Store phenylephrine eye drops at room temperature. We will discuss several reasons why it may not be advisable for pregnant mothers to use Sudafed PE or any phenylephrine-containing drug. If taking a home pregnancy test isn't possible, stop taking birth control pills until you can see a health care provider to find out if you're pregnant. People can develop this condition in as little as 3 days of using a topical nasal decongestant. Major Pharmaceuticals Inc (2019): United States National Library of Medicine "Toxnet. If you do conceive while taking a progestin-only birth control pill, sometime called the minipill, there is a slightly higher chance that the pregnancy will be ectopic. Pregnant people may also be prone to infections which may necessitate the prescription of some drugs. If women can get through natural childbirth, they can certainly survive an annoying cold! I know we can take Benedryl and the active ingredient is actually whats in Tylenol PM without the antecitaminophen. Medically reviewed by Drugs.com. Immediate release: Take 60 mg every 46 hours, when needed. Phenylephrine is not safe for consumption by pregnant women, especially in the first trimester of their pregnancy. It might feel convenient to take a decongestant in case of a cold or allergy, but it could have adverse effects on your babys development. The typical low-dose aspirin you can buy without a prescription is 81 mg. Low-dose aspirin is safe to use throughout pregnancy. Possibility of causing congenital disabilities. Mapap Sinus Congestion and Pain (acetaminophen-phenylephrine)." Ask your doctor or pharmacist for more information. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. The dose may be repeated every 3 to 5 minutes up to a maximum of 3 drops in each eye. privacy practices. However, rebound congestion typically occurs after 710 days of regular use. 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. Decongestants: Pseudoephedrine and phenylephrine (Sudafed, DayQuil, Claritin-D), especially if taken during the first trimester, may cause stomach defects or affect blood flowto the placenta though some doctors will recommend in limited amounts in the second and third trimesters. What Are the Costs of a Multiple Pregnancy and Birth? Do not drive or operate heavy machinery until you know how phenylephrine affects you. i think you'll be okif u don't feel safe taking it then I wouldn't..try something like benedryl or tylonal pm. You can find out more and change our default settings with Cookies Settings. Is it safe to take cough remedies containing phenylephrine while pregnant? See the Phenylephrine Precautions section. They can relieve sinus pressure and nasal congestion. Eccles, R. (2006). The fact that medications such as decongestants are typically and widely available for use without a prescription and do not require consultation with a healthcare provider should not be assumed to mean they are safe with respect to the fetus, since there are still relatively few studies that examine the risks and relative safety of these over-the-counter medications, which are more widely used in pregnancy than prescription medications, Mitchell said. Diphenhydramine is an antihistamine. Sore throat, coughing, runny nose, sinus headachesugh! A single copy of these materials may be reprinted for noncommercial personal use only. Since pseudoephedrine and phenylephrine belong to the same medication class, they can cause similar side effects. According to an older review from 2013, exposure to nasal decongestants during the first trimester may cause developmental defects in the growing fetus. There are no controlled data in human pregnancy. Dr. Sheila Goodman answered Specializes in Obstetrics and Gynecology OK See here for a complete list of exchanges and delays. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Follow the directions on your prescription label carefully. Anyssa Garza received her Doctor of Pharmacy degree from the University of Texas at Austin. Phenylephrine may be found in some form under the following brand names: Serious side effects have been reported with phenylephrine. Didn't find any significant interactions. Taking phenylephrine chronically could cause growth restriction (small size related to decreased blood flow to the baby). The #1 app for tracking pregnancy and baby growth. Accessed July 15, 2022. Can diet help improve depression symptoms? He said any type of Sudafed, Tylenol Cold, or guifenisin cough syrup (Robutussin) was all ok, but nothing else. Can i take phenylephrine and pseudoephedrine together? Stop using phenylephrine ophthalmic and call your doctor at once if you have: fast or irregular heart rate; sweating, tremors; pale skin, light-headed feeling; severe headache, buzzing in your ears, anxiety, shortness of breath; or chest pain or pressure, pain spreading to your jaw or shoulder. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Diphenhydramine (this common drug may cause uterine contractions, so in the third trimester it should be used only under the direction of your doctor) The cough Tell your doctor if you are pregnant or plan to become pregnant. nervousness. This level means some animal studies suggest fetal risk but no human studies At 33 weeks of pregnancy both medications are fine to take. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Can you take phenylephrine and pseudoephedrine? HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. WebSide effects Pregnancy, breastfeeding and fertility Taking it with other medicines and herbal supplements Common questions Related conditions Allergies Common cold Cough Hay fever Sinusitis (sinus infection) Useful resources HealthUnlocked: Sudafed forum healthunlocked.com Allergy UK: charity www.allergyuk.org information highlighted below and resubmit the form. Phenylephrine Pregnancy and Breastfeeding Warnings. I am a bot, and this action was performed automatically. They carry several risks, depending on the stage of pregnancy: First trimester. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Avoid hypersensitivity (severe allergic reaction). Last updated on May 19, 2022. Home remedies including hydration, steam inhalation, and using eucalyptus oil, Toddler congestion may be alleviated with home remedies. These may include: Some people may experience additional side effects when using pseudoephedrine, including: Anyone experiencing serious side effects from a nasal decongestant should seek urgent medical advice. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. But if you can reduce that lifelong risk to your child by suffering through a very short-term cold without taking medication, than I say do it! What will happen to my baby if i took a cough remedy containing phenylephrine while pregnant? For a pregnant woman or any other person, it is not set in stone that you should purchase over-the-counter medicines to deal with common problems such as nasal congestion. Sore throat Throat lozenges containing local anaesthetic and antibacterial agents may be used in pregnancy. Keep this and all medicines out of the reach of children. Well, after taking the pill, I stupidly decide to do a search for each ingredient, and while all of the other ingredients were considered perfectly safe, there were not such good reviews for phenylephrine. You could take some Benedryl to help you sleep too. Assuming the findings are correct, he added, the researchers could not speculate about why these drugs might be linked to this handful of defects. But know that there is little risk of birth defects. Sinus congestion occurs when fluid becomes trapped in the sinuses. Also, avoid drinking grapefruit juice while taking this drug. trouble sleeping. SOURCE: bit.ly/17mAbMT American Journal of Epidemiology, online July 3, 2013. Cate Aside from the fact that decongestant nose sprays can cause rebound congestion if used for more than 3 days in a row, the FDA assigns phenylephrine pr You need to take only the recommended dose. the most helpful and trustworthy pregnancy and parenting information. The risks. Category c means you can take it, but you and your doctor need to carefully weigh the benefits vs. Phenylephrine Sudafed PE may also bear its fair share of side effects which may be hard to deal with considering other pregnancy complications. Tell your doctor if you are breastfeeding or plan to breastfeed. Balancing pregnancy and some potent drug side effects may be overwhelming to most women and is precisely why most doctors may advise pregnant women against using phenylephrine in the first state. What are the best nasal decongestants for different ages? Substitution of phenylephrine for pseudoephedrine as a nasal decongestant. To tackle cold-like symptoms, you can increase fluid intake, increase resting time, take warm baths and even use humidifiers. If you experience side effects, then stop using the drug, and see a An older study from 2003 investigated the effect of pseudoephedrine on milk production and the infants exposure through breast milk. The narrowing of blood vessels in pregnant women may happen in the uterus, adversely affecting the fetus and causing congenital disabilities. -Routine use of acetaminophen during pregnancy is not advised. should i continue/finish the prescription? These drugs work by constricting blood vessels within the nose and sinuses, which allow people to breathe more easily. Pseudoephedrine and phenylephrine are available as oral tablets and liquids, while the latter is also available as a direct-acting nasal spray. You may opt-out of email communications at any time by clicking on
Enter multiple addresses on separate lines or separate them with commas. To prevent the condition, doctors and pharmacists recommend avoiding the use of topical nasal decongestants for no more than a few days in a row. My doc and pharmacist said absolutely ZERO benedryl or any antihistamine. Use these dosage charts for infants and children under 12 years old: The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The combination of fenfluramine and phentermine had been widely used to promote weight loss, and many women were inadvertently exposed during the first trimester of pregnancy. The risks we identified should be kept in perspective, Mitchell cautioned. There are no controlled data in human pregnancy. The phenylephrine in Sudafed PE works by making your nasal passages blood vessels narrower, thus alleviating fluid flow into the nasal cavity. Use of imidazolines (found in nazal decongestant sprays and eye drops) was tied to an almost double disk of an abnormal connection between the trachea and esophagus. :). Ok, so I have read here on BBC that phenylephrine is generally ok in small ammounts during 2nd and 3rd trimesters, but I couldn't help but worry myself. Normally, the first thing you'd do is reach for the nearest decongestant. Studies in animals are inadequate or may be lacking, but available data show no evidence of an increased occurrence of fetal damage.US FDA pregnancy category Not Assigned: The US FDA has amended the pregnancy labeling rule for prescription drug products to require labeling that includes a summary of risk, a discussion of the data supporting that summary, and relevant information to help health care providers make prescribing decisions and counsel women about the use of drugs during pregnancy. They also reduce the risk of a fertilized egg implanting outside the uterus (ectopic pregnancy). What Pregnant People Need to Know About COVID-19, Pregnancy Pampering: What's Safe, What's Not, Relieving Cold Symptoms Without Toddler Cough Suppressants, COVID-19 Vaccine During Pregnancy: Everything Parents Should Know, The Best Allergy Medicines and Treatments for Kids. This site complies with the HONcode standard for trustworthy health information: verify here. They found no link between the medications and several other deformities that had been suggested by previous studies, such as clubfoot or defects of the eye or face, according to the report published in the American Journal of Epidemiology. Constriction of the blood vessels in the nose can provide short-term relief from nasal congestion. Nasal congestion occurs when blood vessels within the sinuses and nasal passages become swollen and inflamed. Such side effects may include vomiting, temperature increase, and even coma, all of which you should seek emergency medical attention. 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! When you visit this site, it may store or retrieve information on your browser, mostly in the form of cookies. Especially tell your doctor if you: Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Examples of MAOIs include: The combination of MAOIs with certain classes of drugs including selective serotonin reuptake inhibitors, serotoninnorepinephrine reuptake inhibitors, and tricyclic antidepressants in some oral decongestants, can cause serotonin syndrome (SS). (2020). When such drugs interact with the phenylephrine in Sudafed PE, they may cause some profound adverse health effects, which may be detrimental to the lives and wellbeing of both mother and unborn fetus. Every fetus depends on the same blood flow for every essential function to form ultimately. Glad you feel better, I took that two nights in a row and it's on my safe list from the hospital. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride injection, DailyMed: Current Medication Information; U.S. National Library of Medicine. In: Meyler's Side Effects of Drugs. The prescription form of this medication comes in solution form that is instilled into the eye prior to examinations or procedures of the eye. Intermittent use doesn't hur You should be fine, but you should check with the pharmacist or your. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. 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