A stuffy nose and sore throat are the last things you need when you’re pregnant. But that’s exactly when they’re more likely to strike!

During pregnancy, your immune system is working harder than usual, protecting both you and your growing baby. This extra demand can make you more susceptible to seasonal ills and chills.

Unfortunately, many cold medications are not recommended during pregnancy. 

So, it’s helpful to know what you can take, what you can’t, and what to do if you do come down with something. 

(Don’t worry - there are ways to feel better!)

Note: Always check with a healthcare professional or pharmacist before taking any new supplements or medicines. 

What to know about cold medications when you’re pregnant

Many common cold medications are unsuitable for pregnant women because they can pass into the bloodstream and affect the placenta. The first 12 weeks of pregnancy are particularly sensitive to any interference.

But it’s not much fun to just put up with symptoms such as cough, congestion, sneezing, and fever.  So, what can you do?

The first thing is to talk to your midwife and/or doctor. They can review your previous health history and what may or may not be suitable for you. They may recommend some options from this list.

Common medications for ills and chills: what’s safe for pregnancy?

• Paracetamol
  Paracetamol is one of the most widely used over-the-counter medications for pain and fever. It is generally considered safe during pregnancy when taken as directed.
  
  

• Nasal sprays
  Saline nasal sprays are made with salt water. They are a non-medicated option that are generally considered safe to use during pregnancy, and help to support your airways when you have a stuffy nose.
  Fluticasone nasal sprays and drops are also considered safe during pregnancy. Fluticasone is most often used for hay fever and allergic rhinitis as it can support moisture in the airways and reduce stuffiness. The medication goes directly into the lungs and very little passes into the bloodstream.
  
  

• Lozenges and throat sprays
  Throat lozenges support the lining of the throat and can help to lubricate the airways.
  Be aware that ingredients can vary significantly between products, and even standard lozenges may not be recommended during pregnancy. Non-medicated lozenges are usually safe to take, but always check the product label first, and if in doubt, ask your pharmacist or doctor.
  Blis Throat Guard Pro contains oral probiotics, developed from a special strain of beneficial bacteria called Streptococcus salivarius that occurs naturally in healthy throats. These yummy vanilla-flavoured lozenges help to support your body’s natural immune defenses in the throat and mouth.
  
  

• Chest syrups
  Chest syrups can help to soothe irritated airways. They also help to thin and loosen mucus and make it easier to cough up. There are plenty of non-medicated chest syrups that are generally considered safe during pregnancy. A great choice is Harker Herbals Deep Lung Support, which contains more than 20 herbs and essential oils to support the mucus membranes and help to loosen stubborn mucus. Harker Herbals Deep Lung Support also contains specific herbs to support you through winter ills and chills.
  Robitussin Bronchial Syrup contains Hedera helix (ivy leaf) extract and Lactoferrin bovine to support immune function and soothe the airways. It is generally considered safe for use during pregnancy when taken as directed.
  
  

• Antihistamines
  Antihistamines support the nasal passages and can help to relieve symptoms of hayfever. Products that are considered safe for pregnancy and won't make you drowsy include Loratadine (Clarityne) and Cetirizine (Allertec).
  
  

• Flu vaccine
  You can have an influenza vaccination at any time during your pregnancy. It is an inactive vaccine and has been safely given to pregnant women for nearly 50 years.
  
  

• Whooping cough vaccine
  The whooping cough vaccine is safe and recommended during pregnancy, as you can pass on immunity to your baby.
  
  

Ingredients That May Be Best Avoided:

• Decongestants (e.g. pseudoephedrine, phenylephrine)
  Decongestants may reduce blood flow to the placenta, which can cause complications.
  Many common over-the-counter products, such as Lemsip, contain a decongestant as well as caffeine (also not recommended!), which is why it’s so important to check the label. Ask a pharmacist if you are unsure.
  

• Diphenhydramine
  Some antihistamines contain diphenhydramine, which can cause drowsiness or lightheadedness. These effects are heightened in pregnancy, which is not recommended.
  

• Nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin and ibuprofen, are usually not considered safe during pregnancy as they pose risks to the developing fetus.
  

• Herbal remedies and essential oils
  Natural doesn’t always mean safe. Some essential oils contain potent compounds that can be harmful to the uterus. Always consult with a qualified healthcare professional before using any essential oils or herbal products.
  
  
  

Non-Medicine Approaches to Winter Ills and Chills 

There are plenty of non-medicated ways to deal with the sniffles when you’re pregnant. 

Rest
Rest is the best way to let your body recover. Do what you can to take a break from your usual routine and catch up on sleep.

Hydrate
Hot drinks made with lemon, ginger, and honey are great for supporting the airways and immune system, and these ingredients are safe during pregnancy. 

Bone broth is also great: it’s a nourishing liquid food rich in amino acids and minerals that can support immune defences.

Steam inhalation
Steam inhalation can help to relieve a stuffy nose and other symptoms of ills and chills. Simply fill a bowl with hot water (no more than 35°C) and gently breathe in the steam. Check with your midwife before adding any herbs or essential oils to the water. 

Probiotics
Lifestream Probiotics 14 Strains contains beneficial bacteria that studies have shown as safe to take during pregnancy. Probiotics can support digestive health, immune function, and overall wellbeing. We recommend talking to your doctor or midwife before starting probiotics while pregnant. 

Remember: if your sniffly symptoms last more than a few days, or you experience high fever, shortness of breath, or chest pain, consult a health practitioner immediately. Check every supplement and medication with a pharmacist or doctor, and keep your family and friends updated on your health at all times. 

A cold during pregnancy can be unpleasant, but there are safe ways to manage it. If you have any questions about a product in the Bargain Chemist store, just ask! Our team is always ready to help. 

Always read the label and use as directed. If symptoms persist see your healthcare professional.