Treatment of Cold Symptoms During Pregnancy
By Medical Advisory Board
Rhinoviruses and coronaviruses cause most
colds during the fall and winter. Symptoms often include nasal obstruction,
discharge, sneezing, sore throat, cough and headache. A low grade fever may be
present, but a high fever is more common with the flu. Symptoms
lasting for more than two weeks are more likely to be caused by allergies rather
than a cold.
Fever should always be treated in the
pregnant patient with acetaminophen. All patients should be encouraged to drink extra fluids. A
cool mist vaporizer may help to relieve congestion.
Over the Counter (OTC) Cold Remedies
If the patient wishes to use over-the-counter
medications to address symptoms the following may be safely recommended:
Hayfever, sneezing, runny nose, itchy watery
(avoid in first trimester)
Dextromethrophan (Robitussin DM sugar free)
Headache or fever:
Colds occasionally lead to secondary
bacterial infections of the sinuses, requiring treatment with
antibiotics. Sinusitis with purulent nasal drainage and facial pain lasting for
more than 7 days may be treated with:
- Amoxicillin 2-3.5g/d x 7-10d
For penicillin allergic patients:
- Azithromycin (Zithromax) 500mg PO x 1, then 250mg PO qd x 4d (Z-Pak)
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