Paracetamol is a type of analgesic (or painkiller) and antipyretic (reduces a fever) medication both commonly used and easily available. In fact, you can often buy it over the counter in a supermarket along with your groceries. Paracetamol has been prized for its ability to relieve mild to moderate pain and is generally a very safe and effective medication. However, can you take paracetamol when pregnant? If you follow the recommended dosage, then generally yes, it is safe to take during pregnancy and does not hurt the baby.
What Is Paracetamol and Why It’s Commonly Used in Pregnancy
Paracetamol (as it is commonly known) or acetaminophen (the scientific name), is a commonly used medication to relieve mild-moderate pain and reduce fever in pregnancy for many reasons:
- Research evidence gathered over decades suggests paracetamol is generally very safe to take during pregnancy and carries minimal risk of side effects
- Compared to other painkiller options like ibuprofen, paracetamol is usually better tolerated. Ibuprofen is not recommended during pregnancy.
- It is important to treat pain and fever during pregnancy as leaving these symptoms could pose risks to the baby.
Is Paracetamol Safe During Pregnancy?
Yes, current clinical guidelines in the UK say that during pregnancy paracetamol is safe to use so long as it is taken at the recommended dose. It is important to acknowledge that during the vulnerable state of pregnancy, parents may feel worried about the safety of certain medications to the mother or the child. You may have even read that paracetamol can cause a child to have autism spectrum disorder or a developmental disorder. However, there is no scientific evidence that paracetamol can cause this.
Paracetamol has long been the first line option for managing mild to moderate pain during pregnancy. It is advised that you follow the recommended dose ranges on the medication package and use the lowest dose that is effective at managing your pain. Nevertheless, if you still feel apprehensive or worried about using paracetamol for pain management during pregnancy, it may be helpful to speak to your healthcare provider who can discuss some of your concerns.
When Paracetamol May Be Needed in Pregnancy
The experience of pregnancy can vary wildly from person to person or even from different pregnancies. Some people do manage to go about daily activities fairly well without many symptoms, however for most people, pregnancy can come with some very uncomfortable experiences. If you relate to this, it is important to be kind to yourself and recognise that struggling with symptoms from your pregnancy is not a failure or a weakness at all.
So is it okay to take paracetamol while pregnant? Yes, getting help for pain and fever management is important for the health of both you and your baby. Pregnancy is a hugely significant medical event and is naturally demanding on your body regardless of how healthy you were before pregnancy. Thus, getting suitable pain management is crucial. Some cases where paracetamol might be helpful include:
- Mild to moderate headaches. For more information on Medications for Migraines, follow this link.
- Mild to moderate muscle pains or back pain
- Fever
- Symptoms of a flu or cold
How Much Paracetamol Can I Take While Pregnant?
The question of “how much paracetamol can I take while pregnant?” is a key question because despite how much we have emphasized that paracetamol is safe to take during pregnancy, there is an important caveat: paracetamol is safe during pregnancy as long as it is the appropriate and safe dose. Usually, for pregnant adults the dose is:
- 1 or 2 tablets (referring to 500mg tablets) each time. That means each time the maximum dose of 2 tablets is equal to 1000mg of paracetamol.
- A maximum of 4 times in 24 hours (at a minimum of 4 hours apart).
- Do not go over 4000mg in 24 hours.
- Despite paracetamol being generally safe, it is still possible to overdose on paracetamol so you should still be careful. It may be useful to note down the times and how much paracetamol you have taken to help you remember.
How Often Can I Take Paracetamol in Pregnancy?
Now that we have discussed the dosage, let’s get on to the question of “how often can I take paracetamol in pregnancy?”. Generally, it is advised that you only take paracetamol when you need it and space each dose at least 4 hours apart. Read the medication package instructions to check how many tablets to take each time during pregnancy. This is because sometimes the dose in one tablet can vary between different paracetamol brands. If you feel like you need more paracetamol or the medication is not effectively relieving your pain, please consult your GP or healthcare provider who can assess the situation and recommend safe alternatives.
How to Use Paracetamol Safely During Pregnancy
To manage mild to moderate pain, paracetamol is considered quite safe to take during pregnancy and is typically tolerated quite well. However, it is still worth going through some tips for how to use paracetamol safely if you are pregnant:
- Paracetamol is designed to be an “as needed” type of medication so it is advised that you only take it when you need it
- Use the lowest dose that is still effective at relieving pain or fever
- If you are taking any other medication please consult a pharmacist or your healthcare provider for advice on potential interactions.
- Be careful and look out for other medications you might take that also have paracetamol. For example, if you have a cold or flu and you are taking Lemsip which also contains paracetamol. If you are taking paracetamol tablets while also drinking Lemsip, there is a risk that you are taking too much paracetamol accidentally.
- It also advised that you avoid alcohol
Possible Risks and What Research Says
There is a risk that you accidentally take too much paracetamol which can be dangerous both to you and your child. However, current research does not support claims that appropriate paracetamol use in pregnancy is linked to an increased risk of the child having a developmental disorder. There is also no scientific evidence that taking paracetamol at a safe dose during pregnancy can cause your child to have autism or ADHD. Here at Meds For Less, we are committed to providing you with up to date and information backed by strong scientific research. If you have further concerns or questions about whether paracetamol is safe in pregnancy please consult your healthcare provider.
When You Should Avoid or Be Cautious With Paracetamol
Despite being a generally safe, effective, and well tolerated medication, some groups of patients should speak to a healthcare professional before taking paracetamol. Some examples of cases include:
- People with a liver condition
- People taking other medication
- People who regularly consume alcohol
- If someone is experiencing severe pain
When to Speak to Your GP or Midwife
Paracetamol is usually a first line option for managing mild to moderate pain. So, in some cases, you might need to speak to your midwife or GP, for example:
- If you have been taking paracetamol for a few days (e.g 3 days) and it is not helping to relieve your pain or reduce your fever
- You are taking other medications
- The pain is severe
- You experience unusual symptoms
Key Takeaways for Expecting Mothers
So is paracetamol safe while pregnant? Overall paracetamol is considered a safe and effective option to manage mild to moderate pain in pregnancy. Make sure you follow your doctor’s advice or the instructions in the medication package for the recommended dosage. Using the lowest dose that is effective at managing pain when you need it is the best approach to use paracetamol safety. Despite its general safety, paracetamol is still a medication and should still be used carefully to avoid overdose. It may reassure you to know that for decades paracetamol has been used to manage pain in pregnancy and there is no strong evidence from the wealth of research done so far to suggest that paracetamol use in pregnancy can cause developmental problems in your child.

