Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 6/12/2025

Herbal Medicine Use During Pregnancy

General Guidelines

  • The British Journal of Dermatology suggests that it's best to avoid all medications, including herbal remedies, during pregnancy when possible, especially during the first trimester 1
  • Pregnant women should inform their healthcare providers about any herbal products they're using, and discontinue use if any adverse effects occur and consult a healthcare provider 1

Peppermint Use During Pregnancy

  • Peppermint tea in moderate amounts (1-2 cups daily) appears to be the safest form, but medicinal doses or concentrated forms should be approached with caution, especially during the first trimester 1
  • The American College of healthcare providers recommends exercising greatest caution with peppermint use during the first trimester, as this is the period of organogenesis 1
  • Moderate consumption of peppermint tea during the second and third trimesters appears to have no significant association with adverse outcomes, but should still be used with caution 1

Safety Considerations

  • Herbal products, including peppermint, should be used with special caution during pregnancy due to the potential for pharmacologically active compounds to affect fetal development 1
  • Women with specific medical conditions, especially liver or gallbladder disorders, should consult their healthcare provider before using peppermint 1

Patient Education

  • Pregnant women should be aware that assuming "natural" means "safe" is incorrect, and that herbal products can contain active compounds that may affect pregnancy 1
  • Patients should be educated on the importance of disclosing herbal medicine use to their healthcare providers to avoid potential drug interactions or missed adverse effects 1