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Q.

I have an allergy to acetaminophen. I'm almost 13 weeks pregnant. Are there any alternatives?

I'm having a difficult time getting into a doctor due to insurance. I should be able to see one before Christmas but I have had multiple migraines and am hoping for a little relief. I can't use cold or heat and am staying in a cool dark room but they still last up to three days. I have a history of chronic migraines which eventually lead to my serotonin syndrome diagnosis.

 

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A.

Your not being able to be treated with acetaminophen due to allergic reactions may be a blessing in disguise. Acetaminophen has been associated with causing ADHD behavior in children whose mothers were treated with this OTC medication. Let's look at the alternatives to Acetaminophen:

   Alternatives that should be avoided or taken with  caution after discussing with your doctor-

Many other OTC medications used to treat pain such as Ibuprofen and Naproxen should be used with caution, avoided during the 3rd trimester of pregnancy, and taken only after consulting with your physician. Also, aspirin is contraindicated for usage by all pregnant women.  

    Alternatives that may be considered to treat pain safely in pregnant women after physician approval-

The best options for treating pain in pregnant are natural remedy herbs such as follows:

  1. Valerian;
  2. Passionflower;
  3. White Willow;
  4. Devil's Claw;
  5. Lavendar oil;
  6. Skullcap;
  7. Ginger

     A prescription drug that may be considered by your doctor as an alternative to acetaminophen is Tramadol/Ultram.

     Natural treatments may include Muscle Massage, Epson salts bathing, and Chiropractor manipulation.

Migraine headaches can be extremely painful and deserve a through diagnostic workup to determine their cause. Treatment of migraine headaches should be directed at  specific causes such as stress and hormonal. Identifying and removing migraine headache triggers is highly recommended. Also, determine if your doctor will suggest treatment options through phone/email consulation without costing you the office visit expense.

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