When I was pregnant with my two babies, everything changed overnight.
I reluctantly bid farewell to my unhealthy favourite foods and started a new routine with my pre-natal vitamins.
I tried my best to let my body handle colds, coughs, or even a mild fever on its own.
Sometimes, I’d take the advice from my elders and let things run their course if they weren’t too serious.
But when I needed a little help to feel better, I made sure it was safe for my baby.
And honestly, that’s what all of us mummies do, right?
We care so deeply for our babies even before they’re born.
Every little decision feels monumental because we want to give them the best start in life.
But when it comes to medications, things can get tricky and even overwhelming trying to decide what is safe and what isn’t.
To shed light on this topic, we spoke with Nazatul Amira Hamzah, a pharmacist with over a decade of experience.
Currently a Pharmacist and Key Account Manager at Primabumi Sdn. Bhd., Nazatul is passionate about helping mummies make informed decisions.
How does medication affect pregnancy?
Think of your placenta as your baby’s first lifeline.
It provides nutrients, oxygen, and everything your baby needs to grow.
But here’s the thing, some medications can cross the placenta, too.
Depending on the type, this might be okay or, in some cases, risky.
That’s why the first 13 weeks also know as the first trimester is especially important because it’s when your baby’s organs are developing.
But mummies, remember it’s not just prescription medications you need to think about.
Even over-the-counter (OTC) drugs and herbal supplements can have effects.
So before popping that paracetamol or sipping on herbal tea, it’s always best to double-check with your healthcare provider.
What are the potential risks of medication during pregnancy?
During pregnancy, some medications can carry risks.
These may include low birth weight, premature birth, or even more serious complications such as birth defects or miscarriage.
But don’t let this alarm you, it’s just a reminder that being cautious is key during this incredible journey of growing a tiny human.
The good news? Not all medications are off-limits.
With the right advice from your doctor or pharmacist, you can find safe options to help you stay healthy and comfortable while keeping your little one protected.
How to determine which medications are safe?
Doctors use a classification system to evaluate medication safety during pregnancy:
- Category A: These medications have undergone tests proving they’re safe for both mums and babies.
- Category B: Animal studies confirm safety, but researchers are still gathering data on their effects in humans.
- Category C: Doctors prescribe these medications when the benefits clearly outweigh the risks, ensuring the safety of both mother and baby.
- Category D: Known risks exist, but they might still be necessary in specific cases.
- Category X: These are a hard ‘No’ as they are completely unsafe during pregnancy.
However, always remember that while these categories are helpful, your doctor’s input matters most.
They’ll weigh the benefits and risks based on your unique situation.
What are the medications generally considered safe during pregnancy?
When taken as directed, some medicines are generally safe during pregnancy.
For example, paracetamol for pain and fever, specific antibiotics for infections, and prenatal vitamins.
Over-the-counter options like antacids can ease heartburn, while laxatives help with constipation.
For allergies or nausea, certain antihistamines and prescribed medications may be suitable.
However, remember to always consult your doctor or pharmacist before using any medication to ensure it’s safe for you and your baby.
What are potential side effects of medication?
Certain medications require extra caution when taken during pregnancy.
Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin may cause complications.
Decongestants with pseudoephedrine, acne treatments like retinoids, and certain blood thinners such as warfarin are also risky.
Antibiotics such as tetracyclines and fluoroquinolones, anti-seizure drugs, and benzodiazepines for anxiety or insomnia may pose potential risks to your baby.
Always consult your doctor or pharmacist to ensure medication is safe for you during pregnancy.
Should I continue my prescribed medications during pregnancy?
If you have conditions like asthma, diabetes, or epilepsy, staying on your prescribed medication is vital.
Stopping suddenly can often do more harm than good.
Your doctor might adjust your treatment plan to ensure it’s both effective and safe for your baby.
The same goes for mental health medications.
Never stop or switch these on your own and always consult your healthcare provider first.
Can I take herbal supplements while pregnant?
The term ‘natural’ doesn’t always mean safe.
Wondering why?
Well, some herbal supplements can trigger contractions or affect fetal development.
For example, ginseng and certain teas might pose risks.
If you’re curious and have been a user of traditional supplements, it’s always worth discussing herbal remedies with your healthcare provider before trying them.
Is it safe to use topical creams and ointments during pregnancy?
Topical creams might seem harmless, but certain ingredients like retinoids should be avoided.
Safer alternatives, such as benzoyl peroxide or azelaic acid, are usually fine, but double-checking with your doctor is still a good idea.
What should I do if I accidentally take a medication that is unsafe for pregnancy?
We all make mistakes and this can include accidentally taking the wrong medication which when expecting can feel terrifying, but panicking won’t help.
Call your doctor immediately.
They’ll evaluate the situation based on the type of medication, dosage, and timing to guide the next steps.
How do medications taken during pregnancy affect breastfeeding later?
Once your baby arrives, the focus shifts to breastfeeding.
Many medications are safe, but some can pass into breast milk and is recommended to avoid such as certain anti-cancer drugs, lithium, and retinoids.
As always, consult your doctor or pharmacist to ensure what you’re taking is safe for your baby because every pregnancy and variable is different.
Source: Nazatul Amira Hamzah, Pharmacist at Primabumi Sdn Bhd
Disclaimer: The information provided in this article is for informational purposes only and should not be considered as medical advice from Motherhood. For any health-related concerns, it is advisable to consult with a qualified healthcare professional or medical practitioner.
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