Pregnancy: What meds are safe and which to skip

Pregnancy changes what you can take. Some everyday medicines are fine, others can harm the baby. If you’re pregnant or trying, knowing which drugs to question will save stress and keep things safe. Below I’ll list common meds people ask about and give practical steps you can use right away.

Medications people often ask about

Cefixime and other antibiotics: Antibiotics are common in pregnancy when needed. Drugs like amoxicillin are often used, and cefixime may be prescribed for certain infections. Don’t self-prescribe — get a clear diagnosis and a provider’s recommendation before starting antibiotics.

Allergy meds (Claritin / loratadine): Many pregnant people use loratadine for seasonal allergies. It’s commonly considered low-risk, but ask your doctor before starting any regular medication, especially in the first trimester.

Motilium (domperidone): Domperidone is sometimes mentioned for nausea or to boost milk supply after birth. It’s not a go-to in pregnancy. If you see it suggested online, talk to your provider about safer options and dosing.

Isotroin / isotretinoin: This one is serious. Isotretinoin is known to cause major birth defects. If you’re taking it or planning pregnancy, stop and discuss alternatives with a specialist right away.

Finasteride and similar drugs: Drugs used for hair loss and prostate issues can be harmful in pregnancy. Avoid handling crushed tablets and don’t take them if you might become pregnant.

Smoking cessation aids (varenicline, nicotine): Quitting smoking is one of the best things for your pregnancy. But some quitting drugs need careful review. Talk to your clinician about the safest plan — often counseling and nicotine replacement are considered with professional input.

Practical tips for meds and pregnancy

Keep a current meds list: Include prescription drugs, OTCs, supplements, and herbal remedies. Bring it to every prenatal visit so your provider can review safety.

Ask three quick questions: Is this safe in my trimester? Are there safer alternatives? What side effects should I watch for? If the answer isn’t clear, request a brief call or message from your clinic.

Be cautious with online pharmacies: If you order meds online, use reputable pharmacies and confirm the prescription with your doctor. Fake or mislabeled meds can be risky for pregnancy.

Screen for infections: Infections like gonorrhea need timely treatment in pregnancy to avoid complications. If you have symptoms or partner concerns, get tested and treated under medical supervision.

Final word: Don’t guess. Many medications are safe when used correctly, and some are dangerous. Your provider can help balance risks and benefits so you and your baby stay safe.