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Diarrhea in Pregnancy

Aka: Diarrhea in Pregnancy

See Also
1. Diarrhea
2. Gastrointestinal Medications in Pregnancy
Evaluation
1. See Diarrhea
Management: Symptomatic
1. Medications safe in pregnancy
  1. Loperamide (Imodium)
    1. Possibly associated with fetal cardiac malformation
    2. Avoid in first trimester
  2. Simethicone (synergistic effect with Loperamide)
  3. Fiber supplementation with Psyllium (Metamucil)
2. Medications to avoid in pregnancy
  1. Kaolin-pectin (Kaopectate)
    1. Was considered antidiarrheal of choice in pregnancy
    2. New formulation contains bismuth (see below)
  2. Bismuth Subsalicylate
    1. Risk of Salicylate absorption
  3. Atropine-Diphenoxylate (Lomotil)
References
1. Black (2003) Am Fam Physician 67(12):2517-24
2. Larimore (2000) Prim Care 27(1):35-53

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 5/18/2012.

This is one of 5740 pages in the Family Practice Notebook