The following is a list of over-the- COMMON COLDS PAIN counter medications that your Increase oral fluids/cold mist humidifier * • Tylenol providers have approved for use Saline nasal spray during pregnancy. If you have • Robitussin HEARTBURN diabetes or hypertension, some • Sudafed (do not use if you have high • Maalox choices may not be appropriate. blood pressure) • Mylanta Please call the office to see which • Sugar free throat lozenges • Rolaids medication would be appropriate. • Benadryl • Tums • Mucinex • Pepcid/Famotidine • Actifed • Nexium/Omeprazole • Zyrtec

• Claritin

ITCHING

• Benadryl NAUSEA & VOMITING • Topical Caladryl lotion • Vitamin B6 50 mg tab, 3 times day • Aveeno • Unisom 25 mg tab. Can be cut in half

and taken ½ tab 3 times a day VAGINAL YEAST INFECTION • Unisom 25 mg at night • Monistat 7 day formula • Sea sickness band • Terazol • Dramamine

HEMORRHOIDS CONSTIPATION • Tucks pads Increase oral fluids & fiber intake (bran, green • Anusol HC leafy vegetables, and apples) • Preparation H • Metamucil

• Fibercon

• Milk of Magnesia

• Colace • Miralax

FLATULENCE • Mylicon

DIARRHEA • Immodium Keep you and your baby safe.

Stay away from all smoke. There’s no safe level of exposure for your baby. All forms of smoke are harmful. For a healthier baby and a healthier you, choose to be free from tobacco, e-cigarettes, marijuana, and smoke.

Set a “NO SMOKING” rule for your home. Don’t let people smoke around your baby.

Tobacco E-cigarettes • Cigarettes and other • Most e-cigarettes contain forms of tobacco are nicotine and other harmful dangerous to the health chemicals. of everyone. Nicotine • Don’t use e-cigarettes or allow from tobacco passes others to use e-cigarettes around through breastmilk. your baby. • Secondhand smoke and smoking while feeding Marijuana (medical and recreational) your baby • Any kind of smoke is a health exposes baby Keep risk. to nicotine smoke • The active ingredient in and other outside the marijuana (THC) passes through harmful home and car. breastmilk. To learn more: chemicals. learnaboutmarijuanawa.org

Stay away from alcohol and street drugs. If you need help, talk with your doctor or call 211 the Washington HelpLine, or visit win211.org

Never leave your child with people who are drinking or using drugs.

For more information:

If you smoke, get help to quit. Talk with your doctor or call the Washington State Quitline at 1-800-QUIT-NOW (1-800-784-8669) or visit SmokeFreeWashington.com

Struggling with substance use? See Substance Free for My Baby: here.doh.wa.gov/materials/substance-free-for-my-baby 19

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Marijuana, Pregnancy, and Breastfeeding Marijuana is now legal for adults over age 21 in Washington, but this does not mean it is safe to use during pregnancy or while breastfeeding.

Marijuana and Your Baby Keeping Your Baby Safe Pregnancy. The chemical in marijuana, Avoid accidental poisonings. Store all marijuana Tetrahydrocannabinol (THC), is stored in body in a locked area. Marijuana can make your child fat. Your developing baby’s brain and body are very sick and could cause trouble staying awake made up of a lot of fat and store THC for a long and difficulty breathing, which can result in death. time. Exposure to THC before birth has been If your child eats marijuana, call the Poison shown to cause decreased growth and lower IQ Control Hotline, go to the ER, or call 911. with associated attention, memory, and learning problems. Breastfeeding. THC passes through breast milk to your baby. THC is stored in the breast milk fat so you cannot “pump and dump” to clear your milk after marijuana use. Prolonged childhood Do not allow marijuana use around your baby. exposure to THC is linked to behavior problems Marijuana smoke not only contains cancer- (impulsive, aggressive, and antisocial) and mental causing chemicals, but will also make your baby illness (anxiety, depression, and schizophrenia). high. It is not safe for anyone to be high while caring for your baby. Never let your baby ride in There is no safe amount of marijuana use a car with a driver who is high. during pregnancy or breastfeeding.

Resources Talk to your doctor: There are safer medications than marijuana to use during pregnancy and breastfeeding to treat symptoms such as nausea, vomiting, pain, anxiety, and depression.

Educate yourself: Online resources include www.learnaboutmarijuanawa.org and www.colorado.gov/marijuana to locate the Monitoring Health Concerns Related to Marijuana in Colorado: 2014 Report, with a special section on marijuana use during pregnancy and breastfeeding.

Get help quitting marijuana use: Call the Washington Recovery Helpline at 1-886-789-1511