Medications and Drugs

It is important to avoid all drugs during pregnancy unless absolutely necessary.

If you have been prescribed medications for medical conditions such as hypertension (high blood pressure) diabetes, etc., please continue these medications until you are able to check with the office for their safety during your pregnancy.

Most OTC (over-the-counter) medicines are safe for limited use during pregnancy. Please see the enclosed medication table below. There is also a chapter on Medications later in this book. Further the reader is also referred to the textbook, Drugs in Pregnancy and Lactation.” The website, provides another source on the safety of most medications in use today. Lastly, readers can “Google” the particular medication if further information is desired.

Even acetaminophen (Tylenol) has recently been reported (2014) to be linked to ADHD in childhood if used frequently and for long durations during pregnancy: no drugs are absolutely safe during pregnancy.

Your OB will electronically send your prescriptions to your pharmacy, whether that pharmacy is local, regional or mail order. Most pharmacies are connected electronically. If your pharmacy is not connected, a paper prescription can be written out for you to carry to your pharmacy. Your OB’s office may also fax prescriptions to your pharmacy.

Please inform your OB of all the prescription and Over-the-Counter (OTC) medications that you are taking and not being a patient with the story below. Author Note: As I was saying “good-bye” to a new OB patient at 6 weeks pregnancy, she pulled out a sheet of paper with the medications that she was taking:

In the List above, there are 2 medications for hypertension, 3 drugs for psychiatric indications, one for diabetes and one for herpes. Except for the last 2 drugs all the rest are not recommended to be taken in pregnancy. I asked her if she had planned to be pregnant and she stated, “No.” Fortunately, with her prompt stopping of 7 of these medications her baby was not compromised.

This story illustrates the extremely important point to plan and consult with your OB PRIOR to pregnancy if you have current medical and psychological conditions. More importantly, the patient should discuss the medications used for current treatment.

Unless for a specific condition and a limited time, controlled drugs are not recommended during pregnancy. Xanax, Klonopin, etc. are controlled drugs. Controlled or scheduled drugs require a written prescription by your physician: they cannot be phoned or faxed into your pharmacy by law.

Please notify the office staff if there a change occurs to your pharmacy of choice.

Most insurance and Medicaid plans cover generic brand of medications with low or no co-pays. Brand names medications may require more out-of-pocket expense.