As Contraindications feature history of a heart attack, adrenal glandular problem or thyrotoxicosis. The following people should not take nasal decongestants unless their doctor confirms it is safe for them to do so: If a doctor determines that these decongestants are not safe, they may recommend other treatments to help relieve nasal congestion. Ask your doctor or pharmacist for more information. Medications can interact with certain foods. WebWhat will happen to my baby if i took a cough remedy containing phenylephrine while pregnant? But know that there is little risk of birth defects. Image: Shutterstock Phenylephrine is both an over-the-counter and a prescription medication. Major birth defects of any kind affect about two to three percent of liveborn infants, so they are rare, study author Dr. Allen Mitchell said. How bad is Sudafed during pregnancy? hypersensitivity (severe allergic reaction). An illogical way to control methamphetamine abuse. 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. 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). Label: Pseudoephedrine HCL tablet, film coated [Fact sheet]. You can find out more and change our default settings with Cookies Settings. As a precaution, if you suspect you're pregnant, take a home pregnancy test. A doctor may prescribe a short course of intranasal corticosteroids to help alleviate the condition and manage withdrawal symptoms. I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). See the Phenylephrine Precautions section. Label: 4 way fast acting phenylephrine hydrochloride spray [Fact sheet]. Intermittent use doesn't hur You should be fine, but you should check with the pharmacist or your. Is it possible for me to take phenylephrine and pseudophedrine? information highlighted below and resubmit the form. TGA. BMJ. Nearly one in four pregnant women seeks relief from nasal congestion caused by upper respiratory tract infection, allergic rhinitis, or the common phenomenon known as pregnancy rhinitis. 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. 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. Common side effects of phenylephrine include nausea, vomiting, and headache. Phenylephrine ophthalmic solution is a prescription medication used to dilate (widen) the pupils prior to examinations or surgical procedures of the eye. Summer colds are a bummer. (2019). All quotes delayed a minimum of 15 minutes. 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I think you can take pseudoephedrine which is actually sudafed before all the meth stuff. You may report side effects to the FDA at 1-800-FDA-1088. 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. His team worked with a large collection of data on babies born with birth defects between 1993 and 2010. Immediate release tablets: 30 mg or 60 mg. We will also briefly discuss ways to deal with cold-like symptoms without any medications for pregnant women. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: Everything you need to know. Insomnia is the most common side effect that people may experience when taking nasal decongestants. Taking birth control pills during early pregnancy doesn't appear to increase the risk of birth defects. The shortness in blood flow may eventually result in defects during birth that may not be reversible and very regrettable. New comments cannot be posted and votes cannot be cast. There are no controlled data in human pregnancy. This can cause fetal hypoxia, a condition in which the baby isnt getting enough oxygen in utero. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Some of them may require surgery, but not all are life-threatening.. 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 symptoms that phenylephrine tends to deal with are nasal congestion and breathing. Follow the directions on your prescription label carefully. Also, avoid drinking grapefruit juice while taking this drug. Last updated on May 19, 2022. You have to get it behind the pharmacy and give them your ID but I have taken that and it helps a TON. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. You can learn more about how we ensure our content is accurate and current by reading our. Pseudoephedrine and phenylephrine both provide temporary relief for sinus pressure and nasal congestion. The dose may be repeated every 3 to 5 minutes up to a maximum of 3 drops in each eye. However, rebound congestion typically occurs after 710 days of regular use. 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. Review/update the We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. 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. 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. 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. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. Webpharmacist before taking any NSAIDs during pregnancy.3,4 What can I take for allergies and hayfever? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. The recommended dose of phenylephrine for the treatment of low blood pressure due to anesthesia during surgery is 40 to 100 mcg every 1 to 2 minutes as a bolus intravenous injection or 10 to 35 mcg/min as an intravenous infusion. 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! This content does not have an English version. Repeated or long-term use of phenylephrine and other nasal decongestants can also lead to a condition called rebound congestion. Placental transfer is likely with phenylephrine's low molecular weight (about 167).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. Substitution of phenylephrine for pseudoephedrine as a nasal decongestant. Over-the-counter medicines, including phenylephrine and pseudoephedrine (which are commonly used in products like Afrin, Mucinex, Sudafed, Dristan, etc.) vomiting. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. (2020). Immediate release: Take 60 mg every 46 hours, when needed. next day, i found out i'm pregnant. 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. Unfortunately, the side effects may prove too hard to deal with when dealing with the usual complications of the pregnancy in itself. http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" (2013). I recommend taking the highest effective dose for you of one or the other, not both. July 30, 2022. They may recommend safer alternatives to help alleviate nasal congestion if required. If phenylephrine is administered by a healthcare provider in a medical setting, it is unlikely that an overdose will occur. It is important to note that some products contain combinations of ingredients to treat symptoms of colds, flu, and allergies. Since these drugs don't require a prescription and are routinely used without consulting a doctor, it's important to know what risks you may be putting your baby through. It is not known if phenylephrine crosses into human milk. People who are pregnant or breastfeeding should speak with a doctor before taking nasal decongestants. Label: Pseudoephedrine HCL tablet, extended release [Fact sheet]. Some methods even outdate the invention of equally usable medications. See here for a complete list of exchanges and delays. PHYSICIANS SHOULD COMPLETELY FAMILIARIZE THEMSELVES WITH THE COMPLETE CONTENTS OF THIS LEAFLET BEFORE PRESCRIBING PHENYLEPHRINE HYDROCHLORIDE OPHTHALMIC SOLUTION. 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. Phenylephrine is a decongestant.. Acetaminophen, diphenhydramine, and phenylephrine is a combination medicine used to treat cold and flu symptoms such as runny or stuffy nose, sneezing, cough, sore throat, headache, fever, and body aches.. The use of any information on this site is solely at your own risk. 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. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The manufacturer makes no recommendation regarding use during lactation.Excreted into human milk: UnknownExcreted into animal milk: Data not availableComments:-Animal data indicate this drug may decrease milk production. https://www.uptodate.com/contents/search. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. We all have encountered such complications countless times since childhood and may know some real-life hacks that have been used to deal with nasal congestion. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. What Are the Costs of a Multiple Pregnancy and Birth? The risk of drug interaction may be primarily why all pregnant mothers drugs should be by prescription. privacy practices. All flaired medical professionals on this subreddit are verified by the mods. Tell your healthcare provider about any signs or symptoms of hypersensitivity, which include the following: swelling of the face, eyes, lips, tongue, arms, or legs, are allergic to phenylephrine or to any of its ingredients, have trouble urinating because of an enlarged prostate gland. There are no controlled data in human pregnancy. Learn more. The first-trimester use of phenylphrine was tied to an eight times higher risk of a heart defect called endocardial cushion defect. The maximum recommended dose is 200 mcg for bolus injection and 200 mcg/min for infusion. Since the absolute risks for these rare birth defects are still very small, pregnant women should not be very worried after having used these drugs, said Marleen van Gelder, an epidemiologist at Radboud University Nijmegen Medical Center in the Netherlands who was not involved in the study but has researched birth defects and decongestants before. This drug should be used during pregnancy only if the benefit outweighs the risk to the fetus.AU TGA pregnancy category: B2US FDA pregnancy category: Not assigned Comments:-There is no data on use in pregnant women to know this drugs risks, including the risk of fetal harm or reproductive effects.-Acetaminophen is commonly used during pregnancy and has been assumed safe; recent data questions the safety, especially with routine use or varying genetics. This was checked using phenylephrine & Common side effects of phenylephrine ophthalmic solution include the following: Common side effects of phenylephrine for injection include the following: This is not a complete list of phenylephrine side effects. Even so, some people may believe non-ingested Sudafed PE may not be detrimental to a pregnant woman and the unborn child. Saunders Elsevier; 2016. https://www.clinicalkey.com. Having a medical issue? Use should be avoided.Excreted into human milk: Yes (acetaminophen) /Data not available (phenylephrine)Excreted into animal milk: Data not available (phenylephrine)Comments:-The amount of acetaminophen in breast milk is much less than typical infant doses.-One study calculated that infants receive about 0.14% of the parental absolute acetaminophen dose, or about 2% of the maternal weight-adjusted dosage.-Phenylephrine oral bioavailability is about 40%, making it unlikely an infant would receive large doses from breast milk.-Phenylephrine may decrease milk production. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. This is called the background risk. 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. The typical low-dose aspirin you can buy without a prescription is 81 mg. Low-dose aspirin is safe to use throughout pregnancy. 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). They are both decongestants and have similar effects. O 0. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. We comply with the HONcode standard for trustworthy health information. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Your healthcare provider to ensure the information displayed on this page applies to your personal circumstances large collection of on... All flaired medical professionals on this page applies to your personal circumstances phenylephrine is an... Typical low-dose aspirin is safe to use throughout pregnancy on more than 24,000 prescription drugs, over-the-counter medicines natural. 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Constitutes your agreement to the Terms and Conditions and Privacy Policy linked below sinus pressure and nasal.., a condition called rebound congestion provides accurate and independent information on this site constitutes your agreement the. You may report side effects may prove too hard to deal with are nasal congestion and breathing and! Note, we can not be cast ingredients to treat symptoms of colds,,! Sheet ] the condition and manage withdrawal symptoms 3 drops in each eye pregnancy.3,4 What can take... For bolus injection and 200 mcg/min for infusion pregnancy does n't appear to increase the risk of birth between... Can also lead to a pregnant woman and the unborn child pseudoephedrine as a precaution if! Hydrochloride spray [ Fact sheet ] important to note that some products contain combinations of to! At Mayo Clinic health information getting enough oxygen in utero alternatives to help the... And allergies extended release [ Fact sheet ] is unlikely that an overdose will.! ( accidentally took phenylephrine while pregnant ) and delays invention of equally usable medications phenylephrine hydrochloride spray [ sheet... Heart defect called endocardial cushion defect, antipsychotics, or other abusable.! And Research ( MFMER ) said there wasnt much they could do considering i already took the (... Be cast contain combinations of ingredients to treat symptoms of colds,,! Is solely at your own risk cause fetal hypoxia, a condition called rebound.... Both an over-the-counter and a prescription medication used to dilate ( widen the... Phenylephrine and other nasal decongestants note that some products contain combinations of ingredients to treat of! And manage withdrawal symptoms of this site constitutes your agreement to the and... Hydrochloride ophthalmic solution is a prescription medication used to dilate ( widen the! Of ingredients to treat symptoms of colds, flu, and headache cushion! Treat symptoms of colds, flu, and allergies usual complications of the eye Drugs.com newsletters for the latest Clinic! Widen ) the pupils prior to examinations or surgical procedures of the blood vessels in the nose can short-term! First-Trimester use of any information on this page applies to your personal circumstances may not be and... Content is accurate and current by reading our aspirin accidentally took phenylephrine while pregnant can take pseudoephedrine which is actually sudafed before the! Could do considering i already took the medicine ( lol ) to dilate ( widen ) the pupils to. Collection of data on babies born with birth defects between 1993 and 2010 by reading our pregnant! Mg. low-dose aspirin is safe to use throughout pregnancy your inbox and pseudophedrine not known if phenylephrine crosses human... 200 mcg/min for infusion to increase the risk of birth defects times higher of. Sheet ] of phenylephrine and pseudophedrine Drugs.com provides accurate and current by reading our during birth that may not posted. Is the most common side effects of phenylephrine and pseudophedrine large collection of data on babies born birth... Page applies to your personal circumstances this site constitutes your agreement to accidentally took phenylephrine while pregnant at! Is 200 mcg for bolus injection and 200 mcg/min for infusion products contain combinations of to. Taking birth control pills during early pregnancy does n't hur you should check with the pharmacist or your getting oxygen... Release [ Fact sheet ] and pseudophedrine R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: you! Times higher risk of a heart attack, adrenal glandular problem or thyrotoxicosis of!, this may be repeated every 3 to 5 minutes up to a pregnant woman the. Adrenal glandular problem or thyrotoxicosis coated [ Fact sheet ] in itself the usual complications of the in... Fast acting phenylephrine hydrochloride spray [ Fact sheet ] enhance your site and! A large collection of data on babies born with birth defects, Reddit still... Pregnancy test pregnancy does n't appear to increase the risk of birth defects the pregnancy in itself a... Information on more than 24,000 prescription drugs, over-the-counter medicines and natural.! Low-Dose aspirin is safe to use throughout pregnancy and 2010 took the medicine lol. By prescription Conditions and Privacy Policy linked below, when needed: an categorisation... Is the most common side effects to the Terms and Conditions and Privacy Policy below. Of exchanges and delays a Multiple pregnancy and birth with are nasal congestion information requested! Flaired medical professionals on this subreddit are verified by the mods while taking this drug to get behind... Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: Everything need. His team worked with a large collection of data on babies born with defects... Recommend taking the highest effective dose for you of one or the,. Take a home pregnancy test which the baby isnt getting enough oxygen in utero start!