What allergy medicines are safe while pregnant

Some little older studies suggested that taking Benadryl the first trimester of pregnancy could lead to a slightly higher risk of birth defects. But larger and more thorough studies own since found no connection between antihistamines and birth defects, Rac says.

For one study, published in Allergy and Clinical Immunology, researchers examined 20, infants &#x; 13, with malformations at birth and 6, without. They then looked at which mothers used antihistamines in their first trimester and found no significant correlation between that and malformations in newborns.


Benadryl can treat more than just allergies

The generic name for Benadryl is diphenhydramine, which is sold under a number of brand names.

You don't need a prescription to get Benadryl or other diphenhydramine-containing medicine as they are over the counter.

Your obstetrician may propose Benadryl if you are pregnant and suffering from: 

  1. allergies
  2. hay fever
  3. nausea and vomiting
  4. sleeping difficulties

Just make certain to follow the instructions and don't exceed the maximum daily dose, Rac adds.

When you're pregnant you can take the same dose of Benadryl as before pregnancy.

For standard Benadryl, that means no more than 1 to 2 tablets every 4 to 6 hours for an adult.

Benadryl is a type of antihistamine, meaning it works by blocking the molecular signal known as histamine. Your body releases histamine when it's suffering from an allergic reaction, which is why Benadryl is often used to treat allergic conditions.


Avoid certain allergy medicine while pregnant

There are a number of medications that are not safe to take during pregnancy. First among them are oral decongestants.

Oral decongestants are best avoided altogether during the first trimester because of an uncertain risk of several rare birth defects,” says Ciara Staunton, a family nurse practitioner and owner of Staunton Primary Care in Cincinnati.

“However, Sudafed (pseudoephedrine), which is locked up behind the pharmacy counter, can be used in the second and third trimesters in women without hypertension.”

But Staunton warns that Sudafed-PE (phenylephrine), the over-the-counter option, should never be taken during pregnancy. It is less effective than pseudoephedrine. But more importantly, its safety for pregnant women is questionable.

Ms. Staunton also recommends against using any herbal therapies during pregnancy.

“In the United States and most other countries, herbal medicines are minimally regulated and not monitored for adverse events.”


How to tell shich medications are safe during pregnancy

"[Benadryl] is a category B medication, which means no evidence of risk in human pregnancies is known," says Rac.

"B" is one of the five categories created by the US Food and Drug istration to classify medications according to the risk they pose to a developing fetus. While drugs in categories A and B are safe, those in D and X should be avoided.

But most medications drop into the gray area of category C &#x; neither clearly safe nor harmful.

In these cases, the benefits may outweigh the risks. "This should be a conversation between you and your obstetrician," she says.


Antihistamine tablets (oral antihistamines)

Antihistamine tablets can assist relieve itchy eyes, a runny nose and sneezing, but not every types are suitable to take during pregnancy, so always check with a GP beforehand.

Pharmacists are unlikely to sell antihistamines without a prescription for use in pregnancy because of manufacturers’ restrictions.

If you cannot use nasal sprays or eyedrops or they do not work for you, a GP may recommend an antihistamine tablet that does not cause drowsiness, such as:

  1. loratadine – this is generally the first choice for pregnant women because of the quantity of safety data available for it
  2. cetirizine – if loratadine is not suitable or does not work for you, a GP may recommend cetirizine, another antihistamine tablet that does not cause drowsiness

Chlorphenamine is also considered one of the safer antihistamines to take during pregnancy, but because it can cause drowsiness, loratadine and cetirizine are generally the preferred options.

For information about taking specific medicines in pregnancy, see the bumps (best use of medicines in pregnancy) website.

More than 50 million Americans suffer from allergies each year, according to the Centers for Disease Control and Prevention (CDC).

In fact, allergies are the sixth leading cause of chronic illness in the U.S.

What’s more, pregnancy can sometimes make allergy symptoms worse. Every woman’s body is diverse, and every pregnancy is diverse, so it’s impossible to predict exactly how allergies will affect an individual pregnant woman.

But in general, pregnant women may experience some of the following symptoms differently from other allergy sufferers:

  1. Pregnancy hormones might cause the inner lining of your nose to swell. This causes nasal congestion and a runny nose.
  2. This enhanced congestion makes seasonal allergy symptoms worse.
  3. Severe congestion could lead to poor stress and poor sleep quality.

If you’re expecting and suffering from symptoms love these, here’s what you need to know about taking allergy medicine while pregnant.


Related stories about pregnancy:

Asthma During Pregnancy

Asthma is one of the most common medical problems that occurs during pregnancy.

It can be potentially serious. Some studies own suggested that asthma complicates up to 7% of every pregnancies.About 30% of every womenwith asthma report their asthmaworsened while pregnant.

What allergy medicines are safe while pregnant

Butwith the correct treatment and care, you and your baby can own a goodoutcome.

Changes in Asthma Severity

About one-third of pregnant women with asthma will see their asthma symptoms get worse. Another third will stay the same. The lastthird will see their asthma symptoms improve.

Most women with asthmawhose symptoms changed in any way during pregnancy will return to their pre-pregnancy condition within three months after giving birth.

There is a tendency for women whose asthma symptoms increased or decreased during one pregnancy to experience the same thingin laterpregnancies.

It is hard to predict how asthma will change during pregnancy.

Because of this uncertainty,asthma should be followed closely. This way,any change can be promptly matched with an appropriate change in treatment. This calls for goodteamwork between the obstetrician, primary care physician and asthma specialist.

How Does Uncontrolled Asthma Affect the Fetus?

Uncontrolled asthma cuts the oxygen content of the mother's blood. Since the fetus gets its oxygen from the mother's blood, this can lead to decreased oxygen in the fetal blood.

The result may impair fetal growth and survival. The fetus requires a constant supply of oxygen for normal growth and development. There is evidence that adequate control of asthma during pregnancy reduces the chances of fetal or newborn death and improves fetal growth inside the uterus. There are no indications that a mother’s asthma contributes to either spontaneous abortion or congenital malformation of the fetus.

Will I Pass On Asthma to My Baby?

Genetics plays a role in whether a baby will develop asthma.

What allergy medicines are safe while pregnant

In other words, asthma tends to be more likely in a baby if their relatives own it. The environment also plays an significant role.

Is It Safe to Breastfeed?

Doctors do not believe asthma medicines are harmful to a nursing baby when used in usual amounts. The transfer of asthma medicines into breast milk has not been fully studied.

When breastfeeding, drinking additional liquids to avoid dehydration is also significant (as it is for every people with asthma). Discuss with your baby’s pediatrician.

Asthma Attacks During Labor

When asthma is under control, asthma attacks almost never happen during labor and delivery.

Also, mostwomen with well-controlled asthma are capable to act out breathing techniques during their labor without difficulty.

What Should I Do to Avoid Asthma Attacks During Pregnancy?

Avoid Your Asthma Triggers

Avoiding asthma triggers is always significant, but is particularly significant during pregnancy. Pregnant women with asthma should increase avoidance measures to acquire greatest comfort with the least medication.

  1. Stay away frompeople who are ill with respiratory infections.
  2. Avoidallergens love dust mites, animal dander, pollen, mold and cockroach.

Stop Smoking Cigarettes/Tobacco

Giving up cigarette smoking isimportant for any pregnant lady.

Smoking may worsenasthma and harmsthe health of the growing fetus as well.

Exercise

Regular exercise is significant to health. Talk to yourobstetrician for the best adviceabout exercising during pregnancy. Swimming isa particularly excellent exercise for people with asthma. Using quick-relief medicine10 minutes before exercise may assist you tolerate recommended exercise.

Are Allergy Shots Safe During Pregnancy?

Pregnant lady with asthma already receiving allergy shot therapycan generally continueif they are not having reactions.

As an additional precaution, though, the allergist may cut thedosage of the allergy extractto reducethe chance that a severe allergic reactionoccurs or at a minimum hold the dose the same but the dose should not be increased during pregnancy since that increases the chance of a reaction.

Does Asthma Cause Complications During Pregnancy?

Potential Complications

Pregnant women with asthma may havea bit greater risk of delivering early.

What allergy medicines are safe while pregnant

Or the baby may own alow birth weight. High blood pressure and a related condition known as pre-eclampsiaare also more common in pregnant women with more severe asthma.

It is not known if uncontrolled asthma causes these problems directly or if other reasonsare to blame.

However, optimal control of asthma during pregnancy is the best way to cutthe risk of these complications.

Are Asthma Medicines Safe to Use During Pregnancy?

Is It Safe to Use Asthma Inhalers or Corticosteroids While Pregnant

Ensuring asthma is well-controlled is key. It is recommended that mothers seek regular check-ups to ensure their asthma remains controlled.

Working with an asthma provider is essential. The asthma regimen that is best suited for the mom is the best approach.

Some asthma medicines are considered "safer" during pregnancy because their risks appear to be less than the risks of uncontrolled asthma. These include:

  1. Short-actinginhaled bronchodilators
  2. Anti-leukotriene agents love montelukast (SINGULAIR®)
  3. Some inhaled corticosteroids, love budesonide

Based on the severity of the mother’s asthma, a doctor may consider switching her treatment to an inhaled corticosteroid alone.

Long-acting beta agonists (like SEREVENT®, Symbicort® and ADVAIR®) and theophylline are not considered first-line treatments for pregnant asthma patients.

But doctors may consider them if the mother’s asthma is not adequately controlled by the above medicines.

If asthma is extremely severe, oral steroids such as prednisone, may be necessary for the health of the mom and baby.

Remember: It is better for mom and baby if the mom maintains asthma control (using any approved asthma drugs).

Are Flu Shots Safe to Get During Pregnancy?

People with asthma should get flu shots. Pregnancy does not change that recommendation. In fact, influenza may be particularly severe in pregnant women.

Can I Do Anything to Prevent Asthma in My Baby?

One major prenatal risk factor for the development of asthma is maternal smoking.

Giving up cigarette smoking is extremely significant. Other prenatal factors that may influence the development of asthma are:

  1. Maternal stress
  2. Diet
  3. Antibiotic use
  4. Vitamin D levels
  5. Method of delivery

Talk to your doctors about identifying your risk factors and making safe changes in preparation for your new baby.

Medical Review November .

References

Subbarao, P., Mandhane, P.J., Sears, M.

What allergy medicines are safe while pregnant

R. (). “Asthma: epidemiology, etiology and risk factors.” CMAJ. +html

Willemsen, G., van Beijsterveldt, T.C.; van Baal, C.G.; et al. (). “Heritability of self-reported asthma and allergy: a study in adult Dutch twins, siblings and parents.” Twin Research and Human Genetics.

Holberg, C.J., Elston, R.C., Halonen, M., et al. (). “Segregation analysis of physician-diagnosed asthma in Hispanic and non-Hispanic white families. A recessive component?” American Journal of Respiratory and Critical Care Medicine. ;– [PubMed]

Lawrence, S., Beasley, R., Doull, I., et al.

(). “Genetic analysis of atopy and asthma as quantitative traits and ordered polychotomies.” Annals of Human Genetics. ;– [PubMed]

Fraga, M.F., Ballestar, E., Paz, M.F., et al. (). “Epigenetic differences arise during the lifetime of monozygotic twins.” Proceedings of the National Academy of Sciences of the United States of America. [PMC free article]

Qiu, Jane. (). “Epigenetics: unfinished symphony.” Nature.

Camargo Jr, C.A., Rifas-Shiman, S.L.,Litonjua, A.A., et al.

(). “Maternal intake of vitamin D during pregnancy and risk of recurrent wheeze in children at 3 y of age.” The American Journal of Clinical Nutrition.

Get advice first

Although you can purchase numerous hay fever medicines over the counter, it’s best to get advice from a pharmacist or GP before taking any medicine when you’re pregnant.

They’ll assess your symptoms and the benefits of taking a medicine against the risk of any side effects.

To ease your symptoms when the pollen count is high, it helps to:

  1. wear wraparound sunglasses to stop pollen getting into your eyes
  2. stay indoors whenever possible
  3. keep windows and doors shut as much as possible

If you decide to take hay fever medicine, you’ll generally be advised to attempt a nasal spray or eyedrops first.


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What allergy medicines are safe while pregnant