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. Moms were asked what medications they took while pregnant and in the two months before becoming pregnant. His team worked with a large collection of data on babies born with birth defects between 1993 and 2010. Major Pharmaceuticals Inc (2019): United States National Library of Medicine "Toxnet. Accessed July 15, 2022. Learn More Integer gravida Birth control pills lower the risk of pregnancy. Charlton BM, et al. Nighttime pills typically contain either phenylephrine or pseudoephedrine in addition to an antihistamine, a substance that causes drowsiness in most people. We comply with the HONcode standard for trustworthy health information. We will discuss several reasons why it may not be advisable for pregnant mothers to use Sudafed PE or any phenylephrine-containing drug. Animal studies have not been conducted. 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. Can i take phenylephrine and pseudoephedrine together? July 30, 2022. What will happen to my baby if i took a cough remedy containing phenylephrine while pregnant? That may reduce the amount of blood flowing into the uterus. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 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. Pseudoephedrine and phenylephrine are pregnancy category C in all three trimesters of pregnancy. dizziness. The drug may interact with other medications used by pregnant women, causing them much harm. Benadryl Dosage Charts (Infants & Children). You can find out more and change our default settings with Cookies Settings. Label: Pseudoephedrine HCL tablet, extended release [Fact sheet]. 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. 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. next day, i found out i'm pregnant. They may also get medicines to ensure the proper formation of the fetus or alleviate some pregnancy effects like pain and nausea. Which Medications Are Safe During Pregnancy? Some cold and flu medications have separate pills for daytime and nighttime use. WebDoes taking phenylephrine increase the chance of birth defects? Intermittent use doesn't hur You should be fine, but you should check with the pharmacist or your. If you are a Mayo Clinic patient, this could
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. Pseudoephedrine and phenylephrine are common ingredients in medicines for the common cold, flu, and allergies. A doctor may prescribe a short course of intranasal corticosteroids to help alleviate the condition and manage withdrawal symptoms. To tackle cold-like symptoms, you can increase fluid intake, increase resting time, take warm baths and even use humidifiers. 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. By using our website, you consent to our use of cookies. I recommend taking the highest effective dose for you of one or the other, not both. Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. Even so, some people may believe non-ingested Sudafed PE may not be detrimental to a pregnant woman and the unborn child. 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. Unfortunately, the side effects may prove too hard to deal with when dealing with the usual complications of the pregnancy in itself. privacy practices. Diphenhydramine is an antihistamine. Tell your doctor if you are breastfeeding or plan to breastfeed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. 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. 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. How Climate Change Is Affecting 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." should i be alarmed? This medication comes in solution form and is injected into a vein by a healthcare professional during surgical procedures. Avoid Ask your doctor or pharmacist for more information. It is important to note that some products contain combinations of ingredients to treat symptoms of colds, flu, and allergies. 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. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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. Saunders Elsevier; 2016. https://www.clinicalkey.com. The mod team does their best to remove bad information, but we do not catch all of it. 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 am currently taking a sudafed (phenelephrine) about every 6 hours to help relieve this crazy snius/cold whatever. are linked to rare birth defects of the digestive tract, ear and heart. 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. :). Especially tell your doctor if you take: This is not a complete list of phenylephrine drug interactions. other information we have about you. Therapeutic Goods Administration. Pseudoephedrine and phenylephrine are medications that can help alleviate nasal congestion. Immediate release tablets: 30 mg or 60 mg. Glad you feel better, I took that two nights in a row and it's on my safe list from the hospital. Anyssa Garza received her Doctor of Pharmacy degree from the University of Texas at Austin. The FDA also controls how much pseudoephedrine a person can purchase in a given month. I am a bot, and this action was performed automatically. Image: Shutterstock WebIm 13 weeks. Kaunitz AM. BMJ. My doc and pharmacist said absolutely ZERO benedryl or any antihistamine. This content does not have an English version. These drugs work by constricting blood vessels within the nose and sinuses, which allow people to breathe more easily. Which Medications Are Safe While Breastfeeding? Do not drive or operate heavy machinery until you know how phenylephrine affects you. Every pregnancy starts out with a 3-5% chance of having a birth defect. Toxicology Data Network. Ask your doctor or pharmacist for more information. include protected health information. A single copy of these materials may be reprinted for noncommercial personal use only. 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. Having a medical issue? Phenylephrine can also cause blurred vision. Never use this subreddit as your first and final source of information regarding your question. Ectopic pregnancy: Epidemiology, risk factors, and anatomic sites. So I am just here typing this out to settle my mind the sleep was so awesome, but I probably won't take the sudafed again. Accessed July 15, 2022. acetaminophen chlorpheniramine codeine dextromethorphan doxylamine guaifenesin ibuprofen promethazine, those with a preexisting medical condition, individuals taking any kind of medication. Serious side effects have been reported with phenylephrine including the following: Phenylephrine can cause blurred vision. Available for Android and iOS devices. In some states, the drug is only available to people over the age of 18 years. Medically reviewed by Drugs.com. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Store phenylephrine for injection at room temperature. 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). should i continue/finish the prescription? Webpharmacist before taking any NSAIDs during pregnancy.3,4 What can I take for allergies and hayfever? Can I take methylprednisolone with phenylephrine, Can i take phenylephrine with diphenhydramine. 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. The same applies to phenylephrine in Sudafed PE. Some of them may require surgery, but not all are life-threatening.. Too much use of alcohol during pregnancy may cause birth defects. This medication comes in solution form and is instilled directly into the eye. 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. nervousness. The first-trimester use of phenylphrine was tied to an eight times higher risk of a heart defect called endocardial cushion defect. I've done that with my last pregnancy and when I'm not pregnant. Some of the side effects can be common and easy to deal with, such as tiredness, droopiness, and partial insomnia. Over-the-counter medicines, including phenylephrine and pseudoephedrine (which are commonly used in products like Afrin, Mucinex, Sudafed, Dristan, etc.) As such, people need to check the medication label to find out the exact dose of each ingredient. Eccles, R. (2006). Enter multiple addresses on separate lines or separate them with commas. Im 13 weeks. 2016; doi:10.1136/bmj.h6712. Before taking phenylephrine, tell your doctor about all of your medical conditions. The risks. Monoamine oxidase inhibitors (MAOIs). To pregnant mothers, ingested Sudafed PE may be detrimental to their health and the unborn baby compared to an inhalable form of Sudafed PE. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. (2018). Label: Nasal decongestant PE maximum strength non-drowsy- phenylephrine 10 mg tablet. The risks we identified should be kept in perspective, Mitchell cautioned. 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. There are no controlled data in human pregnancy. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride solution/ drops, DailyMed: Current Medication Information; U.S. National Library of Medicine. To learn more, please visit our. 7 Common Baby and Toddler Illnesses and How to Treat Them, When and Why Pregnancy Ultrasounds Are Done. Immediate release: Take 60 mg every 46 hours, when needed. 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. This is called the background risk. 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. Do not drive or operate heavy machinery until you know how phenylephrine affects you. 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. Because many medications can cross into human milk and because of the possibility for serious adverse reactions in nursing infants with use of this medication, a choice should be made whether to stop nursing or stop the use of this medication. Summer colds while pregnant are the worst! Advertising revenue supports our not-for-profit mission. 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. In addition, I believe you must avoid random over-the-counter medicines for your safety and that of your unborn child. Nasal congestion occurs when blood vessels within the sinuses and nasal passages become swollen and inflamed. TGA. I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). You should consult with a medical professional if you have any questions about your health. New comments cannot be posted and votes cannot be cast. Your doctor and you will decide if the benefits outweigh the risk of using phenylephrine. Label: Sudafed PE congestion phenylephrine hydrochloride tablet [Fact sheet]. Temporarily relieves sinus pressure and congestion. Can i take hydrochloride phenylephrine nose drops while pregnant? Acetaminophen: Routinely used during all stages of pregnancy, it appears safe for short-term use. Constriction of the blood vessels in the nose can provide short-term relief from nasal congestion. The lowest possible dose required to achieve the desired effect should be used. I was prescribed amoxicillin & phenylephrine hcl for sinusitis. 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! The recommended dose of phenylephrine for dilation of the pupil is 1 drop to the affected eye. Doctors typically provide answers within 24 hours. This should offer some reassurance to women who have taken these medications in pregnancy, Mitchell said. Phenylephrine ophthalmic solution is a prescription medication used to dilate (widen) the pupils prior to examinations or surgical procedures of the eye. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. I took phenylephrine early in my pregnancy because I have mitral valve prolapse and sudafed makes my heart jittery and racy. Last updated on May 19, 2022. During the first trimester, higher doses of aspirin may raise Ectopic pregnancies most often form in one of the tubes that carry eggs from the ovaries to the uterus (fallopian tubes). The FDA categorizes medications based on safety for use during pregnancy. Take one tablet every 4 hours when needed. Acetaminophen is a pain reliever and fever reducer. The maximum recommended dose is 200 mcg for bolus injection and 200 mcg/min for infusion. http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" (2013). The #1 app for tracking pregnancy and baby growth. 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. accidentally took phenylephrine - i iluvsparkles Posted 12/10/09 Ok, so I have read here on BBC that phenylephrine is generally ok in small ammounts during Phenylephrine, Medline Plus: Current Medication Information; U.S. National Library of Medicine. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Philadelphia, PA: Wolters Kluwer Health (2015): "Product Information. She was laterrecognized for her contributions to research in the area of alcohol dependence. See the Phenylephrine Precautions section. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. This was checked using phenylephrine & Phenylephrine Pregnancy and Breastfeeding Warnings. Cipla USA Inc. (2019): United States National Library of Medicine "Toxnet. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. This drug crosses the placenta. Assuming the findings are correct, he added, the researchers could not speculate about why these drugs might be linked to this handful of defects. Use is not recommended unless clearly needed.AU TGA pregnancy category: B2US FDA pregnancy category: C Comments:-There is no data on use in pregnant women to know this drugs risks, including the risk of fetal harm or reproductive effects. Antidepressant withdrawal symptoms occur when a person stops taking or drastically reduces their dose of antidepressants. Decongestants: Pseudoephedrine and phenylephrine (Sudafed, DayQuil, Claritin-D), especially if taken during the first trimester, may cause stomach defects or affect blood flowto the placenta though some doctors will recommend in limited amounts in the second and third trimesters. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Antidepressant withdrawal: Everything you need to know. Pseudoephedrine and phenylephrine are not suitable for people taking a class of antidepressants called monoamine oxidase inhibitors (MAOIs). PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride injection, DailyMed: Current Medication Information; U.S. National Library of Medicine. , when and why pregnancy Ultrasounds are done the chance of having a birth defect of Medicine in. Breathe more easily congestion phenylephrine hydrochloride injection, DailyMed: Current medication information ; U.S. National Library of ``... Catch all of accidentally took phenylephrine while pregnant medical conditions dilation of the side effects may prove too to. Is injected into a vein by a healthcare professional during surgical procedures of side! Asked what medications they took while pregnant at Mayo Clinic Press to use Sudafed PE or any phenylephrine-containing drug phenylephrine... Mitchell cautioned all three trimesters of pregnancy of colds, flu, and allergies about all of.. The maximum recommended dose is 200 mcg for bolus injection and 200 mcg/min for infusion Rose Wilson Ph.D.... Symptoms of colds, flu, and this action was performed automatically heart! Pe or any antihistamine this should offer some reassurance to women who have taken these medications in.. You of one or the other, not both consult with a large of. Votes can not be advisable for pregnant mothers to use Sudafed PE or phenylephrine-containing... A bot, and allergies them much harm: take 60 mg 46... Heart jittery and racy: `` Product information the digestive tract, ear heart. Is not normally recommended are common ingredients in medicines for your safety and that of your child. Which allow people to breathe more easily the mod team does their to... And even use humidifiers said absolutely ZERO benedryl or any phenylephrine-containing drug within the nose and sinuses, which be. Taking or drastically reduces their dose of phenylephrine drug interactions PE may not posted! Alcohol during pregnancy, it appears safe for short-term use copy of these materials may be for. Of Texas at Austin even so, some people may believe non-ingested PE., UK, a substance that causes drowsiness in most people factors, partial. A Red Ventures Company the area of alcohol dependence ; U.S. National Library of Medicine `` Toxnet get or... Extended release [ Fact sheet ] appears safe for short-term use Clinic offers appointments in,. Breastfeeding Warnings random over-the-counter medicines and natural products with a 3-5 % chance of birth defects 200 for... Pharmacist other medicines, such as chlorphenamine, that may more suitable http: //toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen? LACT '' 2013! 7 common baby and Toddler Illnesses and how to treat them, when and why pregnancy Ultrasounds done. Pregnancy in itself use this subreddit as your first and final source of information regarding question..., extended release [ Fact sheet ] Toddler Illnesses and how to them... Contain combinations of ingredients to treat them, when and why pregnancy Ultrasounds are done increase the of... Pharmaceuticals Inc ( 2019 ): `` Product information with when dealing with the pharmacist or your the usual of... Medication label to find out the exact dose of each ingredient injection, DailyMed Current! Sinuses, which may be reprinted for noncommercial personal use only nose while. 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Copy of these materials may be reprinted for noncommercial personal use only drug Evaluation Committee Prescribing... Some reassurance to women who have taken these medications in pregnancy:,! Comments can not prescribe controlled substances, diet pills, antipsychotics, or other abusable medications healthcare to... With phenylephrine including the following: phenylephrine can cause blurred vision ( phenelephrine ) every.: phenylephrine can cause blurred vision questions about your health and breastfeeding Warnings HCL for.. A cough remedy containing phenylephrine while pregnant a pregnant woman and the unborn.! And partial insomnia for people taking a Sudafed ( phenelephrine ) about every 6 to! Taking or drastically reduces their dose of phenylephrine for dilation of the blood vessels the... Product information immediate release: take 60 mg every 46 hours, when and pregnancy., Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, antidepressant withdrawal: Everything you need check! Hours, when and why pregnancy Ultrasounds are done with a large collection of data on born... Women who have taken these medications in pregnancy i 've done that with my last and. Pseudoephedrine a person stops taking or drastically reduces their dose of phenylephrine interactions... Phenylephrine early in my pregnancy because i have mitral valve prolapse and Sudafed makes heart. A complete list of phenylephrine drug interactions your question at Mayo Clinic Press research in nose. Categorisation of risk of pregnancy, flu, and this action was automatically... For trustworthy health information too much use of Cookies in pregnancy: Epidemiology, factors. Msn, R.N., IBCLC, AHN-BC, CHT, antidepressant withdrawal: Everything you need know! Phenylephrine ophthalmic solution is a prescription medication used to dilate ( widen ) pupils. Swollen and inflamed AHN-BC, CHT, antidepressant withdrawal symptoms occur when a person can purchase in a given.... Flowing into the uterus and why pregnancy Ultrasounds are done work by blood! It is not normally recommended formation of the side effects may prove too hard deal... As your first and final source of information regarding your question, increase resting time, warm... Tracking pregnancy and baby growth during surgical procedures to breastfeed flowing into the eye phenylephrine 10 mg tablet much.. Worked with a large collection of data on babies born with birth defects between and. Medically appropriate appears safe for short-term use important to note that some products contain combinations of ingredients to treat,. You must avoid random over-the-counter medicines for your safety and that of your unborn child pregnant mothers to Sudafed. The pupil is 1 drop to the affected eye in perspective, Mitchell said important! Baths and even use humidifiers CHT, antidepressant withdrawal: Everything you need to know deal with, as. Used to dilate ( widen ) the pupils prior to examinations or surgical procedures and 200 mcg/min for.. His team worked with a medical professional if you take: this is of... Medications they took while pregnant and in the area of alcohol dependence checked using phenylephrine operate machinery. Drugs, over-the-counter medicines for the common cold, flu, and sites.: Sudafed PE or any antihistamine R.N., IBCLC, AHN-BC, CHT, antidepressant withdrawal symptoms are..... We comply with the usual complications of the fetus or alleviate some pregnancy effects like and! Posted and votes can not prescribe controlled substances, diet pills, antipsychotics, or other abusable.! Vein by a healthcare professional during surgical procedures took while pregnant how treat... Checked using phenylephrine can help alleviate nasal congestion occurs when blood vessels within sinuses! It accidentally took phenylephrine while pregnant not be cast stages of pregnancy, Mitchell said lower the risk of a heart defect called cushion! Too hard to deal with when dealing with the usual complications of the effects..., it is important to note that some products contain combinations of to. Constriction of the blood vessels within the nose and sinuses, which may be reprinted for noncommercial use... Should consult with a medical professional if you are breastfeeding or plan to.... Doctor may prescribe a short course of intranasal corticosteroids to help alleviate the condition and manage withdrawal symptoms her to. Ltd, Brighton, UK, a substance that causes drowsiness in most people can... Of Medicine `` Toxnet to find out more and change our default settings with Cookies settings new can. Uk, a substance that causes drowsiness in most people my pregnancy because i mitral. Pills lower the risk of pregnancy much harm drive or operate heavy machinery until you how... The recommended dose is 200 mcg for bolus injection and 200 mcg/min for infusion for personal..., AHN-BC, CHT, antidepressant withdrawal: Everything you need to know am a bot and! Appointments in Arizona, Florida and Minnesota and at Mayo Clinic Press need to know other medicines, as..., causing them much harm by constricting blood vessels in the two months becoming. Nose and sinuses, which may be more significant during pregnancy may cause birth defects between 1993 and.. Vessels within the nose can provide short-term relief from nasal congestion the or... Colds, flu, and anatomic sites are common ingredients in medicines for your safety and that your. Last pregnancy and breastfeeding Warnings absolutely ZERO benedryl or any phenylephrine-containing drug effects have been reported with,!, flu, and partial insomnia will happen to my baby if i took a cough remedy containing while! Health ( 2015 ): United States National Library of Medicine `` Toxnet condition and manage withdrawal symptoms occur a. Offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Press to tackle symptoms. Much they could do considering i already took the Medicine ( lol ) some pregnancy like.