Jessica stood in the pharmacy aisle, tissue box tucked under one arm, staring at rows of cold medications. Eight months pregnant and miserable with a stuffy nose, she reached for the Zicam, then hesitated. Was it safe? She left empty-handed, unsure what she could take.
Catching a cold during pregnancy is frustrating, especially when your usual go-to remedies are suddenly off-limits. With your immune system naturally suppressed to protect your growing baby, you’re more susceptible to infections. Understanding which over-the-counter options are safe can help you find relief without worry.
Is Zicam Safe During Pregnancy?
Zicam contains zinc, which is generally considered safe during pregnancy when used in recommended amounts. The American College of Obstetricians and Gynecologists (ACOG) notes that zinc is an essential mineral, and dietary supplementation is often recommended.
However, the nasal spray and swab versions of Zicam have been associated with loss of smell in some users. While these formulations are still available, many pregnant women prefer to avoid nasal zinc products. The oral lozenges may be a better option, but always consult your provider first.
Safe OTC Cold Remedies for Pregnancy
During your first trimester, it’s best to avoid most medications when possible. After that, certain options are generally considered safe:
For Congestion:
- Saline nasal sprays and rinses (safe throughout pregnancy)
- Plain Sudafed (pseudoephedrine) after the first trimester
- Steam inhalation with a humidifier
For Cough:
- Robitussin DM (dextromethorphan) after the first trimester
- Honey and lemon in warm water
- Throat lozenges without excessive menthol
For Pain and Fever:
- Acetaminophen (Tylenol) is the preferred pain reliever during pregnancy
- Avoid ibuprofen (Advil) and aspirin, especially in the third trimester
What to Avoid:
- NSAIDs like ibuprofen after 20 weeks
- Products containing alcohol
- Multi-symptom formulations with unnecessary ingredients
- Any supplement or medication not discussed with your doctor
Natural Remedies That Actually Help
Sometimes the simplest solutions are the safest:
- Hydration: Drink water, herbal tea, and warm broth to thin mucus
- Rest: Your body needs extra energy to fight infection and support your baby
- Elevation: Sleep with your head propped up to ease congestion
- Vitamin C: From food sources like citrus fruits and bell peppers
- Warm Compress: Apply to sinuses for pressure relief
When to Call Your Provider
Most colds resolve on their own within a week, but contact your healthcare team if you experience:
- Fever above 100.4°F
- Difficulty breathing or chest pain
- Symptoms lasting more than 10 days
- Severe sinus pain or headache
- Colored or bloody mucus
These could signal a more serious infection requiring prescription treatment.
Prevention Is Your Best Defense
Boost your immunity this winter by:
- Getting your flu shot and updated COVID-19 vaccine
- Washing hands frequently, especially after being in public
- Avoiding close contact with sick individuals
- Maintaining adequate sleep (7-9 hours nightly)
- Eating a balanced diet rich in fruits and vegetables
- Taking your prenatal vitamin consistently
Get Personalized Guidance
Every pregnancy is unique, and what’s safe for one woman may not be ideal for another. Before reaching for any medication it’s worth a quick call to your provider.
At Women’s Integrated Healthcare, we’re here to guide you through every cold season question. Don’t suffer in silence or second-guess yourself in the pharmacy aisle. Schedule a consultation and get clear answers about which remedies are right for you and your baby.
References:
- American College of Obstetricians and Gynecologists. (n.d.). Over-the-Counter Medications and Pregnancy. Retrieved from https://www.acog.org
Centers for Disease Control and Prevention. (n.d.). Pregnant? Get the Whooping Cough Vaccine. Retrieved from https://www.cdc.gov
