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. 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. http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" (2013). In some cases, this may be harmful and your doctor may advise you to avoid certain foods. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Phenylephrine can narrow the blood vessels in your uterus, which can decrease blood flow. And phenylpropanolamine (Acutrim) was also linked to an eight-fold risk of defects of the ear and a three-fold increase in stomach defects. This content does not have an Arabic version. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride injection, DailyMed: Current Medication Information; U.S. National Library of Medicine. Nighttime pills typically contain either phenylephrine or pseudoephedrine in addition to an antihistamine, a substance that causes drowsiness in most people. Doctors refer to this as rhinitis medicamentosa, or rebound congestion. First-trimester use of phenylephrine, which is found in Sudafed among other products, was tied to an eight-fold higher risk of a heart defect called endocardial cushion defect. Medications can interact with certain foods. I am currently taking a sudafed (phenelephrine) about every 6 hours to help relieve this crazy snius/cold whatever. I know we can take Benedryl and the active ingredient is actually whats in Tylenol PM without the antecitaminophen. Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. This subreddit is for informal second opinions and casual information. Learn more about the home remedies that could help relieve pressure. We avoid using tertiary references. She went o Dr. Gibson is a pharmacist and medical communicator. I must stress that these cases are rare. This level means some animal studies suggest fetal risk but no human studies At 33 weeks of pregnancy both medications are fine to take. http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" (2013). 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. Ectopic pregnancies most often form in one of the tubes that carry eggs from the ovaries to the uterus (fallopian tubes). Can you take phenylephrine and pseudoephedrine? Pseudoephedrine and phenylephrine belong to a class of drugs called alpha-adrenergic agonists, which cause the blood vessels to constrict. Phenylephrine can also cause blurred vision. I think you can take pseudoephedrine which is actually sudafed before all the meth stuff. I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). Accessed July 15, 2022. This Follow the directions on your prescription label carefully. A single copy of these materials may be reprinted for noncommercial personal use only. There are no controlled data in human pregnancy. For the bot: 25F, 55, no other meds, non smoker, no PMH. BMJ. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. 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. WebDoes taking phenylephrine increase the chance of birth defects? The risks. 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. Im 13 weeks. To pregnant mothers, ingested Sudafed PE may be detrimental to their health and the unborn baby compared to an inhalable form of Sudafed PE. (2020). As Here's What You Need to Know, Surprising Side Effects of Sleeping Pills, Healthy Habits to Improve Your Eye Health. hypersensitivity (severe allergic reaction). Sudafed PE contains phenylephrine that acts to narrow blood vessels. Immediate release: Take 60 mg every 46 hours, when needed. In the case of phenylephrine, there are no specific foods that you must exclude from your diet when receiving this medication. Since pseudoephedrine and phenylephrine belong to the same medication class, they can cause similar side effects. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. (2020). The same applies to phenylephrine in Sudafed PE. Before taking phenylephrine, tell your doctor about all of your medical conditions. Press question mark to learn the rest of the keyboard shortcuts, Layperson/not verified as healthcare professional. Sinus pressure can be a symptom of infection or allergies. Learn more about effective methods in relieving congestion in toddlers and when to see a. Higher doses of aspirin typically are not recommended during pregnancy. Use of imidazolines (found in nazal decongestant sprays and eye drops) was tied to an almost double disk of an abnormal connection between the trachea and esophagus. The drug may interact with other medications used by pregnant women, causing them much harm. Such side effects may include vomiting, temperature increase, and even coma, all of which you should seek emergency medical attention. information is beneficial, we may combine your email and website usage information with
MNT is the registered trade mark of Healthline Media. Label: Sudafed pseudoephedrine hydrochloride tablet, coated [Fact sheet]. You can find out more and change our default settings with Cookies Settings. Is the ketogenic diet right for autoimmune conditions? I think it is so interesting that all these docs are saying different things. If an individual does develop rebound congestion overusing a topical nasal decongestant, they must stop using the medication immediately. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Ask your doctor or pharmacist for more information. Wick MJ (expert opinion). Category c means you can take it, but you and your doctor need to carefully weigh the benefits vs. benzodiazepines such as alprazolam (Xanax, Xanax XR), diazepam (Diastat Acudial, Diazepam Intensol, Valium), estazolam, flurazepam, lorazepam (Ativan, Lorazepam Intensol), centrally acting sympatholytic agents, such as reserpine (Serpalan, Serpasil) and guanfacine, cardiovascular reactions including irregular heart rates and heart attack. 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. Everything has been fine :) I also take Claritin everyday for my allergies as well. He said any type of Sudafed, Tylenol Cold, or guifenisin cough syrup (Robutussin) was all ok, but nothing else. Serious side effects have been reported with phenylephrine including the following: Phenylephrine can cause blurred vision. This can cause fetal hypoxia, a condition in which the baby isnt getting enough oxygen in utero. The combination of fenfluramine and phentermine had been widely used to promote weight loss, and many women were inadvertently exposed during the first trimester of pregnancy. This was checked using phenylephrine & 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. To learn more, please visit our. When you visit this site, it may store or retrieve information on your browser, mostly in the form of cookies. Immediate release tablets: 30 mg or 60 mg. Kaunitz AM. Image of a woman taking medicine courtesy of Shutterstock. Over-the-counter medicines DrugFacts. 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. If you are a Mayo Clinic patient, this could
Find everything you need to know about Pseudoephedrine (Sudafed), including what it is used for, warnings, reviews, side effects, and interactions. They are both decongestants and have similar effects. 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. You may report side effects to the FDA at 1-800-FDA-1088. In: Meyler's Side Effects of Drugs. The first-trimester use of phenylphrine was tied to an eight times higher risk of a heart defect called endocardial cushion defect. 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 They carry several risks, depending on the stage of pregnancy: First trimester. health information, we will treat all of that information as protected health
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. 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. 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. Medically reviewed by Drugs.com. Image: Shutterstock 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. 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. The common side effects may be less manifested and even easily tolerable over time as your body acclimates to Sudafed PE. My doc said its ok too to take anything OTC now tht m this far along. (2017). It is classified as pregnancy class c-animal studies show adverse f Category b means generally safe. Tell your doctor if you are breastfeeding or plan to breastfeed. Phenylephrine for injection is a prescription medication used to increase blood pressure during surgical procedures requiring anesthesia. Also, avoid drinking grapefruit juice while taking this drug. 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. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. What are the best nasal decongestants by age? Cate Aside from the fact that decongestant nose sprays can cause rebound congestion if used for more than 3 days in a row, the FDA assigns phenylephrine pr You need to take only the recommended dose. Pseudoephedrine and phenylephrine are medications that can help alleviate nasal congestion. https://www.uptodate.com/contents/search. Phenylephrine may be found in some form under the following brand names: Serious side effects have been reported with phenylephrine. However, on the flip side, some products may be severe and even life-threatening to both the mother and unborn fetus. Mayo Clinic. Progestin-only pills (POPs) for contraception. Store phenylephrine eye drops at room temperature. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. The narrowing of blood vessels in pregnant women may happen in the uterus, adversely affecting the fetus and causing congenital disabilities. The maximum recommended dose is 200 mcg for bolus injection and 200 mcg/min for infusion. However, the doctors must also do due diligence on the pregnant womens medication history if the information is not given voluntarily by the patient. 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. the most helpful and trustworthy pregnancy and parenting information. Based Medically reviewed by Drugs.com. First-trimester use of phenylephrine, which is 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.. See the Phenylephrine Precautions section. It is usually administered by a healthcare provider immediately prior to eye examinations or procedures. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This medication comes in solution form and is instilled directly into the eye. Last updated on May 19, 2022. 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. July 30, 2022. 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. Dr. Sheila Goodman answered Specializes in Obstetrics and Gynecology OK 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? Glad you feel better, I took that two nights in a row and it's on my safe list from the hospital. Label: Pseudoephedrine HCL tablet, extended release [Fact sheet]. You could take some Benedryl to help you sleep too. Pseudoephedrine and phenylephrine are available as oral tablets and liquids, while the latter is also available as a direct-acting nasal spray. 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. Diphenhydramine (this common drug may cause uterine contractions, so in the third trimester it should be used only under the direction of your doctor) The cough Read on to discover the best nasal decongestants by age and current research. Monoamine oxidase inhibitors (MAOIs). The risk of drug interaction may be primarily why all pregnant mothers drugs should be by prescription. Keep this and all medicines out of the reach of children. As such, people need to check the medication label to find out the exact dose of each ingredient. Contraindications feature history of a heart attack, adrenal glandular problem or thyrotoxicosis. What will happen to my baby if i took a cough remedy containing phenylephrine while pregnant? The phenylephrine in Sudafed PE may have several listed side effects. Acetaminophen: Routinely used during all stages of pregnancy, it appears safe for short-term use. This may result in a temporary worsening of their congestion. 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.