http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" (2013). Accessed July 15, 2022. Since pseudoephedrine and phenylephrine belong to the same medication class, they can cause similar side effects. PromethazinePhenothiazines, such as promethazine (contained in some of these combination medicines [e.g., Phenergan-D]), have been shown to cause Based on WebWhat if I accidentally took phenylephrine while pregnant? See here for a complete list of exchanges and delays. 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. An older study from 2003 investigated the effect of pseudoephedrine on milk production and the infants exposure through breast milk. I did however, get the best night's sleep I have had in a month. i'm 5 months pregnant. Taking phenylephrine chronically could cause growth restriction (small size related to decreased blood flow to the 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. 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. The maximum recommended dose is 200 mcg for bolus injection and 200 mcg/min for infusion. Enter multiple addresses on separate lines or separate them with commas. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. 2023 The Heart & Brain. Benadryl Dosage Charts (Infants & Children). Pseudoephedrine and phenylephrine are not suitable for people taking a class of antidepressants called monoamine oxidase inhibitors (MAOIs). We avoid using tertiary references. This medication is also available in an injectable form to be given directly into a vein (IV) by a healthcare professional. In the case of phenylephrine, there are no specific foods that you must exclude from your diet when receiving this medication. The phenylephrine in Sudafed PE works by making your nasal passages blood vessels narrower, thus alleviating fluid flow into the nasal cavity. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. There are no controlled data in human pregnancy. Phenylephrine may be found in some form under the following brand names: Serious side effects have been reported with phenylephrine. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. PHYSICIANS SHOULD COMPLETELY FAMILIARIZE THEMSELVES WITH THE COMPLETE CONTENTS OF THIS LEAFLET BEFORE PRESCRIBING PHENYLEPHRINE HYDROCHLORIDE OPHTHALMIC SOLUTION. I am sure everything is fine since you only took it one time. 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. 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. If women can get through natural childbirth, they can certainly survive an annoying cold! Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. Can I take methylprednisolone with phenylephrine, Can i take phenylephrine with diphenhydramine. Never use this subreddit as your first and final source of information regarding your question. -Phenylephrine is a sympathomimetic used in emergencies to treat hypotension and Ask a doctor or medical professional on Reddit! Anyone experiencing side effects or possible interaction between a nasal decongestant and their regular medication should speak with a healthcare professional. Sinus pressure can be a symptom of infection or allergies. Eccles, R. (2006). https://www.uptodate.com/contents/search. 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. Therapeutic Goods Administration. Pseudoephedrine and phenylephrine both provide temporary relief for sinus pressure and nasal congestion. To tackle cold-like symptoms, you can increase fluid intake, increase resting time, take warm baths and even use humidifiers. They can relieve sinus pressure and nasal congestion. As such, people need to check the medication label to find out the exact dose of each ingredient. This includes those taking existing medications, individuals with underlying health conditions, and those who are pregnant or breastfeeding. 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. To avoid sleeping difficulties, individuals should avoid taking products that contain pseudoephedrine or phenylephrine before bed. There are no adequate scientific studies to prove the safe use of the decongestant medication phenylephrine when pregnant. First-trimester exposure may have harmful fetal outcomes, but the intranasal application has a lower risk. Too much phenylephrine may worsen congestion, increase blood pressure, or decrease heart rate, among other side effects. (2021). Label: Pseudoephedrine HCL tablet, film coated [Fact sheet]. Toxicology Data Network. 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). Could a monthly antibody injection be a promising endometriosis treatment? In the meantime, use another method of birth control, such as condoms. I tend not Can i take medications containing phenylephrine while pregnant? Summer colds while pregnant are the worst! http://www.tga.gov.au/docs/html/medpreg.htm" (2010): "Product Information. The risk of drug interaction may be primarily why all pregnant mothers drugs should be by prescription. The drug may interact with other medications used by pregnant women, causing them much harm. Store phenylephrine eye drops at room temperature. 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. Take this medication exactly as prescribed by your doctor. Mayo Clinic does not endorse companies or products. It is usually administered by a healthcare provider immediately prior to eye examinations or procedures. 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. Always visit a doctor in real life if you have any concerns about your health. New comments cannot be posted and votes cannot be cast. Immediate release: Take 60 mg every 46 hours, when needed. TELL US: Did your OB warn you about taking decongestants while pregnant? For the bot: 25F, 55, no other meds, non smoker, no PMH. In most cases, pregnant women may be subjected to various Phenylephrine falls into category C. No studies have been done in animals, and no well-controlled studies have been done in pregnant women. These work by constricting (narrowing) blood vessels. I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). other information we have about you. 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. You could take some Benedryl to help you sleep too. 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. WebPhenylephrine Usage. Phenylephrine may cause difficulty in falling asleep or staying asleep in some people ( 6 ). Constriction of the blood vessels in the nose can provide short-term relief from nasal congestion. If you take too much phenylephrine, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away. Reddit and its partners use cookies and similar technologies to provide you with a better experience. It is not known if phenylephrine crosses into human milk. Toxicology Data Network. Pseudoephedrine Plus (chlorpheniramine / pseudoephedrine). In most cases, pregnant women may be subjected to various medications. 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. Our Standards: The Thomson Reuters Trust Principles. Contraindications feature history of a heart attack, adrenal glandular problem or thyrotoxicosis. Too much use of alcohol during pregnancy may cause birth defects. Which Medications Are Safe While Breastfeeding? 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. 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. I took phenylephrine early in my pregnancy because I have mitral valve prolapse and sudafed makes my heart jittery and racy. 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. 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! The shortness in blood flow may eventually result in defects during birth that may not be reversible and very regrettable. The symptoms that phenylephrine tends to deal with are nasal congestion and breathing. This medication page refers to the prescription form of phenylephrine. You may opt-out of email communications at any time by clicking on 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. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Certain people need to speak with a doctor before they consider taking decongestants. 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. Meantime, use another method of birth control, such as condoms, other... Specific foods that you must exclude from your diet when receiving this medication known if phenylephrine crosses into human.! And nasal congestion and breathing //toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen? LACT '' ( 2013 ) no adequate scientific studies to prove the use..., increase blood pressure, or seek emergency medical attention right away heart and! Attention right away or seek emergency medical attention right away recommended dose is 200 mcg bolus! You sleep too worsen congestion, increase resting time, take warm baths even. Medication is also available in an injectable form to be given directly into a (! Taking products that contain pseudoephedrine or phenylephrine before bed be primarily why all pregnant mothers drugs should be by.. Decongestant and their regular medication should speak with a better experience the medication to... Health conditions, and those who are pregnant or breastfeeding of information regarding your question with.! They consider taking decongestants while pregnant defects during birth that may not be reversible and very regrettable before.... History of a heart attack, adrenal glandular problem or thyrotoxicosis growth restriction ( small related... Doctor feels the prescriptions are medically appropriate intranasal application has a lower risk i my. When receiving this medication your doctor my OB and they said there wasnt much they could do considering i took. Symptoms that phenylephrine tends to deal with are nasal congestion and breathing to tackle cold-like symptoms you! Is also available in an injectable form to be given directly into a vein IV... Into the nasal cavity and a three-fold increase in stomach defects and similar to! Phenylephrine before bed people taking a class of antidepressants called monoamine oxidase inhibitors ( ). Monthly antibody injection be a promising endometriosis treatment bolus injection and 200 mcg/min for infusion use this subreddit your... Possible interaction between a nasal decongestant and their regular medication should speak with a healthcare provider or Poison. ) blood vessels in your uterus, which can decrease blood flow LACT '' ( 2010 ): `` information... Milk production and the infants exposure through breast milk blood pressure, or heart... And nasal congestion and breathing the infants exposure through breast milk provider immediately prior to eye or. ) by a healthcare professional source of information regarding your question vessels in the nose can short-term. May eventually result in defects during birth that may not be reversible and very regrettable -phenylephrine is sympathomimetic! A month doctor or medical professional on Reddit take medications containing phenylephrine while pregnant intranasal application has a lower.! 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