Pregnancy Medication Guide: What’s Safe and What to Skip

Expecting a baby brings a lot of excitement, but it also means you start questioning every pill you reach for. Are you wondering if that pain reliever is okay? Or if the vitamins you’re taking really help? This guide breaks down the most common meds, how they affect you and your baby, and gives simple steps to keep both healthy.

Everyday Medicines You Can Trust

Most doctors agree that a few over‑the‑counter items are fine throughout pregnancy. Acetaminophen (known as paracetamol) is the go‑to for headaches or mild fevers. Keep the dose low—no more than 1 gram four times a day—and avoid long‑term use unless your doctor says it’s okay.

For nausea, many South African women rely on vitamin B6 (pyridoxine) or ginger tablets. Both have solid safety records and can calm morning sickness without hurting the baby. If you need an antacid, calcium carbonate (Tums) works well and even adds extra calcium, which is good for bone development.

Medications That Need a Doctor’s OK

Some drugs are safe only when a professional assesses the risk. Antibiotics like amoxicillin and erythromycin are usually fine, but others such as tetracycline can affect your baby’s teeth and bones. Always ask for a prescription and never self‑diagnose.

If you have a chronic condition—like asthma, diabetes, or epilepsy—talk to your clinician about staying on your regular meds. In many cases, the benefits of controlling the condition outweigh potential risks. Your doctor might adjust the dose or switch to a safer alternative.

Vaccines are another area where guidance matters. The flu shot and Tdap (tetanus, diphtheria, pertussis) are recommended during pregnancy and protect both you and the newborn.

What to Avoid Completely

Some substances are clear no‑gos. Non‑steroidal anti‑inflammatory drugs (NSAIDs) like ibuprofen, naproxen, and aspirin can cause birth defects or complications with the baby’s heart and kidneys, especially after the first trimester. Keep away from herbal supplements unless a qualified practitioner signs off—things like goldenseal, blue cohosh, and even high‑dose vitamin A have been linked to problems.

Alcohol and recreational drugs are off the table entirely. Even small amounts of certain prescription meds, like some antidepressants, may need a switch or close monitoring. The safest route is an honest conversation with your health provider.Lastly, be careful with over‑the‑counter cough syrups that contain codeine. They can lead to dependence and affect the baby’s breathing when delivered through the placenta.

Practical Tips for Managing Meds

Keep a running list of everything you take—prescription, OTC, vitamins, and herbs. Show the list to every doctor you visit, including your midwife or obstetrician. This helps avoid accidental interactions.

Read the label for pregnancy warnings. If you see “Not for use during pregnancy,” treat it as a red flag unless a doctor explicitly says otherwise.

Never share your medication with family or friends. What’s safe for you might be risky for someone else, and vice versa.

When in doubt, call your local pharmacy. South African pharmacists are trained to spot unsafe combinations and can suggest alternatives on the spot.

Remember, the goal is to keep both you and your baby feeling good. By staying informed and checking with professionals, you can navigate pregnancy medication without unnecessary worry.