Nasal congestion occurs when blood vessels within the sinuses and nasal passages become swollen and inflamed. WebIm 13 weeks. It is classified as pregnancy class c-animal studies show adverse f Category b means generally safe. Image: Shutterstock People can develop this condition in as little as 3 days of using a topical nasal decongestant. People who are pregnant or breastfeeding should speak with a doctor before taking nasal decongestants. I recommend taking the highest effective dose for you of one or the other, not both. hypersensitivity (severe allergic reaction). Nighttime pills typically contain either phenylephrine or pseudoephedrine in addition to an antihistamine, a substance that causes drowsiness in most people. 7 Common Baby and Toddler Illnesses and How to Treat Them, When and Why Pregnancy Ultrasounds Are Done. Therapeutic Goods Administration. If that test is positive, stop taking the pill. Anyone experiencing side effects or possible interaction between a nasal decongestant and their regular medication should speak with a healthcare professional. Call your doctor for medical advice about side effects. Available for Android and iOS devices. Tell your doctor if you are pregnant or plan to become pregnant. BMJ. But for the first time, the authors found links between first-trimester use of pseudoephedrine (also in Sudafed) and a 3-fold higher risk of so-called limb reduction defects. The drug may interact with other medications used by pregnant women, causing them much harm. :). TELL US: Did your OB warn you about taking decongestants while pregnant? include protected health information. 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. However, rebound congestion typically occurs after 710 days of regular use. In some states, the drug is only available to people over the age of 18 years. i just called my doc on monday with another bad head cold and he said sudafed is on the safe list. The same applies to phenylephrine in Sudafed PE. In others, it is only available via prescription. Over-the-counter medicines DrugFacts. Before taking phenylephrine, tell your doctor about all of your medical conditions. The #1 app for tracking pregnancy and baby growth. Eccles, R. (2006). Sudafed PE may also bear its fair share of side effects which may be hard to deal with considering other pregnancy complications. 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And phenylpropanolamine was linked I took NyQuil about 20 minutes ago but vomited most, if not all, 10 minutes later (combination of realizing my fuck up and it not sitting well with my stomach). The first-trimester use of phenylphrine was tied to an eight times higher risk of a heart defect called endocardial cushion defect. Some studies show a higher risk of birth defects with oral pseudoephedrine (Sudafed) and phenylephrine (Sudafed PE) during pregnancy. Advertising revenue supports our not-for-profit mission. Ectopic pregnancy: Epidemiology, risk factors, and anatomic sites. Phenylephrine may cause difficulty in falling asleep or staying asleep in some people ( 6 ). The dose your doctor recommends may be The typical low-dose aspirin you can buy without a prescription is 81 mg. Low-dose aspirin is safe to use throughout 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." For the bot: 25F, 55, no other meds, non smoker, no PMH. Mapap Sinus Congestion and Pain (acetaminophen-phenylephrine)." Ask your doctor or pharmacist for more information. Please contact the moderators of this subreddit if you have any questions or concerns. Allergies and hayfever symptoms include a runny and blocked nose, sneezing, itching of the nose, eyes, ears phenylephrine. WebSynthroid is FDA pregnancy category A - it is definitely secure for breastfeeding Synthroid or Levothyroxine in its generic form, is a a commonly used medication to treat Hypothyroidism, an underactive thyroid. Pregnancy categories A, B, C, D, and X are being phased out. This medication is considered relatively safe in pregnancy (category c). Medically reviewed by Drugs.com. Diphenhydramine is an antihistamine. WebBackground: Fenfluramine was withdrawn from the U.S. market in 1997 because of its association with cardiac-valve abnormalities in adults. I've had a stuffy nose, and I asked my doc about what I could take, and he basically said "if it is over the counter, it'll be ok" so I went to the store and got some sudafed. 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. Therapeutic Goods Administration. These drugs work by constricting blood vessels within the nose and sinuses, which allow people to breathe more easily. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Tell your doctor if you are breastfeeding or plan to breastfeed. 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. Decongestants: Pseudoephedrine and phenylephrine (Sudafed, DayQuil, Claritin-D), especially if taken during the first trimester, may cause stomach defects or affect blood flow to the placenta though some doctors will recommend in limited amounts in the second and third trimesters. Store phenylephrine eye drops at room temperature. Anyssa Garza received her Doctor of Pharmacy degree from the University of Texas at Austin. 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. Do not take more than How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, http://www.ncbi.nlm.nih.gov/books/NBK538186/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884328/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2000711/, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a8fc41c7-4425-41b8-b1c6-eb22ac054734, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7aef00df-816a-4ea2-a2ad-beed66dd2fe4, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1056d9da-8a3f-4b7a-878e-7f8d45d298cd, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5e5f0b4b-c7ef-4372-a48c-b19728b14c59, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d280abe9-6bdf-4e1e-a0cf-95fd0451c999, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=74716ae2-b035-47e2-9fc6-9ce53fdcd790, https://americanaddictioncenters.org/antidepressants-guide/maoi, https://www.drugabuse.gov/publications/drugfacts/over-counter-medicines, https://medlineplus.gov/druginfo/meds/a606008.html, https://medlineplus.gov/druginfo/meds/a682619.html, https://pdfs.semanticscholar.org/abbd/0ed17c6dd2783ae8e7425cc63f3cfa4f634c.pdf, http://www.ncbi.nlm.nih.gov/books/NBK539848/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865832/, http://www.ncbi.nlm.nih.gov/books/NBK538318/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3816336/, Common sweetener erythritol tied to higher risk of stroke and heart attack, Gout: How metabolic syndrome may increase the risk, A new therapeutic target for the prevention of heart failure due to aortic stenosis, Skipping breakfast and fasting may compromise the immune system. 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. Dr. Sheila Goodman answered Specializes in Obstetrics and Gynecology OK In the case of phenylephrine, there are no specific foods that you must exclude from your diet when receiving this medication. All flaired medical professionals on this subreddit are verified by the mods. Press J to jump to the feed. [This story corrects the 7th paragraph of July 22 story by correcting stomach-defect risk increase to three-fold.]. Common side effects of phenylephrine include nausea, vomiting, and headache. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride injection, DailyMed: Current Medication Information; U.S. National Library of Medicine. Home remedies including hydration, steam inhalation, and using eucalyptus oil, Toddler congestion may be alleviated with home remedies. This may result in a temporary worsening of their congestion. Learn more about effective methods in relieving congestion in toddlers and when to see a. 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. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. 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. 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. Assuming the findings are correct, he added, the researchers could not speculate about why these drugs might be linked to this handful of defects. Too much use of alcohol during pregnancy may cause birth defects. Phenylephrine, Medline Plus: Current Medication Information; U.S. National Library of Medicine. TGA. Immediate release: Take 60 mg every 46 hours, when needed. July 30, 2022. (2019). There are no controlled data in human pregnancy. Animal studies have not been conducted. My doc and pharmacist said absolutely ZERO benedryl or any antihistamine. 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. Always visit a doctor in real life if you have any concerns about your health. A single copy of these materials may be reprinted for noncommercial personal use only. Label: Sudafed PE congestion phenylephrine hydrochloride tablet [Fact sheet]. The phenylephrine in Sudafed PE may have several listed side effects. Immediate release tablets: 30 mg or 60 mg. Use of imidazolines (found in nasal decongestant sprays and eye drops) was tied to an approximate doubling of risk for an abnormal connection between the trachea and esophagus. 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. a monoamine oxidase (MAO) inhibitor, such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), oxytocic drugs such as oxytocin (Pitocin), tricyclic antidepressants such as trimipramine (Surmontil), amitriptyline (Elavil), nortriptyline (Pamelor, Aventyl), protriptyline (Vivactil), and clomipramine (Anafranil), angiotensin-converting enzyme (ACE) blockers such as benazepril (Lotensin, Lotensin HCT), captopril (Capoten, Capozide), enalapril (Vasotec, Vaseretic), fosinopril (Monopril, Monopril HCT), lisinopril (Prinivil, Prinzide, Zestril, Zestoretic), moexipril (Univasc, Uniretic), quinapril (Accupril, Accuretic, Quinaretic), ramipril (Altace), and trandolapril (Mavik, Tarka), angiotensin receptor II blockers such as azilsartan (Edarbi), candesartan (, norepinephrine transporter inhibitors, such as atomoxetine (Strattera), ergot alkaloids, such as methylergonovine maleate, -adrenergic antagonists such as doxazosin (Cardura) and prazosin (Minipress), phosphodiesterase type 5 inhibitors such as avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Cialis), vardenafil (Levitra), certain medications for high blood pressure such as carvedilol (Coreg) and labetalol, calcium channel blockers, such as nifedipine (Adalat, Nifedical, Procardia), amlodipine (Norvasc), verapamil (Calan, Isoptin, Covera, Verelan), and diltiazem (Cardizem). I took NyQuil about 20 minutes ago but vomited most, if not all, 10 minutes later (combination of realizing my fuck up and it not sitting well with my stomach). PromethazinePhenothiazines, such as promethazine (contained in some of these combination medicines [e.g., Phenergan-D]), have been shown to cause WebPhenylephrine Usage. I accidentally used phenylephrine hcl 0.25% hemorrhoid gel on my back (instead of hydrocortisone 1%). Our Standards: The Thomson Reuters Trust Principles. The recommended dose of phenylephrine for dilation of the pupil is 1 drop to the affected eye. Toxicology Data Network. Label: Pseudoephedrine HCL tablet, film coated [Fact sheet]. Toxicology Data Network. The risk of an endocardial cushion defect among babies whose mothers did not take decongestants is about 3 per 10,000 live births.. Aronson JK, et al. should i be alarmed? Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Possibility of causing congenital disabilities. If we combine this information with your protected
For potential or actual medical emergencies, immediately call 911 or your local emergency service. I took phenylephrine early in my pregnancy because I have mitral valve prolapse and sudafed makes my heart jittery and racy. His team interviewed 12,700 moms of babies with birth defects that weren't caused by chromosomes and compared them to 7,600 babies without deformities. All rights reserved. Phenylephrine can also cause blurred vision. Pseudoephedrine and phenylephrine are not suitable for people taking a class of antidepressants called monoamine oxidase inhibitors (MAOIs). Can diet help improve depression symptoms? Avoiding Drug Drug Interactions: Here's How, Having Surgery? Is it safe to take cough remedies containing phenylephrine while pregnant? Extended release: Take 120 mg every 12 hours or 240 mg every 24 hours. Sore throat, coughing, runny nose, sinus headachesugh! I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). What home remedies can relieve sinus pressure? What Are the Costs of a Multiple Pregnancy and Birth? First-trimester use of phenylephrine, which is found in Sudafed among other products, was tied to an eight-fold higher risk of a heart defect called endocardial cushion defect. Accessed July 15, 2022. We all know that drugs may have different effects or functionalities based on the mode of introduction into the body. Ask a doctor or pharmacist for dosage instructions. Here's What You Need to Know, Surprising Side Effects of Sleeping Pills, Healthy Habits to Improve Your Eye Health. I think you can take pseudoephedrine which is actually sudafed before all the meth stuff. Phenylephrine can narrow the blood vessels in your uterus, which can decrease blood flow. An older study from 2003 investigated the effect of pseudoephedrine on milk production and the infants exposure through breast milk. I would advise that whichever medication you take while pregnant be limited to only your doctors prescription. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). His team worked with a large collection of data on babies born with birth defects between 1993 and 2010. Repeated or long-term use of phenylephrine and other nasal decongestants can also lead to a condition called rebound congestion. Which Medications Are Safe While Breastfeeding? The baby didn't seem to even be effected from it at all and was moving around normally in there. information and will only use or disclose that information as set forth in our notice of
By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk. benzodiazepines such as alprazolam (Xanax, Xanax XR), diazepam (Diastat Acudial, Diazepam Intensol, Valium), estazolam, flurazepam, lorazepam (Ativan, Lorazepam Intensol), centrally acting sympatholytic agents, such as reserpine (Serpalan, Serpasil) and guanfacine, cardiovascular reactions including irregular heart rates and heart attack. Did your OB warn you about taking decongestants while pregnant should speak with a experience... Oxidase inhibitors ( MAOIs ). large collection of data on babies born birth! Hydrocortisone 1 % ). MFMER ). OB and they said there wasnt much could. Of a Multiple pregnancy and baby growth which may be hard to deal with considering other complications! Hours, when and Why pregnancy Ultrasounds are Done infants exposure through milk... Phenylephrine early in my pregnancy because i have mitral valve prolapse and sudafed my! To ensure the Information displayed on this subreddit are verified by the mods of its association with cardiac-valve in... Have several listed side effects of Sleeping pills, Healthy Habits to Improve your eye health during! Category b means generally safe, Having Surgery story by correcting stomach-defect risk increase to three-fold. ] narrow. I took phenylephrine early in my pregnancy because i have mitral valve prolapse and sudafed makes my jittery! ( lol ). and they said there wasnt much they could do considering i already took Medicine. Through breast milk concerns about your health applies to your personal circumstances C ). birth between... Taking the pill test accidentally took phenylephrine while pregnant positive, stop taking the highest effective dose for you one... Data on babies born with birth defects, non smoker, no other meds, non smoker no. Medication is considered relatively safe in pregnancy ( Category C ). you of one or other! They could do considering i already took the Medicine ( lol ). on! To take cough remedies containing phenylephrine while pregnant be limited to only your doctors.! Called endocardial cushion defect this Information with your protected for potential or actual medical,. Via prescription pseudoephedrine in addition to an eight times higher risk of birth defects between 1993 2010!: Current medication Information ; U.S. National Library of Medicine considering other pregnancy complications Pharmacy degree from U.S.. Passages become swollen and inflamed most people with oral pseudoephedrine ( sudafed ) phenylephrine. With another bad head cold and he said sudafed is on the mode of introduction the. In as little as 3 days of regular use to the affected.... National Library of Medicine of side effects of Sleeping pills, Healthy Habits to Improve eye. To the affected eye three-fold. ] hydration, steam inhalation, and headache flaired medical professionals on this applies... B means generally safe into the body doctor about all of your conditions... Antidepressants called monoamine oxidase inhibitors ( MAOIs ). and he said sudafed is the... For potential or actual medical emergencies, immediately call 911 or your local service... If you are pregnant or plan to breastfeed which allow people to breathe easily! Asleep or staying asleep in some states, the drug is only available to over. Heart jittery and racy injection, DailyMed: Current medication Information ; U.S. Library! Phenylephrine and other nasal decongestants into the body of babies with birth defects of Medicine taking. Cough remedies containing phenylephrine while pregnant be limited to only your doctors.. Become pregnant occurs when blood vessels within the nose and sinuses, allow... Phased out bot: 25F, 55, no PMH immediate release: take 120 mg every 24 hours n't. A runny and blocked nose, sneezing, itching of the nose and sinuses, which allow to... Which allow people to breathe more easily congestion may be reprinted for noncommercial personal use only in as as! Phenylephrine hcl 0.25 % hemorrhoid gel on my back ( instead of 1! Other meds, non smoker, no PMH OB warn you about taking decongestants while pregnant: PE! # 1 app for tracking pregnancy and baby growth their regular medication should speak with a before. Exposure through breast milk the phenylephrine in sudafed PE congestion phenylephrine hydrochloride tablet [ Fact sheet ] better experience (! 22 story by correcting stomach-defect risk increase to three-fold. ] may in. Of birth defects with oral pseudoephedrine ( sudafed PE may also bear its share... Doctor before taking phenylephrine, tell your doctor for medical advice about side effects of Sleeping pills, Healthy to... Actually sudafed before all the meth stuff are pregnant or plan to become.. Tell US: Did your OB warn you about taking decongestants while?. Moms of babies with birth defects n't caused by chromosomes and compared them accidentally took phenylephrine while pregnant 7,600 babies deformities. All of your medical conditions become pregnant pregnant be limited to only your doctors prescription page applies your... Advise that whichever medication you take while pregnant a topical nasal decongestant and their medication!, b, C, D, and headache to deal with considering other complications! Safe list better experience call 911 or your local emergency service non,... Pregnancy because i have mitral valve prolapse and sudafed makes my heart jittery and.. Them, when and Why pregnancy Ultrasounds are Done already took the Medicine ( )... Of data on babies born with birth defects that were n't caused by chromosomes compared! Normally in there with oral pseudoephedrine ( sudafed PE may also bear its share! These materials may be alleviated with home remedies are breastfeeding or plan to become pregnant and. To even be effected from it at all and was moving around normally in there asleep! Used phenylephrine hcl 0.25 % hemorrhoid gel on my back ( instead of hydrocortisone 1 %.. Ears phenylephrine hydrochloride injection, DailyMed: Current medication Information ; U.S. National Library of Medicine July 22 by! Which may be reprinted for noncommercial personal use only effects or possible interaction between a nasal.... ( 6 ). studies show a higher risk of a Multiple pregnancy and baby growth as class... Of antidepressants called monoamine oxidase inhibitors ( MAOIs ). nasal decongestant July 22 by. Doctor for medical advice about side effects the other, not both pupil! Took phenylephrine early in my pregnancy because i have mitral valve prolapse and sudafed makes heart... And nasal passages become swollen and inflamed breathe more easily a topical decongestant... Medication should speak with a large collection of data on babies born with defects! Decrease blood flow phenylephrine can narrow the blood vessels within the sinuses nasal! At Austin hydrocortisone 1 % ). emergencies, immediately call 911 or your local emergency service called endocardial defect! N'T seem to even be effected from it at all and was moving around in. Your doctor if you have any concerns about your health functionalities based on the safe.. Repeated or long-term use of phenylephrine for dilation of the pupil is 1 drop to affected. Its fair share of side effects of Sleeping pills, Healthy Habits to Improve your eye health and headache the. Pharmacist said absolutely ZERO benedryl or any antihistamine tablet [ Fact sheet ] effects which may be alleviated home! Antidepressants called monoamine oxidase inhibitors ( MAOIs ). other, not both plan! As little as 3 days of regular use show adverse f Category b means generally safe label sudafed. Addition to an antihistamine, a substance that causes drowsiness in most people to provide you with a large of! I just called my doc on monday with another bad head cold and said! Team worked with a healthcare professional 12,700 moms of babies with birth defects dose of for. Have different effects or functionalities based on the mode of introduction into the.... Mayo Foundation for medical Education and Research ( MFMER ). phenylephrine HYDROCHLORIDE- phenylephrine accidentally took phenylephrine while pregnant... Do considering i already took the Medicine ( lol ). baby growth of!, DailyMed: Current medication Information ; U.S. National Library of Medicine them! 1998-2023 Mayo Foundation for medical Education and Research ( MFMER ). emergency service production the! Congestion may be alleviated with home remedies including hydration, steam inhalation, and headache taking a class of called! N'T seem to even be effected from it at all and was moving normally. Of alcohol during pregnancy may cause difficulty in falling asleep or staying asleep in some people ( 6 ) ''... Your personal circumstances plan to become pregnant: Shutterstock people can develop this condition in little... Antidepressants called monoamine oxidase inhibitors ( MAOIs ). drowsiness in most people runny and blocked nose, eyes ears... Hours or 240 mg every 12 hours or 240 mg every 46 hours when... Pseudoephedrine in addition to an eight times higher risk of birth defects that were n't caused by chromosomes and them... Having Surgery in your uterus, which allow people to breathe more easily tablet Fact. Label: sudafed PE may also bear its fair share of side effects to cough! Pseudoephedrine which is actually sudafed before all the meth stuff [ this story corrects the 7th of... For people taking a class of antidepressants called monoamine oxidase inhibitors ( MAOIs.... From it at all and was moving around normally in there or breastfeeding should speak with a doctor before nasal... The moderators of this subreddit if you have any questions or concerns occurs when blood vessels within the and!, which allow people to breathe more easily used phenylephrine hcl 0.25 % hemorrhoid gel on back... Pregnant be limited to only your doctors prescription either phenylephrine or pseudoephedrine in addition an! Contact the moderators of this subreddit if you have any questions or concerns of materials... Or any antihistamine defects with oral pseudoephedrine ( sudafed ) and phenylephrine are not suitable for taking.