I accidentally used phenylephrine hcl 0.25% hemorrhoid gel on my back (instead of hydrocortisone 1%). These work by constricting (narrowing) blood vessels. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. 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. This medication is also available in an injectable form to be given directly into a vein (IV) by a healthcare professional. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Insomnia is the most common side effect that people may experience when taking nasal decongestants. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. Based Last updated on Aug 29, 2022. :). I must stress that these cases are rare. I think it is so interesting that all these docs are saying different things. 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. Thank you for your submission. 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. I recommend taking the highest effective dose for you of one or the other, not both. They are both decongestants and have similar effects. Nasal decongestants can cause some general side effects, the most common of which is insomnia. If you're worried because you took birth control pills before you knew you were pregnant, talk to your health care provider. (2020). 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.. Philadelphia, PA: Wolters Kluwer Health (2015): "Product Information. If you experience side effects, then stop using the drug, and see a doctor. Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. 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). 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). Taking birth control pills during early pregnancy doesn't appear to increase the risk of birth defects. Learn more. Sore throat, coughing, runny nose, sinus headachesugh! Sudafed PE contains phenylephrine that acts to narrow blood vessels. As such, people need to check the medication label to find out the exact dose of each ingredient. (2020). Can you take phenylephrine and pseudoephedrine? Substitution of phenylephrine for pseudoephedrine as a nasal decongestant. What do you know about pregnancy and medications? Ask your doctor or pharmacist for more information. 16th ed. However, on the flip side, some products may be severe and even life-threatening to both the mother and unborn fetus. Please contact the moderators of this subreddit if you have any questions or concerns. 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. 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. The associations we identified involved defects that generally affect less than 1 per 1,000 infants. 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 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. Some of them may require surgery, but not all are life-threatening.. 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. Maternal use of oral contraceptives and risk of birth defects in Denmark: Prospective, nationwide cohort study. The symptoms that phenylephrine tends to deal with are nasal congestion and breathing. The same applies to phenylephrine in Sudafed PE. Is it safe to take cough remedies containing phenylephrine while pregnant? 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. information and will only use or disclose that information as set forth in our notice of Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. In addition, I believe you must avoid random over-the-counter medicines for your safety and that of your unborn child. 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. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Kaunitz AM. The baby didn't seem to even be effected from it at all and was moving around normally in there. 12 The American College of Obstetricians and Gynecologists How bad is Sudafed during pregnancy? Anyssa Garza received her Doctor of Pharmacy degree from the University of Texas at Austin. Since pseudoephedrine and phenylephrine belong to the same medication class, they can cause similar side effects. 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. If you are a Mayo Clinic patient, this could The typical low-dose aspirin you can buy without a prescription is 81 mg. Low-dose aspirin is safe to use throughout pregnancy. We comply with the HONcode standard for trustworthy health information. The sale of products containing pseudoephedrine is more restricted and varies from location to location. 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. Tell your doctor if you are pregnant or plan to become pregnant. 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. Label: Sudafed pseudoephedrine hydrochloride tablet, coated [Fact sheet]. 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. 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. 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. Phenylephrine can also cause blurred vision. Store phenylephrine for injection at room temperature. Common side effects of phenylephrine ophthalmic solution include the following: Common side effects of phenylephrine for injection include the following: This is not a complete list of phenylephrine side effects. Diphenhydramine is an antihistamine. 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. Is It Safe To Take a Bath While Pregnant? 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 information submitted for this request. The use of any information on this site is solely at your own risk. There is a problem with dizziness. This was checked using phenylephrine & It may be advised to get a doctors prescription or to avoid it altogether. information highlighted below and resubmit the form. Kaunitz AM. I know we can take Benedryl and the active ingredient is actually whats in Tylenol PM without the antecitaminophen. Overall, the safety of phenylephrine during pregnancy is not certain. I've done that with my last pregnancy and when I'm not pregnant. Read on to discover the best nasal decongestants by age and current research. Everything has been fine :) I also take Claritin everyday for my allergies as well. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. It is important to note that some products contain combinations of ingredients to treat symptoms of colds, flu, and allergies. https://www.uptodate.com/contents/search. If you take too much phenylephrine, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away. Especially tell your doctor if you take: This is not a complete list of phenylephrine drug interactions. This medication may be prescribed for other uses. Constriction of the blood vessels in the nose can provide short-term relief from nasal congestion. In others, it is only available via prescription. Please note that a response does not constitute a doctor-patient relationship. The first-trimester use of phenylphrine was tied to an eight times higher risk of a heart defect called endocardial cushion defect. You may report side effects to the FDA at 1-800-FDA-1088. Is the ketogenic diet right for autoimmune conditions? Even so, some people may believe non-ingested Sudafed PE may not be detrimental to a pregnant woman and the unborn child. We will also briefly discuss ways to deal with cold-like symptoms without any medications for pregnant women. 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. Higher doses of aspirin typically are not recommended during pregnancy. Enter multiple addresses on separate lines or separate them with commas. Moms were asked what medications they took while pregnant and in the two months before becoming pregnant. All rights reserved. By using our website, you consent to our use of cookies. 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. Affect less than 1 per 1,000 infants may require surgery, but the intranasal application has a lower risk current! Antipsychotics, or seek emergency medical attention right away: ) i also take everyday... The same medication class, they can cause similar side effects dose for you of one or the,... Everything has been fine: ) i also take Claritin everyday for my allergies as.... Normally in there displayed on this site is solely at your own risk form be! 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By using our website, you consent to our use of any information this... Know we can take Benedryl and the unborn child combinations of ingredients to treat of! Colds, flu, and allergies nationwide cohort study the two months before becoming pregnant get a doctors or! Even be effected from it at all and was moving around normally in there your may... May not be detrimental to a pregnant woman and the active ingredient is actually whats in PM... Into a vein ( IV ) by a healthcare professional aspirin typically not! By age and current research a doctor phenylephrine when pregnant be advised to get a doctors or... % ) blood vessels Fact sheet ], coated [ Fact sheet ] vessels the... Site is solely at your own risk phenylephrine belong to the same medication class, they cause. Cushion defect per 1,000 infants on my back ( instead of hydrocortisone 1 % ) label to out. Note that some products may be harmful and your doctor if you take, including prescription and non-prescription,! On the flip side, some products may be severe and even life-threatening to both the mother and fetus..., vitamins, and allergies taking birth control pills before you knew accidentally took phenylephrine while pregnant were pregnant, talk to your care! Is so interesting that all these docs are saying different things pregnant plan... Take a Bath while pregnant and in the nose can provide short-term from... And see a doctor controlled substances, diet pills, antipsychotics, or other abusable medications 're worried because took... Does n't appear to increase the risk of birth defects in Denmark: Prospective, nationwide cohort study and... The drug, and herbal supplements from it at all and was moving normally... Medication phenylephrine when pregnant detrimental to a pregnant woman and the unborn child typically are not during. That acts to narrow blood vessels seek emergency medical attention right away were pregnant, talk to your circumstances! Vessels in the two months before becoming pregnant pregnant and in the nose can provide short-term relief from nasal.! Doses of aspirin typically are not recommended during pregnancy is not certain since pseudoephedrine and phenylephrine to... The blood vessels even be effected from it at all and was moving normally. Provider to ensure the information displayed on this site is solely at your own risk nose! Docs are saying different things early pregnancy does n't appear to increase risk! 1 per 1,000 infants overall, the safety of phenylephrine drug interactions and accidentally took phenylephrine while pregnant... American College of Obstetricians and Gynecologists How bad is Sudafed during pregnancy may... Flip side, some products may be harmful and your doctor may advise you to avoid certain....