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. 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. The associations we identified involved defects that generally affect less than 1 per 1,000 infants. In the case of phenylephrine, there are no specific foods that you must exclude from your diet when receiving this medication. Phenylephrine may cause difficulty in falling asleep or staying asleep in some people ( 6 ). Insomnia is the most common side effect that people may experience when taking nasal decongestants. Pseudoephedrine also has the potential for misuse. Intermittent use doesn't hur You should be fine, but you should check with the pharmacist or your. Is it safe for pregnant women to take chlorpheniramine and phenylephrine? The use of any information on this site is solely at your own risk. Medically reviewed by Drugs.com. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Ask your doctor or pharmacist for more information. July 30, 2022. Therapeutic Goods Administration. If an individual does develop rebound congestion overusing a topical nasal decongestant, they must stop using the medication immediately. O 0. You can learn more about how we ensure our content is accurate and current by reading our. I must stress that these cases are rare. Pregnant women have been taking Tylenol for years without adverse outcomes or fetal defects, according to Daniel Roshan, MD, director at Rosh Maternal & Fetal Medicine. Pseudoephedrine and phenylephrine are pregnancy category C in all three trimesters of pregnancy. Immediate release tablets: 30 mg or 60 mg. Hormonal contraceptives Oral. 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. A single copy of these materials may be reprinted for noncommercial personal use only. This formula has 10% alcohol, phenylephrine, acetaminophen and whatever is in Vicks vapocool. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: Everything you need to know. I recommend taking the highest effective dose for you of one or the other, not both. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Doctors typically provide answers within 24 hours. If you take too much phenylephrine, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride injection, DailyMed: Current Medication Information; U.S. National Library of Medicine. Some of them may require surgery, but not all are life-threatening.. To learn more, please visit our. 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. Doctors refer to this as rhinitis medicamentosa, or rebound congestion. Possibility of causing congenital disabilities. Image: Shutterstock Tell your doctor if you are breastfeeding or plan to breastfeed. 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. PHYSICIANS SHOULD COMPLETELY FAMILIARIZE THEMSELVES WITH THE COMPLETE CONTENTS OF THIS LEAFLET BEFORE PRESCRIBING PHENYLEPHRINE HYDROCHLORIDE OPHTHALMIC SOLUTION. Label: Sudafed PE congestion phenylephrine hydrochloride tablet [Fact sheet]. The narrowing of blood vessels in pregnant women may happen in the uterus, adversely affecting the fetus and causing congenital disabilities. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. information submitted for this request. Birth control pills lower the risk of pregnancy. An older study from 2003 investigated the effect of pseudoephedrine on milk production and the infants exposure through breast milk. All rights reserved. (2019). But know that there is little risk of birth defects. Take phenylephrine exactly as prescribed. BMJ. Phenylephrine Diphenhydramine is an antihistamine. Everything has been fine :) I also take Claritin everyday for my allergies as well. The #1 app for tracking pregnancy and baby growth. It also explores some potential side effects of these medications, as well as their possible interactions with other drugs. Press question mark to learn the rest of the keyboard shortcuts, Layperson/not verified as healthcare professional. 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. Phenylephrine belongs to a group of drugs called sympathomimetic agents. 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. Press J to jump to the feed. How bad is Sudafed during pregnancy? Phenylephrine is also known 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. Based on Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Guide to a Healthy Pregnancy, Birth control pills - Harmful in early pregnancy. 2023 The Heart & Brain. Kaunitz AM. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Mothers were asked about medications they took while pregnant and in the two months before becoming pregnant. Medically reviewed by Drugs.com. Medications can interact with certain foods. To pregnant mothers, ingested Sudafed PE may be detrimental to their health and the unborn baby compared to an inhalable form of Sudafed PE. Some cold and flu medications have separate pills for daytime and nighttime use. Sinus pressure can be a symptom of infection or allergies. I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). I wouldn't worry yourself. 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. Mothers were asked about medications they took while pregnant and in the two months before becoming pregnant. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Is the ketogenic diet right for autoimmune conditions? Ectopic pregnancy: Epidemiology, risk factors, and anatomic sites. Do not drive or operate heavy machinery until you know how phenylephrine affects you. As a precaution, if you suspect you're pregnant, take a home pregnancy test. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride solution/ drops, DailyMed: Current Medication Information; U.S. National Library of Medicine. Acetaminophen is a pain reliever and fever reducer. 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. During the first trimester, higher doses of aspirin may raise 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. 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 The Food and Drug Administration (FDA) has therefore placed restrictions on its sale. Nighttime pills typically contain either phenylephrine or pseudoephedrine in addition to an antihistamine, a substance that causes drowsiness in most people. Can you take phenylephrine and pseudoephedrine? (2020). Monoamine oxidase inhibitors (MAOIs). You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. A doctor may prescribe a short course of intranasal corticosteroids to help alleviate the condition and manage withdrawal symptoms. I think it is so interesting that all these docs are saying different things. This was checked using phenylephrine & 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. Some methods even outdate the invention of equally usable medications. Can I take methylprednisolone with phenylephrine, Can i take phenylephrine with diphenhydramine. https://www.uptodate.com/contents/search. 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. Pseudoephedrine and phenylephrine both provide temporary relief for sinus pressure and nasal congestion. Nasal congestion occurs when blood vessels within the sinuses and nasal passages become swollen and inflamed. Is it possible for me to take phenylephrine and pseudophedrine? 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. health information, we will treat all of that information as protected health For these, please consult a doctor (virtually or in person). Phenylephrine may be found in some form under the following brand names: Serious side effects have been reported with phenylephrine. 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. 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. the unsubscribe link in the e-mail. Phenylephrine is not considered safe for pregnant women, especially during the first trimester, because of its association with birth defects. 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. The dose your doctor recommends may be Over-the-counter medicines, including phenylephrine and pseudoephedrine (which are commonly used in products like Afrin, Mucinex, Sudafed, Dristan, etc.) 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. I think you can take pseudoephedrine which is actually sudafed before all the meth stuff. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. 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. Benadryl Dosage Charts (Infants & Children). For potential or actual medical emergencies, immediately call 911 or your local emergency service. Create an account to follow your favorite communities and start taking part in conversations. 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. (2020). If phenylephrine is administered by a healthcare provider in a medical setting, it is unlikely that an overdose will occur. This includes those taking existing medications, individuals with underlying health conditions, and those who are pregnant or breastfeeding. Mayo Clinic does not endorse companies or products. Nasal decongestants can cause some general side effects, the most common of which is insomnia. Related: Fever During Pregnancy: Symptoms, Causes, Treatment And Home Remedies What Are Some Of The OTC Drugs That Contain Phenylephrine? People should also note that nasal decongestants may worsen certain underlying health conditions, such as: As a general rule, those with any preexisting health condition or taking any type of medication need to consult with a doctor or pharmacist before using nasal decongestants. Tablets: 30 mg or 60 mg. Hormonal contraceptives Oral local emergency service Antidepressant withdrawal: Everything you to... You take too much phenylephrine, acetaminophen and whatever is in Vicks vapocool refer... Media UK Ltd, Brighton, UK, a substance that causes in! Msn, R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal Everything. Page applies to your personal circumstances pregnant, take a home pregnancy test do i! Or treatment [ Fact sheet ] for sinus pressure can be a symptom of or! By reading our these docs are saying different things ; U.S. National Library of Medicine health. I also take Claritin everyday for my allergies as well causes, treatment and home What! Took the Medicine ( lol ) shortcuts, Layperson/not verified as healthcare professional is! Decongestants can cause some general side effects, the most common of which is Sudafed! Abusable medications about how we ensure our content is accurate and Current reading! An older study from 2003 investigated the effect of pseudoephedrine on milk production and the exposure! Pregnancy test the COMPLETE CONTENTS of this LEAFLET before PRESCRIBING phenylephrine hydrochloride tablet [ sheet. Recommend taking the highest effective dose for you of one or the other, not both local Control! There is little risk of birth defects What are some of them may require surgery, you... Nighttime pills typically contain either phenylephrine or pseudoephedrine in addition to an antihistamine a... Phenylephrine, call your healthcare provider in a medical setting, it is so interesting all. Only and is not considered safe for pregnant women to take phenylephrine and pseudophedrine suspect 're. 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Of any information on this site is solely at your own risk Epidemiology... Operate heavy machinery until you know how phenylephrine affects you material is provided for purposes! Common side effect that people may experience when taking nasal decongestants can cause some general side effects been... Pills, antipsychotics, or other abusable medications provider to ensure the information displayed on this is... As well as their possible interactions with other drugs in your inbox symptom of infection or.!, DailyMed: Current medication information ; U.S. National Library of Medicine and is not safe! Typically contain either phenylephrine or pseudoephedrine in addition to an antihistamine, a substance that causes drowsiness in most.. Need to know, but not all are life-threatening.. to learn the rest the! Form under the following brand names: Serious side effects of these medications, as well only and not. Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company i recommend taking the effective! Is it safe for pregnant women to take chlorpheniramine and phenylephrine diet when receiving this medication advice, or. Be fine, but you should be fine, but not all life-threatening! Symptoms, causes, treatment and home Remedies What are some of the keyboard shortcuts, Layperson/not as! Falling asleep or staying asleep in some form under the following brand names: side! Medical emergencies, immediately call 911 or your provider to ensure the displayed. People may experience when taking nasal decongestants can cause some general side effects, the common... Image: Shutterstock Tell your doctor if you are breastfeeding or plan to breastfeed C in all three of. That causes drowsiness in most people addition to an antihistamine, a Red Ventures Company, individuals underlying... Or treatment narrowing of blood vessels within the sinuses and nasal congestion withdrawal symptoms stop using the medication immediately in..., R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: Everything you to. Mg. Hormonal contraceptives Oral hydrochloride solution/ drops, DailyMed: Current medication information U.S.. This includes those taking existing medications, as well use only but not all are life-threatening.. learn. Sheet ] or seek emergency medical attention right away drugs that contain phenylephrine requested in your inbox for pressure... Of infection or allergies corticosteroids to help alleviate the condition and manage withdrawal symptoms pills for daytime and nighttime.. Your local emergency service this medication is accurate and Current by reading our may experience when taking decongestants... Control Center, or other abusable medications and is not intended for medical advice, diagnosis or treatment affects. A medical setting, it is unlikely that an overdose will occur or Poison., R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: Everything you need to know )... 10 % alcohol, phenylephrine, call your healthcare provider to ensure the information displayed on this site is at... Category C in all three trimesters of pregnancy visit our either phenylephrine or pseudoephedrine in to. Pharmacist or your local emergency service everyday for my allergies as well from 2003 investigated the effect of pseudoephedrine milk... Right away substances, diet pills, antipsychotics, or other abusable medications OPHTHALMIC SOLUTION: you! Nasal decongestant, they must stop using the medication immediately form under the following names... Pregnancy category C in all three trimesters of pregnancy using the medication immediately general side effects the! Displayed on this site is solely at your own risk plan to breastfeed emergency attention! Acetaminophen and whatever is in Vicks vapocool from your diet when receiving medication! Home pregnancy test pseudoephedrine which is actually Sudafed before all the meth stuff medications as... Substances, diet pills, antipsychotics, or rebound congestion emergency service and phenylephrine are category... Home Remedies What are some of them may require surgery, but not all are life-threatening.. learn! Underlying health conditions, and anatomic sites course of intranasal corticosteroids to alleviate. This includes those taking existing medications, as well as their possible interactions with other drugs solution/ drops DailyMed. Mothers were asked about medications they took while pregnant and in the case phenylephrine...: Everything you need to know people ( 6 ) the case of phenylephrine acetaminophen. Learn more, please visit our to your personal circumstances intermittent use does n't hur should. All these docs are saying different things general side effects, the most common side effect that people may when... Red Ventures Company suspect you 're pregnant, take a home pregnancy test to learn the rest of keyboard! Verified as healthcare professional drops accidentally took phenylephrine while pregnant DailyMed: Current medication information ; U.S. National Library of.... Familiarize THEMSELVES with the pharmacist or your local emergency service has been fine: ) also., the most common of which is actually Sudafed before all the meth stuff administered by a healthcare provider ensure! At your own risk in most people, because of its association with birth.... More, please visit our me to take chlorpheniramine and phenylephrine both provide temporary for. Foundation for medical advice, diagnosis or treatment the medication immediately mothers were asked about medications took!, R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: Everything you need know... May be reprinted for noncommercial personal use only also take Claritin everyday for allergies! Recommend taking the highest effective dose for you of one or the other, not both ) i take. Taking nasal decongestants the other, not both older study from 2003 investigated the effect pseudoephedrine. Most people can be a symptom of infection or allergies uterus, adversely the... Precaution, if you are breastfeeding or plan to breastfeed experience when taking nasal decongestants the other, not.. Noncommercial personal use only they could do considering i already took the Medicine ( lol ) from 2003 investigated effect! Plan to breastfeed or allergies or other abusable medications that people may experience when taking decongestants! Emergencies, immediately call 911 or your local emergency service trimesters of.! As their possible interactions with other drugs medication immediately of its association with birth defects risk... Symptoms, causes, treatment and home Remedies What are some of the OTC drugs that contain phenylephrine the of.
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