The narrowing of blood vessels in pregnant women may happen in the uterus, adversely affecting the fetus and causing congenital disabilities. Sudafed PE may also bear its fair share of side effects which may be hard to deal with considering other pregnancy complications. Therefore in some instances, some pregnant mothers may be advised to take the less intense inhaler than the ingested form; others may cope with the latters effects, while others have to avoid the drug altogether. Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. 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. 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! Repeated or long-term use of phenylephrine and other nasal decongestants can also lead to a condition called rebound congestion. Take this medication exactly as prescribed by your doctor. 7 Common Baby and Toddler Illnesses and How to Treat Them, When and Why Pregnancy Ultrasounds Are Done. Possibility of causing congenital disabilities. I took phenylephrine early in my pregnancy because I have mitral valve prolapse and sudafed makes my heart jittery and racy. This medication may be prescribed for other uses. Eccles, R. (2006). -Routine use of acetaminophen during pregnancy is not advised. However, if overdose is suspected, seek emergency medical attention. Is the ketogenic diet right for autoimmune conditions? Aronson JK, et al. I think it is so interesting that all these docs are saying different things. Summer colds are a bummer. Spray Sudafed PE is believed to be safer than the ingested form since it does not affect either the uterus or the future wellbeing of the yet unborn baby. Ask your doctor or pharmacist for more information. Phenylephrine is not considered safe for pregnant women, especially during the first trimester, because of its association with birth defects. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. For potential or actual medical emergencies, immediately call 911 or your local emergency service. By using our website, you consent to our use of cookies. Medically reviewed by Drugs.com. Our Standards: The Thomson Reuters Trust Principles. All rights reserved. I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). My doc said its ok too to take anything OTC now tht m this far along. dizziness. WebBackground: Fenfluramine was withdrawn from the U.S. market in 1997 because of its association with cardiac-valve abnormalities in adults. The dose your doctor recommends may be You may report side effects to the FDA at 1-800-FDA-1088. While there may not be a lot of research concretely proving that Tylenol during pregnancy is safe, the lack of data for adverse effects leads experts to largely Review/update the Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. I was prescribed amoxicillin & phenylephrine hcl for sinusitis. They may recommend safer alternatives to help alleviate nasal congestion if required. Accidentally because I had a brain fart moment and forgot I was pregnant even though I know its not recommended during pregnancy So my rational brain is gone at the moment and Im freaking out that I could have harmed my baby. Substitution of phenylephrine for pseudoephedrine as a nasal decongestant. Phenylephrine falls into category C. No studies have been done in animals, and no well-controlled studies have been done in pregnant women. 2023 The Heart & Brain. Over-the-counter medicines, including phenylephrine and pseudoephedrine (which are commonly used in products like Afrin, Mucinex, Sudafed, Dristan, etc.) (2019). Especially tell your doctor if you take: This is not a complete list of phenylephrine drug interactions. 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. TELL US: Did your OB warn you about taking decongestants while pregnant? Pregnancy categories A, B, C, D, and X are being phased out. But if you're pregnant, don't! This should offer some reassurance to women who have taken these medications in pregnancy, Mitchell said. Nighttime pills typically contain either phenylephrine or pseudoephedrine in addition to an antihistamine, a substance that causes drowsiness in most people. Toxicology Data Network. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. However, it is possible to convert pseudoephedrine into methamphetamine, so people can potentially use this medication for illicit use. To learn more, please visit our. Mayo Clinic. (2020). 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. Label: Pseudoephedrine HCL tablet, film coated [Fact sheet]. If you experience side effects, then stop using the drug, and see a The following chart displays important facts about pseudoephedrine and phenylephrine, including their uses, medication forms, and strengths in milligrams (mg). To tackle cold-like symptoms, you can increase fluid intake, increase resting time, take warm baths and even use humidifiers. 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.. I (22w3d) accidentally took the recommended dosage of Sudafed PE (phenylephrine) over the course of a few days rather than my doctor recommend Sudafed (pseudoephedrine). By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Before taking phenylephrine, tell your doctor about all of your medical conditions. The over-the-counter form is used to treat nasal congestion. See the Phenylephrine Precautions section. 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. All flaired medical professionals on this subreddit are verified by the mods. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. It is not known if phenylephrine crosses into human milk. Available for Android and iOS devices. As a precaution, if you suspect you're pregnant, take a home pregnancy test. 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. Overall, the safety of phenylephrine during pregnancy is not certain. Pregnant people may also be prone to infections which may necessitate the prescription of some drugs. Phenylephrine belongs to a group of drugs called sympathomimetic agents. There are no adequate scientific studies to prove the safe use of the decongestant medication phenylephrine when pregnant. First-trimester exposure may have harmful fetal outcomes, but the intranasal application has a lower risk. Too much phenylephrine may worsen congestion, increase blood pressure, or decrease heart rate, among other side effects. However, if pregnant women use over-the-counter medicines, they should have prescriptions from their doctors because unprescribed drugs may affect either you or the fetus. According to an older review from 2013, exposure to nasal decongestants during the first trimester may cause developmental defects in the growing fetus. i think you'll be okif u don't feel safe taking it then I wouldn't..try something like benedryl or tylonal pm. I've done that with my last pregnancy and when I'm not pregnant. "Drugs in Pregnancy and Lactation." This medication comes in solution form and is injected into a vein by a healthcare professional during surgical procedures. Maternal use of oral contraceptives and risk of birth defects in Denmark: Prospective, nationwide cohort study. The mod team does their best to remove bad information, but we do not catch all of it. Every pregnancy starts out with a 3-5% chance of having a birth defect. Do not drive or operate heavy machinery until you know how phenylephrine affects you. Toxicology Data Network. Were proud to be a team of writers who are truly passionate about all things health.Coming together from all parts of the world, we share a common goal of helping serve many with our comprehensive research and clear writing style. TGA. Mothers were asked about medications they took while pregnant and in the two months before becoming pregnant. During the first trimester, higher doses of aspirin may raise 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. New comments cannot be posted and votes cannot be cast. The use of any information on this site is solely at your own risk. While diphenhydramine can be used during pregnancy, it is not normally recommended. This is because of the side effects, which may be more significant during pregnancy. Discuss with your doctor or pharmacist other medicines, such as chlorphenamine , that may more suitable. information highlighted below and resubmit the form. 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. I know we can take Benedryl and the active ingredient is actually whats in Tylenol PM without the antecitaminophen. 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). Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. nervousness. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride solution/ drops, DailyMed: Current Medication Information; U.S. National Library of Medicine. 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. 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. 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. 12 The American College of Obstetricians and Gynecologists Anyssa Garza received her Doctor of Pharmacy degree from the University of Texas at Austin. (2020). By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Thank you for your submission. Im 13 weeks. Such side effects may include vomiting, temperature increase, and even coma, all of which you should seek emergency medical attention. Diphenhydramine is an antihistamine. Even the eight-fold increase in risk indicated by the study results, while it sounds large, would translate to a 2.7 in 1,000 chance the baby would have the defect, he said. This is called the background risk. Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. The lowest possible dose required to achieve the desired effect should be used. This is a potentially serious condition where the body produces too much of the neurochemical serotonin. Acetaminophen: Routinely used during all stages of pregnancy, it appears safe for short-term use. Ask your doctor or pharmacist for more information. For the bot: 25F, 55, no other meds, non smoker, no PMH. We will also briefly discuss ways to deal with cold-like symptoms without any medications for pregnant women. Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. 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. Progestin-only pills (POPs) for contraception. 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 content does not have an English version. Tell your doctor if you are breastfeeding or plan to breastfeed. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. You should consult with a medical professional if you have any questions about your health. 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. Certain people need to speak with a doctor before they consider taking decongestants. However, rebound congestion typically occurs after 710 days of regular use. the unsubscribe link in the e-mail. 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. Some studies show a higher risk of birth defects with oral pseudoephedrine (Sudafed) and phenylephrine (Sudafed PE) during pregnancy. Glad you feel better, I took that two nights in a row and it's on my safe list from the hospital. We all know that drugs may have different effects or functionalities based on the mode of introduction into the body. Can diet help improve depression symptoms? The FDA categorizes medications based on safety for use during pregnancy. 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. What do you know about pregnancy and medications? Birth control pills lower the risk of pregnancy. Higher doses of aspirin typically are not recommended during pregnancy. https://www.uptodate.com/contents/search. Pseudoephedrine and phenylephrine both provide temporary relief for sinus pressure and nasal congestion. Can I take methylprednisolone with phenylephrine, Can i take phenylephrine with diphenhydramine. 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. Call your doctor for medical advice about side effects. Last updated on Aug 29, 2022. If women can get through natural childbirth, they can certainly survive an annoying cold! Didn't find any significant interactions. And phenylpropanolamine (Acutrim) was also linked to an eight-fold risk of defects of the ear and a three-fold increase in stomach defects. Benadryl Dosage Charts (Infants & Children). The drug may interact with other medications used by pregnant women, causing them much harm. Cold-like symptoms may make your nasal passage extremely congested. http://www.tga.gov.au/docs/html/medpreg.htm" (2010): "Product Information. Taking phenylephrine chronically could cause growth restriction (small size related to decreased blood flow to the baby). That may reduce the amount of blood flowing into the uterus. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Medically reviewed by Drugs.com. Immediate release: Take 60 mg every 46 hours, when needed. For example, the same medication may have other products when injected than when taken as a pill or inhaled as a spray. 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. Although individuals can typically purchase these medications without a prescription, they are not safe for everyone. The first-trimester use of phenylphrine was tied to an eight times higher risk of a heart defect called endocardial cushion defect. In addition, I believe you must avoid random over-the-counter medicines for your safety and that of your unborn child. Understand though there is Sudafed (phenylephrine) and Sudafed (pseudoephedrine) I know pseudoephedrine is on my safe list but I really don't know about the other. Phenylephrine is known to be relatively safe for breastfeeding women. But due to lack of adequate research on the subject, it is better to avoid its use whenever possible. So, no! It is not safe to use Phenylephrine while you are breastfeeding. Is It Safe To Take Antibiotics While Breastfeeding? i'm 5 months pregnant. People can develop this condition in as little as 3 days of using a topical nasal decongestant. There is a problem with Last updated on May 19, 2022. This includes those taking existing medications, individuals with underlying health conditions, and those who are pregnant or breastfeeding. This formula has 10% alcohol, phenylephrine, acetaminophen and whatever is in Vicks vapocool. There are no controlled data in human pregnancy. Ectopic pregnancies most often form in one of the tubes that carry eggs from the ovaries to the uterus (fallopian tubes). Accessed July 15, 2022. Phenylephrine Hydrochloride (phenylephrine)." Phenylephrine ophthalmic solution is a prescription medication used to dilate (widen) the pupils prior to examinations or surgical procedures of the eye. 9 methods for relieving congestion in toddlers. Ask a doctor or pharmacist for dosage instructions. Find everything you need to know about Pseudoephedrine (Sudafed), including what it is used for, warnings, reviews, side effects, and interactions. This article outlines the similarities and differences between pseudoephedrine and phenylephrine. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: Everything you need to know. You probably know pregnant women dont use over-the-counter medication. Phenylephrine, Medline Plus: Current Medication Information; U.S. National Library of Medicine. Kaunitz AM. Therapeutic Goods Administration. The FDA also controls how much pseudoephedrine a person can purchase in a given month. Pseudoephedrine and phenylephrine are available as oral tablets and liquids, while the latter is also available as a direct-acting nasal spray. I had trouble sleeping and my doc said to take benadryl oh how I love benadryl lol. My doc and pharmacist said absolutely ZERO benedryl or any antihistamine. PHYSICIANS SHOULD COMPLETELY FAMILIARIZE THEMSELVES WITH THE COMPLETE CONTENTS OF THIS LEAFLET BEFORE PRESCRIBING PHENYLEPHRINE HYDROCHLORIDE OPHTHALMIC SOLUTION. Press J to jump to the feed. 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. The associations we identified involved defects that generally affect less than 1 per 1,000 infants. WebDoes taking phenylephrine increase the chance of birth defects? As a result, they may lose a lot of blood during delivery; whether expected delivery or caesarian, they have to take iron supplements to boost their blood levels and avoid future emergencies. 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. Available for Android and iOS devices. hypersensitivity (severe allergic reaction). Ask your doctor or pharmacist for more information. Pseudoephedrine and phenylephrine are medications that can help alleviate nasal congestion. 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. Intermittent use doesn't hur You should be fine, but you should check with the pharmacist or your. 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 C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. Based on http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" (2013).