April 2013 Moms

Is it safe?

To take Sudafed while pregnant?  I am worried my congestion will turn into an ear/sinus infection if I don't take something.  Anyone know if it's safe?

Re: Is it safe?

  • Nope. Pretty much all you can take is Tylenol and some allergy meds. Ask your doctor for recs.
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  • My doc gave me a list of meds that were "okay" and I am pretty sure Sudafed was not on there.

  • Call your doctor. My MW ok'd regular sudafed.
  • I would call your Dr. Mine did allow me to take Sudafed when I had a cold that turned into bronchitis...but that was because the alternative was asthma attacks caused from me coughing so hard.

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  • My doctor told me I could take Sudafed.  And even Sudafed D which has the decongestion stuff in it.  If you're worried about it, ask your doctor though.
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  • I would say ask your doc. They all say something differently. I got a looooong list of approved meds, and sudafed and tylenol sinus were both on it. I'm just getting over a nasty cold, and all I was taking was the daytime tylenol sinus and cough drops.
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  • I've taken it when my congestion is really bad. It was okay'ed by my Dr.
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  • imageGrace0609:
    Yes.  Pseudoephedrine is on my doctor's ok list AFTER first trimester.  It used to be ok in any trimester during my first pregnancy, but for some reason they changed it to after first trimester the last time I was pregnant.

    Yes. This. Regular Sudafed is on my OB's approved list.

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    Emmeline Grace 03.27.13
  • My doc said it was fine but I'd call yours just to make sure. 
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  • My doc also said Sudafed was safe, as does Infantrisk.org, which is my go-to source for these sorts of questions!

     

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  • Sudafed is a class C drug for pregnancy.  I personally would find something else to take, but the others are right that it's best to talk it through with your doctor.  Even if you did require an antibiotic, antibiotics are class B I believe so that's theoretically a lower risk to the baby.

    https://safefetus.com/search.php/index/fda 

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  • I wouldn't take it. 
  • I had to ride it out.  When I called the on-call nurse I was full-blown miserable with a totally clogged and painful left ear, a partially clogged right ear, completely unable to breathe out of my nose about 75% of the time, and basically couldn't smell or taste anything.  At that point, she suggested going to the doc for antibiotics.  What I can say is that mine is resolving itself pretty well, and I didn't end up getting antibiotics because there was a 2-hour wait time by the time I walked in, and I figured some sleep would be better.

    I pretty much second what PP said about calling your doc.  If you don't HAVE to be miserable, you shouldn't be.  But it will probably depend on how your doc feels about how likely you are to develop an infection your body can't fight on its own vs. the risks associated with the medicine. 

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  • This is the chart I use. I didn't see Sudafed on the list, but there's several other things you could try.
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  • I called my dr last week and asked,and she said Sudafed was ok after 1st tri, but not to use longer than 3 days.  Just check the label - there's Sudafed, and Sudafed PE.  I think plain Sudafed is the one that is ok, but call your dr and ask to be sure.

    Or you can try plain saline nasal spray.  Just make sure its just saline, not with any added decongestant medicines in it.

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  • Many docs ok Sudafed or Tylenol cold and sinus but I would only take those as a last resort. Try using a neti pot or Hydrasense first to clear out your sinuses. 
  • According to safefetus.com, Sudafed is NOT ok.

    If you're really miserable though, I would definitely put in a call with your Dr and ask what your options are. 

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  • On my print out from my Dr it says you CAN take Sudafed as long as it's after the 1st trimester.

    • Robitussin-plain or MD (with codeine after 1st trimester)
    • Triaminic
    • Chloroseptic spray/lozenges
    • Dristan nasal spray (no longer than 3 days)
    • Afrin (no longer than 3 days)
    • Mucinex
    • Rhinocort
    • Sudafed (after 1st trimester)
    • Flonase (after 1st trimester)
    • Chlor-Trimeton (after 1st trimester)
    • Tyenol Cold, Sinus, flu and mulitisymptom (after 1st tri)
    • Dayquil
    • Zicam
    • Allegra (after 1st tri)
    • Singulair (after 1st tri)
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  • Sudafed is on my safe list from my doctor. As long as you are past the first tri.I've been told it is just fine.
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