Can You Take Excedrin for Headaches and Migraines During Pregnancy?

Can I Take Excedrin While Pregnant in My Second Trimester?

Headaches and migraines are common complaints during pregnancy, especially in the second trimester. Many pregnant women wonder if they can safely take Excedrin for headache relief. Here is what you need to know about taking Excedrin in pregnancy.

What Causes Headaches in Pregnancy?

Headaches in pregnancy can be triggered by many factors, including:

• Hormonal fluctuations - Rising estrogen and progesterone levels can cause headaches.
• Dehydration - Pregnancy causes an increased need for fluids.
• Stress and fatigue - Common in pregnancy.
• Caffeine withdrawal - Caffeine restriction can trigger headaches.
• Sinus congestion - Pregnancy hormones can cause sinus swelling.
• Eye strain - Vision changes are common during pregnancy.

Migraines also tend to worsen during pregnancy, especially during the first and third trimesters. Frequent headaches and migraines can be quite debilitating during pregnancy. Finding safe and effective relief is important.

What's in Excedrin?

The active ingredients in Excedrin products include:

• Acetaminophen - A pain reliever and fever reducer.
• Aspirin - A nonsteroidal anti-inflammatory drug (NSAID).
• Caffeine - A stimulant.

Some Excedrin formulations also contain other ingredients like pyrilamine maleate (an antihistamine), and naproxen sodium (an NSAID).

Is Excedrin Considered Safe During Pregnancy?

The general medical advice is to avoid Excedrin and any products containing aspirin or other NSAIDs during pregnancy. Here's why:

• Aspirin - Can potentially cause complications like miscarriage, preterm birth, low birth weight, and birth defects when used in the third trimester.
• NSAIDs - Also linked to potential risks in pregnancy. Associated with miscarriage and certain birth defects when used in early pregnancy.
• Caffeine - Moderate caffeine intake (less than 200mg daily) is considered safe during pregnancy. But caffeine overdose can cause miscarriage and low birth weight.

Acetaminophen, however, is considered safe for headaches and pain during pregnancy when used as directed. Regular strength Tylenol contains acetaminophen without aspirin, caffeine, or other NSAIDs.

What About Excedrin Tension Headache or Excedrin Migraine?

Some Excedrin formulations like Excedrin Tension Headache and Excedrin Migraine contain acetaminophen but no aspirin. However, they do contain caffeine as an added ingredient. The caffeine content per tablet is:

• Excedrin Tension Headache: 65mg
• Excedrin Migraine: 65mg

This is considered well below the safe caffeine threshold for pregnancy. However, caffeine sensitivity can vary individually. If you experience any heart palpitations, jitteriness, or insomnia after taking these Excedrin products, avoid them during pregnancy.

Is Tylenol Better Than Excedrin in Pregnancy?

Tylenol (acetaminophen) is considered the safest over-the-counter pain medicine during pregnancy. The maximum recommended daily dose of regular strength Tylenol for pregnant women is 3000mg or less. Always follow dosage instructions carefully.

Tylenol does not contain any NSAIDs, aspirin, or caffeine. This makes it a good first option for headaches in pregnancy. If Tylenol alone is ineffective for your headaches, consult your healthcare provider about using Tylenol along with other therapies.

Natural Alternatives to Excedrin in Pregnancy

Some natural ways to find headache relief during pregnancy without medication include:

• Cold or hot therapy - Ice packs or heating pads can help muscle tension.
• Massage - Helps relieve headache triggers like neck tightness and anxiety.
• Acupuncture - May help prevent migraine headaches.
• Relaxation techniques - Meditation, yoga, and deep breathing provide relief.
• Biofeedback - Can help you control physiological responses to pain.
• Proper hydration and nutrition - Prevent headaches caused by dehydration or hunger.
• Light exercise - Improves blood circulation and relieves stress.
• Aromatherapy - Essential oils like lavender and peppermint help with relaxation.

Be sure to check with your doctor before trying any new therapies for headache relief in pregnancy.

When to See a Doctor About Headaches

Consult your obstetrician right away if you experience:

• Sudden, severe head pain or worst headache of your life.
• Headache with fever, neck pain or stiffness, nausea, vomiting, confusion, seizures, double vision, numbness, or speaking difficulties.
• Consistent headache patterns or pain not relieved through proper hydration, rest, massage, or OTC medication.
• Headaches that interfere with your daily activities.

Severe or persisting headaches during pregnancy may require targeted treatment from your doctor. Serious causes like preeclampsia, stroke, aneurysms, and blood clots can require emergency medical care.

Tips for Avoiding Headaches in Pregnancy

Making positive lifestyle changes can help minimize headaches during pregnancy:

• Drink plenty of water and eat small, frequent meals.
• Limit stress and get enough rest and sleep.
• Reduce strong smells that can trigger headaches.
• Use good posture and ergonomics to avoid neck strain.
• Avoid clenching your jaw muscles.
• Try prenatal massage and yoga.
• Take breaks from computer and phone screens.
• Treat sinus congestion and allergies.
• Wear glasses if needed for eye strain.
• Consult your doctor about safe ways to reduce caffeine.

The Bottom Line

Excedrin should be avoided during pregnancy due to the risks of aspirin and NSAIDs. Acetaminophen (Tylenol) is considered safe but consult your doctor for proper dosage guidelines. Natural therapies, lifestyle changes, hydration, and nutrition can also minimize headaches.

Severe, persistent, or worsening headaches in pregnancy require prompt medical evaluation. With your doctor's guidance, you can find safe and effective ways to manage headaches and enjoy a healthier pregnancy.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.