Is peppermint cough medicine safe during pregnancy?

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Last updated: May 11, 2025View editorial policy

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From the FDA Drug Label

If pregnant or breast-feeding, ask a health professional before use. The FDA drug label does not answer the question about the safety of peppermint cough medicine in pregnancy, but it does advise to ask a health professional before use of the mentioned drug, dextromethorphan, if pregnant or breast-feeding 1.

From the Research

Peppermint is generally considered safe for pregnant women as a natural cough remedy, and it can be used to help relieve cough symptoms during pregnancy, as supported by the most recent study 2. When using peppermint as a cough remedy during pregnancy, it is essential to use it in moderation and in the right form. You can use peppermint tea, lozenges, or inhale steam with a few drops of peppermint oil to help relieve cough symptoms.

  • For tea, steep one teaspoon of dried peppermint leaves in hot water for 5-10 minutes and drink up to 3 cups daily.
  • For steam inhalation, add 3-4 drops of peppermint oil to a bowl of hot water, place a towel over your head, and breathe deeply for 5-10 minutes. Peppermint works by providing a cooling sensation that can help soothe throat irritation and has mild decongestant properties. However, avoid concentrated peppermint oil supplements or excessive amounts as they may stimulate menstruation in high doses, as noted in the study 2. For more severe coughs during pregnancy, consult your healthcare provider before using any over-the-counter cough medications, as some ingredients like dextromethorphan or guaifenesin may be recommended in limited circumstances, while others like pseudoephedrine should be avoided, especially in the first trimester, as discussed in the study 3.

References

Research

Treating the common cold during pregnancy.

Canadian family physician Medecin de famille canadien, 2008

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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