and over, to relieve symptoms,swallow 1 tablet with a glass of
water, to prevent symptoms, swallow 1 tablet with a glass of water 30 to 60 minutes before eating food or
drinking beverages that cause heartburn, can be used up to twice daily(do not take more than 2 tablets in 24
hours).
WARNINGS:Do not useif you are allergic to ranitidine or other acid reducers, if you are trouble or pain
swallowing food,vomting with bloody for black stools. These may be signs of a serious condition. See your
doctor, with other acid reducers, if you have kidney disease.
• Pepcid Ac
INDICATIONS: Prevents heartburn associated with acid indigestion and sour stomach brought on by eating
or drinking certain food and beverages.
INGREDIENTS: Active Ingredients: In Each Gelcap: Famotidine 10 mg (Acid Reducer).
DIRECTIONS: Adults and children 12 years and over: To relieve symptoms, swallow 1 gelcap with a glass
of water. To prevent symptoms, swallow 1 gelcap with a glass of water at any time from 15 to 60 minutes
before eating food or drinking beverages that cause heartburn. Do not use more than 2 gelcaps in 24 hours
NAUSEA AND VOMITING

Over the counter Emetrol, ginger lozenges, (can be purchased at health food stores) Sea Bands,
Accupuncture, combination of Sominex and Vitamin B6.
If vomiting is severe (more than 3 times a day) contact the office.
• Emetrol Liquid Cherry
INDICATIONS: For relief of nausea due to upset stomach from intestinal flu, stomach flu, and food or drink
indiscretions.
INGREDIENTS: Active Ingredient: Each 5ml teaspoonful contains: Dextrose (1.87 g), Levulose (fructose)
(1.87 g), Phosphoric Acid (21.5 mg)
DIRECTIONS: Administer dosage below every 15 minutes or until distress subsides: Adults---One or two
tablespoons.
• Sea Band Motion Sickness Bands
INDICATIONS: The Sea-Band has been clinically tested against nausea and vomiting in travel, pregnancy,
anaesthesia, chemotherapy and all conditions which induce nausea. The Sea-Band is a knitted elasticated
wrist band, which operates by applying pressure on the Nei Kuan acupressure point on each wrist by means
of a plastic stud. Because the bands do not use drugs, they do not cause any of the side effects associated
with anti-nausea drugs and can be worn on each wrist whenever you feel nauseous. They are suitable for
adults and children.
DIRECTIONS: Simple to use, the Sea-Band does not need specialist handling. Care should be taken
however to position the bands according to the instructions provided with the product. They become
effective within 5 minutes even if nausea has already started. They can be worn continuously.
• Sominex
INDICATIONS: Relieves nausea when combined with Vitamin B 6.
INGREDIENTS: Active Ingredients: Each tablet contains: Diphenhydramine HCl (25 mg.).
DIRECTIONS: Directions: Adults: Take 2 tablets every 8 hours with Vitamin B 6.
HEADACHE

• Tylenol 8 Hour Extended Relief Caplets
INDICATIONS: Temporarily relieves minor aches and pains due to: muscular aches, backache, headache,
toothache, the common cold, menstrual cramps, minor pain of arthritis.
INGREDIENTS: Active Ingredients: Per Caplet: Acetaminophen 650 mg.
DIRECTIONS: Do not take more than directed (see overdose warning). Adults: Take 2 caplets every 8
hours with water. Swallow whole-do not crush, chew or dissolve. Do not take more than 6 caplets in 24
hours. Do not use for more than 10 days
• Tylenol Extra Strength Tablets, Pain Reliever & Fever Reducer
INDICATIONS:
For the temporary relief of minor aches and pains associated with headache, muscular aches, backache,
minor arthritis pain, common cold, toothache, menstrual cramps. For the reduction of fever.
INGREDIENTS:
Active Ingredients:Per Tablet: Acetaminophen 500 mg.
DIRECTIONS:
Adults and children 12 years of age and older: Take 2 tablets every 4 to 6 hours as needed. Do not take
more than 8 tablets in 24 hours
WARNINGS:
Alcohol Warning: If you drink 3 or more alcoholic beverages every day, ask your doctor whether you should
take TYLENOL or other pain relievers. Chronic heavy alcohol users may be at increased risk of liver
damage when taking more than the recommended dose (overdose) of TYLENOL. Do Not Use: with any
other product containing acetaminophen. For more than 10 days for pain unless directed by a doctor. For
more than 3 days for fever unless directed by a doctor. Stop Using and Ask a Doctor If: symptoms do not
improve, new symptoms occur, pain or fever persists or gets worse, redness or swelling is present. Do not
exceed recommended dose.
NASAL CONGESTION

Saline nose spray, Sudafed, Actifed, Benadryl, humidifier. You may also use Afrin Nasal Spray. Do not use
more than 3 days in a row, to prevent rebound stuffiness. Nasal stuffiness is normal in pregnancy.
• Sudafed/Actifed
INDICATIONS: For the temporary relief of nasal congestion due to the common cold, hay fever or other
upper respiratory allergies, and nasal congestion associated with sinusitis. Promotes nasal and/or sinus
drainage; temporarily relieves sinus congestion and pressure. Temporarily restores freer breathing through
the nose.
DIRECTIONS: Pseudoephedrine Hydrochloride (60mg), Take every 4 to 6 hours and do not take more than
4 doses in 24 hours
PRECAUTION: Do not use this product if you are now taking a prescription monoamine oxidase inhibitor
(MAOI (certain drugs for depression, psychiatric or emotional conditions, or Parkinson's disease), or for 2
weeks after stopping the MAOI drug.
• Benadryl Allergy Relief
INDICATIONS: Temporarily relieves these symptoms due to hay fever or other upper respiratory allergies:
runny nose, sneezing, itchy, watery eyes, and itching of the nose or throat.
Temporarily relieves these symptoms due to the common cold: runny nose and sneezing. 24 Ultratab
Tablets - Small Tablet size. Easy to Swallow.
INGREDIENTS: Active Ingredients:in each tablet: Diphenhydramine HCl (25 mg - Antihistamine).
DIRECTIONS: Take every 4 to 6 hours. Do not take more than 6 doses in 24 hours.
Adults and children 12 years of age and over: 25mg to 50mg (1 to 2 tablets)
• Afrin Nasal Spray Original - 15Ml
INDICATIONS: For temporary relief of nasal congestion due to colds, hay fever or other upper respiratory
allergies, or associated with sinusitis. Shrinks swollen nasal membranes so you can breathe more freely.
Active Ingredients:Oxymetazoline HCl (0.05).
Adults and children 6 to under 12 years of age: 2 or 3 sprays in each nostril not more often than every 10 to
12 hours. Do not exceed 2 doses in any 24 hour period.
INSOMNIA
Insomnia is a normal finding in pregnancy. Sominex, Benadryl, or Tylenol PM taking at bedtime are safe in
pregnancy.
• Sominex/Benadryl/Tylenol PM (Tylenol PM has acetomenophen—see Tylenol above)
INDICATIONS: Helps to reduce difficulty falling asleep.
INGREDIENTS: Active Ingredients: Each tablet contains: Diphenhydramine HCl (25 mg.).
DIRECTIONS: Directions: Adults and children 12 years of age and over: Take 2 tablets at bedtime if
needed, or as directed by a doctor. For best results, take recommended dose. This will provide
approximately six to eight hours of restful sleep.
UPPER RESPIRATORY SYMPTOMS
Please be aware that different cold remedies often use similar medications. Please read the labels in order
to assure that you are not taking multiple doses of the same medications.
Cloraseptic throat spray, any throat lozenges, and Vicks Vapor Rub may be used for symptomatic relief.
• Actifed Cold & Allergy Tablets
INDICATIONS: Temporarily relieves these symptoms of hay fever or other upper respiratory allergies:runny
nose, sneezing, itchy, watery eyes, and itching of the nose or throat.
Temporarily relieves nasal congestion due to the common cold.
INGREDIENTS: Active Ingredients: Pseudoephedrine Hydrochloride (60mg), Triprolidine Hydrochloride
(2.5mg).
DIRECTIONS: Take every 4 to 6 hours and do not take more than 4 doses in 24 hours.
Adults and children 12 years of age and over: 1 tablet.
WARNINGS: Do not use if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain
drugs for depression, psychiatric, or emotional conditions, or Parkinson's disease), or for 2 weeks after
sopping the MAOI drug
• Actifed Maximum Strength Cold & Sinus Capsules
INDICATIONS: Temporarily relieves sinus congestion and pressure. Temporarily relieves these symptoms
of hay fever: itchy, watery eyes, sneezing, itching of the nose or throat and runny nose.
Temporarily relives these symptoms due to the common cold: nasal congestion, headache, fever, and minor
aches and pains.
INGREDIENTS: Active Ingredients:Each caplet contains: Acetaminophen (500 mg), Chlorpheniramine
Maleate (2 mg), Pseudoephedrine HCI (30 mg).
DIRECTIONS: Adults and children 12 years of age and over: 2 caplets. Dosage may be repeated every 6
hours while symptoms persist, not to exceed 8 caplets in 24 hours
• Robitussin Expectorant Syrup
INDICATIONS: Helps loosen phlegm (mucus) and thin bronchial secretions to make coughs more
productive.
Active Ingredients: Each teaspoonful (5ml) contains: Guaifenesin, USP 100mg (Expectorant).
DIRECTIONS: Do not take more than 6 doses in any 24-your period.
Adults and children 12 years and over: 2-4 teaspoonfuls every 4 hours.
• Robitussin Pe Syrup
INDICATIONS: Helps loosen phlegm (mucus) and thin bronchial secretions to make coughs more
productive. Temporarily relieves nasal congestion due to a cold.
INGREDIENTS: Active Ingredients:Per Teaspoonful (5 mL): Guaifenesin USP 100 mg; Pseudoephedrine
HCl USP 30 mg.
DIRECTIONS: Do not take more than 4 doses in any 24-hour period. Adults and children 12 years and
over: 2 teaspoonfuls every 4 hours.
• Alka-Seltzer Plus Cold & Sinus Medicine, Non-Drowsy Effervescent Tablets
INDICATIONS: Provides temporarily relief of these symptoms like headache, nasal congestion, and sinus
pain and pressure.
INGREDIENTS: Active Ingredients:in each tablet: Acetaminophen 250mg (Pain reliever/fever reducer),
Phenylephrine Hydrochloride 5 mg (Nasal decongestant).
DIRECTIONS:Adults and children 12 years and over: take 2 tablets fully dissolved in 4 oz of water every 4
hours. Do not exceed 8 tablets in 24 hours
• Tylenol Flu Maximum Strength, Non-Drowsy
INDICATIONS: Temporarily relieves these cold and flu symptoms:
Minor aches and pains,Headaches,Sore throat,Nasal congestion,Coughs,For the reduction of fever.
INGREDIENTS: Active Ingredients:Acetaminophen (500 mg; Pain Reliever/Fever Reducer),
Dextromethorphan HBr (15 mg; Cough Suppressant), Pseudoephedrine HCI (30 mg; Nasal Decongestant).
DIRECTIONS: Adults and children 12 years of age and older: Take 2 gelcaps every 6 hours. Do not take
more than 8 gelcaps in 24 hours
WARNINGS: Sore throat warning: If sore throat is sever, persists for more than 2 days, is accompanied or
followed by fever, headache, rash, nausea or vomiting, consult a doctor promptly.
• Tylenol Flu Maximum Strength Night
INDICATIONS: Temporarily relieves these cold and flu symptoms Minor aches and pains,Nasal
congestion,Temporarily reduces fever,Headaches,Runny Nose,Sore Throat,Sneezing.
INGREDIENTS: Active Ingredients:Acetaminophen 500mg (Pain reliever/fever reducer),
Diphenhydramine HCl 25 mg (Antihistamine), Pseudoephedrine HCl 30mg (Nasal decongestant).
DIRECTIONS: Adults and children 12 years and over Take 2 gelcaps at bedtime.May repeat every 6
hours.Do not take more than 8 gelcaps in 24 hours
WARNINGS: Alcohol Warning: If you consume 3 or more alcoholic drinks every day, ask your doctor
whether you should take acetaminophen or other pain relievers/fever reducers. Acetaminophen may cause
liver damage.
Sore Throat warning: If sore throat is sever, persists for more than 2 days, is accompanied or followed by
fever, headache, rash or nausea or vomiting, consult a doctor promptly.
Do not use:If you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for
depression, psychiatric or emotional conditions, or Parkinson's disease) or for 2 weeks after stopping the
MAOI drug.
LEG CRAMPS

Calcium 500 mg at bedtime
½ banana per day (for potassium)

SMALL RASHES OR ITCHING

Benadryl cream or tablets, 1% Hydrocortisone cream, Calamine lotion, and Aveeno oatmeal bath.
• Aveeno Anti-Itch Cream
INDICATIONS: Provides fast temporary relief of the itching and pain associated with many minor skin
irritations such as poison vy/oak/sumac, insect bites, and chicken pox rash.
INGREDIENTS: Active Ingredients: Calamine 3.0%; Pramoxine HCl 1.0%; Camphor 0.47%.
DIRECTIONS: Adults and children 2 years and older: Apply no more than 4 times daily.
• 1 % Hydrocortisone Anti Itch Cream
INDICATIONS: Use for the temporary relief of itching associated with minor skin irritations, inflammation,
and rashes due to seborrheic dermatitis, eczema, psoriasis, poison ivy, poison oak, or poison sumac, insect
bites, soaps, detergents, cosmetics, jewelry, and for external anal itching.
INGREDIENTS: Active Ingredient: Hydrocortisone (1.0%)
DIRECTIONS: Adults and children 2 years of age and older: Apply to affected area not more than 3 to 4
times daily.
• Benadryl Original Cream
INDICATIONS: For the temporary relief of itching and pain associated with insect bites, minor skin
irritations and rashes due to poison ivy, poison oak or poison sumac. Dries the oozing and weeping of
poison ivy, poison oak and poison sumac.
INGREDIENTS: Active Ingredients: Diphenhydramine Hydrochloride 1%; Zinc Acetate 0.1%.
DIRECTIONS: Adults and children 2 years of age and older: Apply to affected area not more than 3 to 4
times daily.
HEMORRHOIDS

Hemorrhoids worsen with constipation. Please increase oral fluids to 8-10 glasses of water per day along
with the fiber supplements listed in the section for constipation. If hemorrhoids worsen despite these
treatments, call the office.
• Anusol
INDICATIONS: Temporarily relieves the pain, soreness, burning and itching associated with hemorrhoids
and other anorectal disorders while it forms a temporary protective coating over inflamed tissues to help
prevent drying of tissues.
INGREDIENTS: Active Ingredients: contains: Pramoxine Hydrochloride (1%), Zinc Oxide (12.5%),
Mineral Oil.
DIRECTIONS: Adults: When practical, cleanse the affected area with mild soap and warm water and rinse
thoroughly. Gently dry by patting or blotting with toilet tissue or a soft cloth before application of this product.
Anusol Ointment is to be applied externally or in the lower portion of the anal canal up to 5 times daily.
• Preparation H Cream
INDICATIONS: Helps relieve the local itching and discomfort associated with hemorrhoids. Temporarily
shrinks hemorrhoidal tissue and relieves burning. Temporarily provides a coating for relief of anorectal
discomforts. Temporarily protects the inflamed, irritated anorectal surface to help make bowel movements
less painful.
INGREDIENTS: Active Ingredients: Glycerin 12%; Petrolatum 18%; Phenylephrine HCl 0.25%; Shark Liver
Oil 3.0%.
DIRECTIONS: Adults: When practical, cleanse the affected area by patting or blotting with an appropriate
cleansing wipe. Gently dry by patting or blotting with tissue or a soft cloth before applying cream. Apply
externally or in the lower portion of the anal canal only. Apply externally to the affected area up to 4 times
daily, especially at night, in the morning or after each bowel movement
• Tucks Hemorrhoidal Pads with Witch Hazel
INDICATIONS: For the temporary relief of external itching, burning, and irritation associated with
hemorrhoids.
INGREDIENTS: Active Ingredients: per pad: Witch Hazel (50%).
DIRECTIONS: For external use only. Hemorrhoidal treatment-Adults: When practical, cleanse the affected
area with mild soap and warm water and rinse thoroughly. Gently dry by patting or blotting with toilet tissue
or soft cloth before application of this product. Gently apply the affected are by patting and then discard. Can
be used up to 6 times daily or after each bowel movement.
CONSTIPATION

• Fibercon Caplets
INDICATIONS: Helps restore and maintain regularity and relieve constipation. This product generally
produces bowel movement in 12 to 72 hours.
INGREDIENTS: Active Ingredients: Per Caplet: 625 mg Calcium Polycarbophil Equivalent to 500 mg
Polycarbophil.
DIRECTIONS: FIBERCON acts like natural fiber so continued use for 1 to 3 days is normally required to
provide full benefits. FIBERCON dosage may vary according to diet, exercise, previous laxative use or
severity of constipation. Adults and children over 12: 2 caplets once a day (daily maximum: up to 4 times a
day [refer to directions above]).
• Benefiber Fiber Supplement
INDICATIONS: Benefiber is a 100 natural fiber that you can mix with almost anything. It's taste free, grit-
free, sugar-free and will never thicken. So it won't alter the taste or texture of your foods or beverages. Be
creative with Benefiber.
INGREDIENTS: Partially Hydrolyzed Guar Gum (A 100 natural fiber).
DIRECTIONS: Stir 1 tablespoon (tbsp) of Benefiber into at least 4 oz. of any beverage or soft food (hot or
cold). Use 8 oz. if using 2 tbsp. Stir until dissolved.
12 yrs. to adult ---- 1-2 tbsp up to 3 times daily
• Phillips Milk Of Magnesia
INDICATIONS: As a laxative: To relieve occasional constipation (irregularity). This product generally
produces bowel movement in 1/2 to 6 hours. As a antacid: To relieve acid indigestion, sour stomach and
heartburn.
INGREDIENTS: Active Ingredients:Per Teaspoon (5 mL): Magnesium Hydroxide 400 mg.
DIRECTIONS: Shake well before using. FOR LAXATIVE USE: Adults/Children 12 years and older: 2-4
tablespoonsful (TBSP) at bedtime or upon arising, followed by a full glass (8 oz.) of liquid.
FOR ANTACID USE: DO NOT USE DOSAGE CUP. Adults/Children 12 years and older: 1-3 teaspoonsful
with a little water up to 4 times a day or as directed by a doctor.
• Citrucel Clear Mix Fiber Laxative
INDICATIONS: For relief of constipation (irregularity). This product helps restore and maintain regularity.
Also useful in the treatment of constipation associated with other bowel disorders when recommended by a
physician.
INGREDIENTS: Active Ingredients:Per 11.5 g Adult Dose: Methylcellulose 2 g (a Non-Allergenic. Fiber).
DIRECTIONS: Adult dose: dissolve 1 leveled scoop (1 heaping tablespoon - 11.5 g) in 8 oz. of any cold
non-carbonated beverage of your choice, up to 3 times daily at the first sign of constipation or irregularity.
Use enclosed clear scoop. Generally produces effect in 12-72 hours.
VAGINAL YEAST INFECTIONS

Over the counter Monistat, or other over the counter product for vaginal yeast. If symptoms persist or
worsen, call for an appointment.
• Monistat-7 or Monistat-3
INDICATIONS: Treats vaginal yeast infections and relieves external vulvar itching and irritation due to a
repeat vaginal yeast infection.
INGREDIENTS: Active Ingredients: Miconazole Nitrate 2% (100 mg).Cream: Miconazole Nitrate 2%.
DIRECTIONS: Applicator - Insert 1 applicatorful into the vagina at bedtime for 7 nights in a row. External
Cream - Squeeze a small amount of cream onto your fingertip. Gently apply the cream onto the itchy,
irritated skin outside the vagina. Use daily for up to 7 days as needed.
• Vagisil Anti-Itch Creme
INDICATIONS: Vagisil cream temporarily relieves itching.
INGREDIENTS: Active Ingredients:Vagisil cream Contains Benzocaine (5%), Resorcinol (2%).
DIRECTIONS: Adults and children 2 years and older: Apply a fingertip amount (approximately 1-inch strip)
to affected area not more than 3 to 4 times daily
We limit the use of most herbal remedies in pregnancy. Please notify us regarding any herbal
remedies you are considering using. High dose vitamin supplementation is not recommended in
pregnancy and can be harmful to your baby.

Source: http://www.santafeobgyn.com/pdf/approved_medication_list_for_obstetrical_patients.pdf