i was talking with my doc, and the REAL sudafed (the stuff behind the counter) is okay the sudafed stored on the shelves isn't but he didn't say why just cuz its over the counter doesn't mean its okay for us! 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. Label: Pseudoephedrine HCL tablet, extended release [Fact sheet]. Immediate release: Take 60 mg every 46 hours, when needed. 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. Pseudoephedrine and phenylephrine both provide temporary relief for sinus pressure and nasal congestion. Pseudoephedrine and phenylephrine belong to a class of drugs called alpha-adrenergic agonists, which cause the blood vessels to constrict. Cookies collect information about your preferences and your device and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Doctors typically provide answers within 24 hours. 1997-2023 BabyCenter, LLC, a Ziff Davis company. Follow the directions on your prescription label carefully. should i continue/finish the prescription? Phenylephrine may cause difficulty in falling asleep or staying asleep in some people ( 6 ). Summer colds are a bummer. Although individuals can typically purchase these medications without a prescription, they are not safe for everyone. In most cases, pregnant women may be subjected to various Based By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk. 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. Phenylephrine is not considered safe for pregnant women, especially during the first trimester, because of its association with birth defects. 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. Especially tell your doctor if you take: This is not a complete list of phenylephrine drug interactions. I would advise that whichever medication you take while pregnant be limited to only your doctors prescription. Phenylephrine should be given to a pregnant woman only if clearly needed. We avoid using tertiary references. Eventually, that reduces the conditions to allow for normal breathing. If we combine this information with your protected Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Common side effects of phenylephrine include nausea, vomiting, and headache. vomiting. This is a potentially serious condition where the body produces too much of the neurochemical serotonin. Store phenylephrine eye drops at room temperature. Having a medical issue? Pregnancy categories A, B, C, D, and X are being phased out. 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. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride injection, DailyMed: Current Medication Information; U.S. National Library of Medicine. Last updated on May 19, 2022. Dr. Sheila Goodman answered Specializes in Obstetrics and Gynecology OK You probably know pregnant women dont use over-the-counter medication. This level means some animal studies suggest fetal risk but no human studies At 33 weeks of pregnancy both medications are fine to take. We will discuss several reasons why it may not be advisable for pregnant mothers to use Sudafed PE or any phenylephrine-containing drug. For potential or actual medical emergencies, immediately call 911 or your local emergency service. privacy practices. To provide you with the most relevant and helpful information, and understand which Pseudoephedrine and phenylephrine are pregnancy category C in all three trimesters of pregnancy. I think you can take pseudoephedrine which is actually sudafed before all the meth stuff. Toxicology Data Network. What do you know about pregnancy and medications? 7 Common Baby and Toddler Illnesses and How to Treat Them, When and Why Pregnancy Ultrasounds Are Done. Available for Android and iOS devices. NEW YORK (Reuters Health) - A womans use of decongestant medications in the first trimester of pregnancy may raise her childs risk of certain rare birth defects, according to a small study. If you feel bad don't take it again but other than that don't worry :). Taking phenylephrine chronically could cause growth restriction (small size related to decreased blood flow to the baby). Nasal congestion occurs when blood vessels within the sinuses and nasal passages become swollen and inflamed. Medications can interact with certain foods. Recent findings show that the use of a decongestant during the first trimester of pregnancy may raise the risk of certain rare birth defects in your unborn child. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. The use of any information on this site is solely at your own risk. 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). Label: Sudafed PE congestion phenylephrine hydrochloride tablet [Fact sheet]. Insomnia is the most common side effect that people may experience when taking nasal decongestants. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. 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. All Rights Reserved. (2019). Enter multiple addresses on separate lines or separate them with commas. (2019). Immediate release tablets: 30 mg or 60 mg. information highlighted below and resubmit the form. nervousness. 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 What Are the Costs of a Multiple Pregnancy and Birth? They may recommend safer alternatives to help alleviate nasal congestion if required. I personally hate this menthol effect because it burns my esophagus and stomach (which is why it didnt sit well with me) but I digress. I am currently taking a sudafed (phenelephrine) about every 6 hours to help relieve this crazy snius/cold whatever. This was checked using phenylephrine & You may report side effects to the FDA at 1-800-FDA-1088. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Birth control pills lower the risk of pregnancy. I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). Can i take phenylephrine and pseudoephedrine together? Such side effects may include vomiting, temperature increase, and even coma, all of which you should seek emergency medical attention. Normally, the first thing you'd do is reach for the nearest decongestant. health information, we will treat all of that information as protected health This should offer some reassurance to women who have taken these medications in pregnancy, Mitchell said. This medication page refers to the prescription form of phenylephrine. 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. Overuse of topical nasal decongestants can lead to chronic inflammation of the nasal passages. Phenylephrine is also known Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Pseudoephedrine also has the potential for misuse. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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. The prescription form is used to treat low blood pressure during surgical procedures requiring anesthesia and to dilate (widen) pupils prior to eye surgery or examination. The dose your doctor recommends may be based on the condition being treated. 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. Acetaminophen / phenylephrine is also known as: Alka-Seltzer Plus Cold and Sinus, Congespirin Aspirin Free, Contac Cold + Flu (Day Formula), D-Time Sinus, Day Relief Sinus PE, Dilotab II, Excedrin Sinus Headache, Mapap Sinus Congestion and Pain, Non-Pseudo Sinus Pain & Pressure, Robitussin Peak Cold Nasal Relief, Sinus Congestion and Pain Daytime Cool Ice, Sinutab Sinus Maximum Strength, Sudafed PE Sinus Pressure + Pain, Suphedrine PE Sinus Headache, Tylenol Plus Children's Cold & Stuffy Nose, Tylenol Sinus + Headache Day, Vicks QlearQuil Daytime Sinus & Congestion, Vicks Sinex Daytime. But if you're pregnant, don't! Contraindications feature history of a heart attack, adrenal glandular problem or thyrotoxicosis. -Routine use of acetaminophen during pregnancy is not advised. Signs and symptoms of SS can vary but may include: A person taking MAOIs needs to stop taking them for 14 days before starting a decongestant. The risks we identified should be kept in perspective, Mitchell cautioned. Image of a woman taking medicine courtesy of Shutterstock. 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. His team worked with a large collection of data on babies born with birth defects between 1993 and 2010. During the first trimester, higher doses of aspirin may raise Review/update the When ingested, phenylephrine may not only narrow the blood vessels inside the nasal cavity but can also do the same to the blood vessels inside the uterine wall. Some cold and flu medications have separate pills for daytime and nighttime use. This is called the background risk. Last updated on Aug 29, 2022. See here for a complete list of exchanges and delays. Kaunitz AM. Is it safe to take cough remedies containing phenylephrine while pregnant? should i be alarmed? Never use this subreddit as your first and final source of information regarding your question. Reddit and its partners use cookies and similar technologies to provide you with a better experience. That may reduce the amount of blood flowing into the uterus. -Routine use of acetaminophen during pregnancy is not advised.-Phenylephrine is a sympathomimetic used in emergencies to treat hypotension and alleviate eye and ear allergic symptoms.-Phenylephrine could cause constriction in uterine vessels (that are normally maximally dilated during pregnancy), reducing uterine blood flow, potentially causing fetal hypoxia.-Phenylephrine may interact with oxytocic or ergot derivatives to cause persistent maternal hypertension; cerebral vessel rupture is possible.-Sympathomimetic amines are teratogenic in some animal models, but are not suspected to cause human teratogenicity.-First trimester exposure to phenylephrine may be linked to fetal abnormalities.-Patients with a preeclampsia history should use phenylephrine with caution due to its vasoconstrictive properties.-Phenylephrine may reduce placental perfusion. And phenylpropanolamine (Acutrim) was also linked to an eight-fold risk of defects of the ear and a three-fold increase in stomach defects. 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. 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. https://www.uptodate.com/contents/search. 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. Please contact the moderators of this subreddit if you have any questions or concerns. All were associations that had been suggested by earlier studies. Sore throat Throat lozenges containing local anaesthetic and antibacterial agents may be used in pregnancy. I did however, get the best night's sleep I have had in a month. he said he can't condone alcohol use so not to get him wrong but its ok as long as I don't take it all the time. WebIm 13 weeks. It is classified as pregnancy class c-animal studies show adverse f Category b means generally safe. 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. This includes those taking existing medications, individuals with underlying health conditions, and those who are pregnant or breastfeeding. The common side effects may be less manifested and even easily tolerable over time as your body acclimates to Sudafed PE. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. hypersensitivity (severe allergic reaction). Possibility of causing congenital disabilities. 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. Im 13 weeks. Please note that a response does not constitute a doctor-patient relationship. 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. Should I be worried even though most of it came back up? Ask your doctor or pharmacist for more information. 16th ed. Overall, the safety of phenylephrine during pregnancy is not certain. 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. Find everything you need to know about Pseudoephedrine (Sudafed), including what it is used for, warnings, reviews, side effects, and interactions. Which Medications Are Safe While Breastfeeding? These drugs work by constricting blood vessels within the nose and sinuses, which allow people to breathe more easily. Every pregnancy starts out with a 3-5% chance of having a birth defect. What will happen to my baby if i took a cough remedy containing phenylephrine while pregnant? Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Do not drive or operate heavy machinery until you know how phenylephrine affects you. Avoid i just called my doc on monday with another bad head cold and he said sudafed is on the safe list. Is It Safe To Take a Bath While Pregnant? :). Which Medications Are Safe During Pregnancy?