Pseudoephedrine and phenylephrine are medications that can help alleviate nasal congestion. Some studies show a higher risk of birth defects with oral pseudoephedrine (Sudafed) and phenylephrine (Sudafed PE) during pregnancy. The use of any information on this site is solely at your own risk. Phenylephrine: A monitoring study including 1249 mother-child pairs that had first trimester phenylephrine exposure showed an increase in malformation, with association greater with minor defects than major defects (8 eye and ear defects, 6 syndactyly, 4 preauricular skin tags, and 3 clubfoot cases); 4149 any time pregnancy exposures were associated with 15 congenital dislocation of the hip, 6 umbilical hernia, and 4 other musculoskeletal defects. Ask your doctor or pharmacist for more information. How bad is Sudafed during pregnancy? This subreddit is for informal second opinions and casual information. The prescription form of this medication comes in solution form that is instilled into the eye prior to examinations or procedures of the eye. All rights reserved. Higher doses of aspirin typically are not recommended during pregnancy. Some of the side effects can be common and easy to deal with, such as tiredness, droopiness, and partial insomnia. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Acetaminophen: Routinely used during all stages of pregnancy, it appears safe for short-term use. Take this medication exactly as prescribed by your doctor. other information we have about you. Label: Pseudoephedrine HCL tablet, film coated [Fact sheet]. Mayo Clinic. 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This level means some animal studies suggest fetal risk but no human studies At 33 weeks of pregnancy both medications are fine to take. Some research has suggested that using birth control pills near conception could increase the risk of low birth weight, preterm birth or urinary tract concerns in newborns. Last updated on Aug 29, 2022. A woman who uses decongestant medications like pseudoephedrine while in the first trimester of pregnancy People who are pregnant or breastfeeding should speak with a doctor before taking nasal decongestants. Last updated on May 19, 2022. Five categories - A, B, C, D, and X - are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy. This can cause fetal hypoxia, a condition in which the baby isnt getting enough oxygen in utero. Alka-Seltzer Plus Cold and Cough Effervescent, Alka-Seltzer Plus Cold Reformulated Oct 2009, Alka-Seltzer Plus Cough and Cold Liquigel Reformulated Aug 2011, Alka-Seltzer Plus Day Severe Cold, Cough And Flu, Alka-Seltzer Plus Flu Reformulated Jan 2011, Alka-Seltzer Plus Night Severe Cold, Cough and Flu, Alka-Seltzer Plus Night Time Reformulated Dec 2006, Alka-Seltzer Plus Severe Cold, Mucus & Congestion, Alka-Seltzer Plus Severe Sinus Congestion and Cough, Benadryl Allergy Cold Reformulated Jun 2007, Benadryl Severe Allergy Sinus Headache Reformulated Jun 2007, Children's Mucinex Multi-Symptom Cold and Fever, Contac Cold and Flu Non Drowsy Maximum Strength, Delsym Children's Nighttime Cough and Cold, Delsym Children's Nighttime Cough and Cold Reformulated Apr 2013, Delsym Night Time Cough and Cold Reformulated Jan 2012, Dimetapp Children's Cold and Allergy Reformulated Jan 2011, Little Remedies for Colds Decongestant Plus Cough, Mucinex Children's Night Time Multi-Symptom Cold, Mucinex Fast-Max Cold, Flu and Sore Throat, Mucinex Fast-Max Severe Congestion and Cough, Mucinex Sinus-Max Severe Congestion Relief, Panatuss DXP Pediatric Reformulated Jun 2012, PediaCare Children's Multi-Symptom Cold Plus APAP, Robitussin Peak Cold Daytime Cold Plus Flu, Robitussin Peak Cold Maximum Strength Multi-Symptom Cold, Robitussin Peak Cold Nighttime Multi-Symptom Cold, Robitussin Peak Cold Nighttime Nasal Relief, Robitussin Pediatric Cough & Cold Nighttime, Scot-Tussin Multisymptom Cold and Allergy, Sine-Off Maximum Strength Reformulated Sep 2008, Tylenol Children's Multi-Symptom Cold Plus, Tylenol Children's Plus Cold Reformulated Mar 2013, Tylenol Cold Multi-Symptom Nighttime Liquid, Tylenol Cold Multi-Symptom Severe Daytime, Tylenol Sinus Congestion and Pain Daytime, Wal-Phed PE Cold & Cough Multi-Symptom Daytime. 1997-2023 BabyCenter, LLC, a Ziff Davis company. information and will only use or disclose that information as set forth in our notice of trouble sleeping. Some types of over-the-counter decongestants, including the popular phenylephrine and pseudoephedrine, were individually linked to rare, specific birth defects of the digestive tract, ear and heart. Birth control pills lower the risk of pregnancy. Decongestants are some of the most commonly used drugs, however, so fully understanding the consequences of taking them during pregnancy is important, said Mitchell, director of the Slone Epidemiology Center at Boston University. Also, avoid drinking grapefruit juice while taking this drug. PhenylephrineStudies on birth defects have not been done in either humans or animals with phenylephrine. Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Phenylephrine My doc and pharmacist said absolutely ZERO benedryl or any antihistamine. Review/update the The FDA categorizes medications based on safety for use during pregnancy. Certain people need to speak with a doctor before they consider taking decongestants. Last updated on May 19, 2022. Phenylephrine can also cause blurred vision. Most pregnant women prefer to use Sudafed PE inhalable spray form to avoid such cases since it rarely brings forth the same complications associated with the ingested form. All rights reserved. Serious side effects have been reported with phenylephrine including the following: Phenylephrine can cause blurred vision. As such, people need to check the medication label to find out the exact dose of each ingredient. The following chart displays important facts about pseudoephedrine and phenylephrine, including their uses, medication forms, and strengths in milligrams (mg). Press J to jump to the feed. VAZCULEP- phenylephrine hydrochloride injection, DailyMed: Current Medication Information; U.S. National Library of Medicine. AU TGA pregnancy category B2: Drugs which have been taken by only a limited number of pregnant women and women of childbearing age, without an increase in the frequency of malformation or other direct or indirect harmful effects on the human fetus having been observed. Pseudoephedrine Plus (chlorpheniramine / pseudoephedrine). Therapeutic Goods Administration. If you experience side effects, then stop using the drug, and see a What do you know about pregnancy and medications? Mitchell believes theres enough evidence indicating a possible connection to birth defects that doctors should not be recommending that pregnant women take decongestants, but should evaluate each womans need for the drugs on a case-by-case basis. You may opt-out of email communications at any time by clicking on New comments cannot be posted and votes cannot be cast. Interaction with other drugs. Pregnancy categories A, B, C, D, and X are being phased out. :). Taking birth control pills during early pregnancy doesn't appear to increase the risk of birth defects. The risk of an endocardial cushion defect among babies whose mothers did not take decongestants is about 3 per 10,000 live births.. Having a medical issue? Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. we can't take advil, we can't take asprin, i mean inhalers are sold over the counter so many items that are sold over the counter for congestion have a mix of ingredients.. be careful! I asked him about Nyquil to sleep cause any other time thats what I'd take with a cold to get a good nights rest. All rights reserved. Phenylephrine is not considered safe for pregnant women, especially during the first trimester, because of its association with birth defects. Webpharmacist before taking any NSAIDs during pregnancy.3,4 What can I take for allergies and hayfever? Based on Doctors refer to this as rhinitis medicamentosa, or rebound congestion. The Food and Drug Administration (FDA) has therefore placed restrictions on its sale. You can find out more and change our default settings with Cookies Settings. Medically reviewed by Drugs.com. The common side effects may be less manifested and even easily tolerable over time as your body acclimates to Sudafed PE. Accessed July 15, 2022. WebIm 13 weeks. Sore throat Throat lozenges containing local anaesthetic and antibacterial agents may be used in pregnancy. Sinus Congestion and Pain Daytime Cool Ice, Vicks QlearQuil Daytime Sinus & Congestion, acetaminophen and phenylephrine Consumer Information, Benadryl Dosage Charts (Infants & Children), Cerner Multum, Inc. "UK Summary of Product Characteristics." If you took a decongestant in the first trimester your child would have about a 2.7 in 1,000 chance of having a defect. Sudafed PE contains phenylephrine that acts to narrow blood vessels. 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