Yes, paracetamol is safe for use during pregnancy despite recent claims it may lead to developmental concerns such as ADHD or autism.
The US recently suggested this link but this was based on a flawed study. The study relied on mothers remembering if they previously took paracetamol and did not take other reasons for developing autism into account.
NICE guidelines, based on clinical research, confirms there is no link between paracetamol and autism. Paracetamol can safely be taken, without any developmental risks to an unborn baby.
The higher risk to the baby remains an uncontrolled fever rather than the treatment itself.
Can I Take Paracetamol in Each Trimester of Pregnancy?
Yes, paracetamol can safely be used at the standard dose at any stage of pregnancy though generally all drugs should be avoided during the first trimester.
This is as most developmental changes occur during the first trimester. The second and third trimesters focus on growth of the organs developed in the first trimester therefore the risk of birth defects is lower during these times. This is also the reason most research is conducted on first-trimester exposure, as this is when the risk of birth defects is at its highest.
What's the Safe Paracetamol Dosage During Pregnancy? Maximum Doses and Duration Guidelines
During pregnancy, patients can take the standard dose of one to two 500mg tablets every 4-6 hours as needed, with a maximum of 8 tablets in 24 hours. This is the maximum recommended dose and it should only be taken for the shortest duration when most needed.
If the maximum dose is required, this can still be safely taken but take care not to exceed this. It is dangerous to exceed doses generally, with a higher risk to an unborn baby if doses are exceeded during pregnancy.
Are There Safer Alternatives to Paracetamol for Pregnancy Pain Relief?
Paracetamol remains the drug of choice in pregnancy. It can safely be taken but should be limited to use only when it is absolutely necessary. It is safer to take paracetamol rather than deal with an uncontrollable fever which can pose greater risks.
Other painkillers such as ibuprofen are not recommended unless a Dr prescribes them. Herbal remedies, whilst natural, are not always safer and must be avoided.
The Bumps website is a good resource for checking which medicines are safe during pregnancy but you should always check with your healthcare provider first.