Pregnancy and discomfort often go hand in hand. But when discomfort progresses to pain, many expectant parents wonder which medications they can safely use for relief. Luckily, safe painkiller options exist, particularly, acetaminophen, which is often the best option for pain relief during pregnancy. Show But as with everything else during pregnancy, diligence (and careful timing) is necessary. So, discuss all medications that you take—including over-the-counter (OTC) drugs—with your OB-GYN. Here's a breakdown of pain relievers, along with guidelines for those that are safe to use and those that should be avoided during pregnancy. Again, be sure to consult with your physician before taking any medication during pregnancy, whether OTC or prescription strength. OTC PainkillersPain medications, also called analgesics, can be obtained either over the counter (OTC) or by prescription. Naturally, prescription-strength painkillers are usually more potent than OTCs, and they also tend to present more potential dangers to the developing fetus. OTC analgesics, however, are not risk-free. Some OTC and prescription painkillers increase the likelihood of pregnancy complications or birth defects. AcetaminophenAcetaminophen, the active ingredient in Tylenol, is considered safe during pregnancy. Well researched by scientists, acetaminophen is used primarily for headaches, fever, aches, pains, and sore throat. It can be used during all three trimesters of pregnancy. Its use in pregnancy is widespread. For example, approximately 50% of pregnant women use it in the first trimester. However, there are some concerns. Research has increasingly found an association between prenatal acetaminophen use and behavioral problems in childhood, including attention deficit hyperactivity disorder (ADHD). For example, a 2019 study found that babies exposed to high levels of acetaminophen in the womb had a higher risk of being diagnosed with autism and/or ADHD in childhood. NSAIDsNonsteroidal anti-inflammatory drugs (NSAIDs) include aspirin, as well as Advil or Motrin (ibuprofen) and Aleve (naproxen). For the most part, aspirin is not recommended in pregnancy. Generally, up until 20 weeks gestation, ibuprofen and naproxen are considered safe in pregnancy. However, in the second half of pregnancy, all NSAIDs are contraindicated. The Food and Drug Administration (FDA) "recommends avoiding use of NSAIDs in pregnancy at 20 weeks or later because they can result in low amniotic fluid," as well as other complications for the fetus, including kidney problems. While these complications are rare, the consequences can be fatal. Research indicates that low levels of amniotic fluid, a condition known as oligohydramnios, can be seen after just two days of NSAID use in pregnant women after 20 weeks gestation. Once the problem is detected and the medication is stopped, the volume of amniotic fluid usually returns to normal. However, when NSAID use continues, serious kidney, heart, and other developmental problems can occur. AspirinAspirin may be prescribed to treat certain other medical problems in pregnancy, such as preeclampsia. Studies have found that taking a daily low dose of aspirin after the 12th week of pregnancy provides safe and effective complication prevention for pregnant women at risk of preterm labor due to preeclampsia. Aspirin decreases the risk of deadly blood clots in these patients. Acetylsalicylic acid, the active ingredient in aspirin, works by inhibiting several chemical processes in the body to block pain and inflammation and inhibits blood clotting. However, it should not be taken by expectant mothers (except for those at high risk for preeclampsia), particularly in high doses, because it can cause serious problems for both the mother and the fetus. The benefits of taking aspirin must be weighed against the increased risk of major bleeding events (hemorrhage), as aspirin slows the ability of blood to form clots. This is of particular concern late term: If aspirin is taken a day or so before delivery, it can lead to heavy bleeding during labor. Ibuprofen and NaproxenIbuprofen and naproxen are often considered safer NSAID options, as these medications have lower risk of gastrointestinal symptoms and other side effects. However, both of these medications should be used with caution during pregnancy. Ibuprofen and naproxen are generally considered safe during the first 20 weeks of pregnancy, but they are not recommended during the final half of pregnancy because they increase the risk of fetal kidney problems and bleeding during delivery. CBDPregnant people should avoid using CBD during pregnancy and breastfeeding. According to the FDA, the "FDA strongly advises against the use of cannabidiol (CBD), tetrahydrocannabinol (THC), and marijuana in any form during pregnancy or while breastfeeding." The primary concerns about CBD are that many of these products are marketed with unsubstantiated claims and have not been rigorously tested for safety or efficacy in pregnant people. Topical ProductsCheck with your doctor before using topical painkillers as some are considered safe for use during pregnancy, while others are not. Generally, topical products with menthol or lidocaine as their active ingredients are typically recommended. However, topical medications containing NSAIDs are usually not considered safe during pregnancy, as they have been linked to an increased risk of birth defects. Prescription PainkillersThe more common prescription painkillers are categorized as opioids, which are derivatives of the poppy plant. All opioids are considered narcotics, which are controlled substances and illegal to use without a prescription. Painkillers of this strength are typically used for intense pain resulting from injuries, surgery, dental work, or migraine headaches. These prescription analgesics are available in several different forms and brand names, including:
Opiates are potent drugs with adverse effects. Physicians allow the use of these drugs sporadically in pregnant patients when the benefits of the drug outweigh the potential risks. There is no evidence that any level of narcotic use during pregnancy is safe, and there's much research to suggest serious risks. Risks to the fetus include miscarriage, stillbirth, or premature delivery. At birth, the baby is also at increased risk of low birth weight (below 5.5 pounds), breathing difficulties, and extreme drowsiness, which can lead to feeding problems. A Word From VerywellRemember to always discuss all prescription and over-the-counter pain medications that you're taking (or considering taking) with your OB-GYN before taking them. While there are safe painkiller options for pregnant people, some OTC and prescription analgesic medications can cause serious—even fatal—complications for your baby and yourself. What is the safest thing to take for a headache while pregnant?Most pregnant women can safely take acetaminophen (Tylenol, others) to treat occasional headaches. Your health care provider might recommend other medications as well. Make sure you have the OK from your health care provider before taking any medication, including herbal treatments.
Can you take anything other than Tylenol while pregnant?The bottom line. Acetaminophen is considered the safest OTC option for pain relief during pregnancy. OTC topical medications, like menthol or lidocaine, may also be considered safe to use. But make sure to avoid NSAIDs — both oral and topical — unless otherwise directed.
Which painkiller is best for headache during pregnancy?Paracetamol is the first choice of painkiller if you're pregnant. However, for safety, if you take paracetamol in pregnancy, take it for the shortest possible time. You can get advice from your pharmacist, midwife or GP about how much paracetamol you can take and for how long.
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What can i take for a headache while pregnant besides tylenol
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