II. Evaluation

  1. See Diarrhea

III. 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 and Aspirin (see below)
    2. Bismuth Subsalicylate
      1. Risk of Salicylate absorption
    3. Atropine-Diphenoxylate (Lomotil)

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