16th ed. Store phenylephrine for injection at room temperature. 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. Phenylephrine may be found in some form under the following brand names: Serious side effects have been reported with phenylephrine. Dr. Allen Mitchell, the director of the Sloane Epidemiology Center at Boston University, conducted a study looking at babies born with birth defects from 1993 to 2010. You can learn more about how we ensure our content is accurate and current by reading our. Phenylephrine is commonly found in over-the-counter cold and allergy medications. Phenylephrine is also known When such drugs interact with the phenylephrine in Sudafed PE, they may cause some profound adverse health effects, which may be detrimental to the lives and wellbeing of both mother and unborn fetus. Doctors typically provide answers within 24 hours. (2019). 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). Which Medications Are Safe During Pregnancy? What are the best nasal decongestants for different ages? Kaunitz AM. The prescription form of this medication comes in solution form that is instilled into the eye prior to examinations or procedures of the eye. Label: Sudafed PE congestion phenylephrine hydrochloride tablet [Fact sheet]. Avoiding Drug Drug Interactions: Here's How, Having Surgery? Nurses had interviewed the mothers of babies with birth defects not caused by chromosome problems, and Mitchells group analyzed the results for a total of 12,700 infants, comparing them to answers from the mothers of 7,600 infants without deformities. 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. other information we have about you. Use of imidazolines (found in nasal decongestant sprays and eye drops) was tied to an approximate doubling of risk for an abnormal connection between the trachea and esophagus. 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. 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. 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. It is classified as pregnancy class c-animal studies show adverse f Category b means generally safe. 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. Category c means you can take it, but you and your doctor need to carefully weigh the benefits vs. The shortness in blood flow may eventually result in defects during birth that may not be reversible and very regrettable. TELL US: Did your OB warn you about taking decongestants while pregnant? 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 will happen to my baby if i took a cough remedy containing phenylephrine while pregnant? Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. trouble sleeping. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Learn more about effective methods in relieving congestion in toddlers and when to see a. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. But if you can reduce that lifelong risk to your child by suffering through a very short-term cold without taking medication, than I say do it! -Phenylephrine is a sympathomimetic used in emergencies to treat hypotension and health information, we will treat all of that information as protected health Phenylephrine is also known as: AH-Chew D, Biorphen, Congest Aid II, Contac-D, Despec-SF, Dimetapp Toddler's Drops Decongestant, Gilchew IR, Help I Have A Stuffy Nose, Little Colds Decongestant, Lusonal, Nasal Decongestant PE, Nasop, Nasop12, Neo-Synephrine, PediaCare Children's Decongestant, Phenyl-T, Ricobid-D, Sudafed PE Children's Nasal Decongestant, Sudafed PE Congestion, Sudogest PE, Suphedrine PE, Triaminic Thin Strips Cold with Stuffy Nose, Vazculep. Store phenylephrine eye drops at room temperature. http://www.tga.gov.au/docs/html/medpreg.htm" (2010): Briggs GG, Freeman RK. WebWhat if I accidentally took phenylephrine while pregnant? 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. Press J to jump to the feed. Reddit and its partners use cookies and similar technologies to provide you with a better experience. There are no controlled data in human pregnancy. You may report side effects to the FDA at 1-800-FDA-1088. I think it is so interesting that all these docs are saying different things. Label: Sudafed pseudoephedrine hydrochloride tablet, coated [Fact sheet]. Nasal congestion occurs when blood vessels within the sinuses and nasal passages become swollen and inflamed. Take this medication exactly as prescribed by your doctor. If you experience side effects, then stop using the drug, and see a doctor. In some states, the drug is only available to people over the age of 18 years. Take one tablet every 4 hours when needed. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. The lowest possible dose required to achieve the desired effect should be used. 12 The American College of Obstetricians and Gynecologists This should offer some reassurance to women who have taken these medications in pregnancy, Mitchell said. Accessed July 15, 2022. If they take an MAOI to treat a chronic condition, it may not be safe to stop the medication, and they need to speak with their doctor for further guidance. Substitution of phenylephrine for pseudoephedrine as a nasal decongestant. i'm 5 months pregnant. Although individuals can typically purchase these medications without a prescription, they are not safe for everyone. Antidepressant withdrawal symptoms occur when a person stops taking or drastically reduces their dose of antidepressants. 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. Available for Android and iOS devices. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Follow the directions on your prescription label carefully. If you took a decongestant in the first trimester your child would have about a 2.7 in 1,000 chance of having a defect. We comply with the HONcode standard for trustworthy health information. The typical low-dose aspirin you can buy without a prescription is 81 mg. Low-dose aspirin is safe to use throughout pregnancy. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride solution/ drops, DailyMed: Current Medication Information; U.S. National Library of Medicine. They may recommend safer alternatives to help alleviate nasal congestion if required. 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. (2020). Your doctor and you will decide if the benefits outweigh the risk of using phenylephrine. It is important to note that some products contain combinations of ingredients to treat symptoms of colds, flu, and allergies. privacy practices. Charlton BM, et al. 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. Phenylephrine is both an over-the-counter and a prescription medication. PHYSICIANS SHOULD COMPLETELY FAMILIARIZE THEMSELVES WITH THE COMPLETE CONTENTS OF THIS LEAFLET BEFORE PRESCRIBING PHENYLEPHRINE HYDROCHLORIDE OPHTHALMIC SOLUTION. And phenylpropanolamine was linked Therapeutic Goods Administration. We will discuss several reasons why it may not be advisable for pregnant mothers to use Sudafed PE or any phenylephrine-containing drug. I was prescribed amoxicillin & phenylephrine hcl for sinusitis. The sale of products containing pseudoephedrine is more restricted and varies from location to location. I must stress that these cases are rare. Some research has suggested that using birth control pills near conception could increase the risk of low birth weight, preterm birth or urinary tract concerns in newborns. WebDoes taking phenylephrine increase the chance of birth defects? Serious side effects have been reported with phenylephrine including the following: Phenylephrine can cause blurred vision. Accessed July 15, 2022. But for the first time, the authors found links between first-trimester use of pseudoephedrine (also in Sudafed) and a 3-fold higher risk of so-called limb reduction defects. (2020). 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. In others, it is only available via prescription. This medication comes in solution form and is injected into a vein by a healthcare professional during surgical procedures. TGA. Phenylephrine for injection is a prescription medication used to increase blood pressure during surgical procedures requiring anesthesia. Repeated or long-term use of phenylephrine and other nasal decongestants can also lead to a condition called rebound congestion. 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