best start - your health… before pregnancy  
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Medication: over-the-counter & prescribed
Over the next 2 days, 30% of the population will use some kind of over-the-counter drugs (OTC). These are medications bought without a doctor’s prescription.
We are used to treating headaches, coughs and other illnesses with medications by pulling a remedy out of the medicine cabinet. But when a couple is planning a pregnancy, the door of the medicine cabinet should not be opening as often! A drug that is safe for an adult may not be safe for a developing baby.
Drugs come in many disguises…

OTC drugs are designed as painkillers, sleep-aids, laxatives and others. Don’t be fooled – vitamins and herbal treatments are drugs too. OTC drugs are misleading because they don’t need a prescription. And the directions on the label may not apply to pregnant women. They are still serious drugs and a growing fetus can absorb all drugs. Also some OTC drugs can be addictive—painkillers, nasal sprays or laxatives. Even dads need to be concerned. Large amounts of Acetaminophen, for example, Tylenol, can affect a man’s fertility. Before you get pregnant, talk to your health care provider about all the drugs, vitamins and herbal treatments that you use.

Prescription Drugs

If you currently use prescription drugs, talk to your health care provider. You may be advised to:

1
  Continue using your prescription.
2
  Switch to a safer prescription.
3
  Lower the dose of your prescription.
4
  Stop using the prescription.
 
Drug-test your know-how
Before taking OTC drugs, ask yourself:
  Why am I taking it?
  What type of drug is it?
  Are there limits to who should use it or with what?
  Am I taking more than the recommended dose?
  Can it harm my baby if my partner or I get pregnant?
  Is there something safer that I can do or use?

Your first steps! When planning a pregnancy I will:

  Assume that all OTC drugs could affect the safety of my developing baby.
  Talk to my health care provider or pharmacist before taking any OTC drug.
  Read instructions on the OTC drug labels.
  Keep track of what I am taking and how much.
Recreational Drugs

Recreational drugs such as marijuana and cocaine may affect the quality of sperm and eggs. The effect of recreational drugs may not be identified immediately after birth. The effects usually show up at a later date in the form of learning disabilities. It is safer to stop using recreational drugs before planning a pregnancy.

Drug-free answers for common health problems

Many people face the health challenges below, but the first treatment does not have to be drugs. Here are some alternative suggestions.

Sleeplessness Pain Colds or Flu Constipation
Exercise regularly Take a bath or a shower Reduce activity Don’t put off the “urge” to go to the bathroom
Relax – breathe deeply Relax Get some rest Eat a high fibre diet
Keep a regular sleep routine Do simple exercises Eat a balanced diet Drink 8-10 glasses of water every day
Cut caffeine, especially after 3pm Massage Drink plenty of fluids Be active every day
Avoid nicotine and alcohol Talk with friends and relatives Use a cool air vaporizer Aim for 5-10 servings of fruit or vegetables daily
Drink warm milk before bed Think of something else – book, movie Gargle with salt water or suck on hard candy Choose whole grain cereals and bread

If you have been taking OTC drugs for an ongoing or worsening problem, you may need medical help.

For help close to home, contact:
Motherisk   Motherisk Home Line: 416-813-6780
Ontario Local Public Health Unit or call INFOline at 416-314-5518 / 1-800-268-1154
your pharmacist
health care provider
 
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