Taking Mucinex During Pregnancy: What to Know

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Impacts of COVID-19 on the pregnant person and their baby mostly center on delivery, as women with COVID-19 are more likely to give birth preterm or experience a stillbirth than women who don’t have COVID-19. 

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Is Mucinex safe during pregnancy? There are a few different kinds of Mucinex (Mucinex, Mucinex D and Mucinex DM, for example) but some of the most common popular products contain guaifenesin, pseudoephedrine and dextromethorphan. 

With allergy season approaching, and COVID-19 still here, many people are reaching for over-the-counter medication in the hopes of relieving congestion or getting through a cough. What about one of the most popular ones, Mucinex?

James, 36, who co-hosts The Good, The Bad The Rugby podcast with fellow former rugby ace Mike, 43, called praised the couple’s ‘brilliant’ parenting and said he’d like their baby to grow up like ‘cheeky tomboy’ Mia.   

The Strictly Come Dancing star also recently launched her new podcast, Spinning Plates, with each one hour episode featuring an interview with another working mother about the difficulties and joys of a work/life balance.

Chloe Madeley says pal Zara Tindall has been giving advice about ‘bottles and breastfeeding’ after revealing she was pregnant last month. The Queen’s granddaughter is pictured with husband Mike Tindall at Cheltenham last week

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Can COVID-19 pass through breast milk? It isn’t likely, say the CDC and ACOG. But the ACOG recommends letting someone who isn’t sick bottle feed your baby your breast milk, to avoid passing the infection to the infant.

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For Dr. Gloria Bachmann, an OB-GYN and the director of the Women’s Health Institute at Rutgers University, the rule to follow is the same one she advises all pregnant people stick to, no matter the health concern or question: check with your doctor (or midwife, practitioner or other care provider). This is important not only before you consume a new medication, according to Bachmann, but also to make sure you don’t write off a more serious illness as a common cold, allergies or even a mild case of COVID-19. 

Model Chloe, 34, is expecting her first child with husband James Haskell and said mum-of-three Zara, 40, has been passing on some ‘really good’ tips about parenthood. The couple are pictured at Cheltenham last week

But the pandemic, like your growing belly, is changing by the day. It’s hard to keep on top of the current booster guidance, as well as the emergence of new subvariants like omicron BA.2. (This is on top of other pregnancy news and guidance, including what foods you should avoid.)

Determining the risk of the other active ingredients found in Mucinex is a little trickier. Dextromethorphan is a cough suppressant that works by interfering with the “cough” signal in your brain. Guaifenesin works by loosening the mucus in your chest. There are some reports of a small risk of neural tube defects linked to guaifenesin, but the evidence is inconclusive. It’s listed in a report by the American Academy of Family Physicians as “might be unsafe during first trimester.” In the same report, dextromethorphan is listed as “appears to be safe in pregnancy,” but as is true for many drugs and ingredients, there isn’t enough evidence to say conclusively either way.

Bottom line: Ask your health care provider before taking Mucinex or any cough medicine during pregnancy, so the two of you can weigh the severity of your symptoms with the potential risks (if any) of medication. 

COVID-19 treatments available and believed to be effective against the omicron variant include Paxlovid, some monoclonal antibody therapies and remdesivir. While not all treatments were directly studied for use in pregnant people, your doctor may recommend one if the benefits of treating COVID-19 outweigh the unknowns. 

The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.

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