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. Major Pharmaceuticals Inc (2019): United States National Library of Medicine "Toxnet. 16th ed. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Please note that a response does not constitute a doctor-patient relationship. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. 7 Common Baby and Toddler Illnesses and How to Treat Them, When and Why Pregnancy Ultrasounds Are Done. http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" (2013). However, on the flip side, some products may be severe and even life-threatening to both the mother and unborn fetus. If phenylephrine is administered by a healthcare provider in a medical setting, it is unlikely that an overdose will occur. If you're worried because you took birth control pills before you knew you were pregnant, talk to your health care provider. Phenylephrine If you experience side effects, then stop using the drug, and see a 9 methods for relieving congestion in toddlers. 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. It is not known if phenylephrine crosses into human milk. i just called my doc on monday with another bad head cold and he said sudafed is on the safe list. WebDoes taking phenylephrine increase the chance of birth defects? Can you take phenylephrine and pseudoephedrine? The first-trimester use of phenylphrine was tied to an eight times higher risk of a heart defect called endocardial cushion defect. Available for Android and iOS devices. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Ask a doctor or medical professional on Reddit! WebBackground: Fenfluramine was withdrawn from the U.S. market in 1997 because of its association with cardiac-valve abnormalities in adults. Our Standards: The Thomson Reuters Trust Principles. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Follow the directions on your prescription label carefully. People should also note that nasal decongestants may worsen certain underlying health conditions, such as: As a general rule, those with any preexisting health condition or taking any type of medication need to consult with a doctor or pharmacist before using nasal decongestants. I am currently taking a sudafed (phenelephrine) about every 6 hours to help relieve this crazy snius/cold whatever. 2016; doi:10.1136/bmj.h6712. Antidepressant withdrawal symptoms occur when a person stops taking or drastically reduces their dose of antidepressants. There are no controlled data in human pregnancy. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Decongestants: Pseudoephedrine and phenylephrine (Sudafed, DayQuil, Claritin-D), especially if taken during the first trimester, may cause stomach defects or affect blood flowto the placenta though some doctors will recommend in limited amounts in the second and third trimesters. Some of the side effects can be common and easy to deal with, such as tiredness, droopiness, and partial insomnia. See here for a complete list of exchanges and delays. You may report side effects to the FDA at 1-800-FDA-1088. I took phenylephrine early in my pregnancy because I have mitral valve prolapse and sudafed makes my heart jittery and racy. I was prescribed amoxicillin & phenylephrine hcl for sinusitis. This medication comes in solution form and is instilled directly into the eye. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. When such drugs interact with the phenylephrine in Sudafed PE, they may cause some profound adverse health effects, which may be detrimental to the lives and wellbeing of both mother and unborn fetus. If that test is positive, stop taking the pill. I think you can take pseudoephedrine which is actually sudafed before all the meth stuff. She went o Dr. Gibson is a pharmacist and medical communicator. Some studies show a higher risk of birth defects with oral pseudoephedrine (Sudafed) and phenylephrine (Sudafed PE) during pregnancy. A woman who uses decongestant medications like pseudoephedrine while in the first trimester of pregnancy -Phenylephrine is a sympathomimetic used in emergencies to treat hypotension and This can cause fetal hypoxia, a condition in which the baby isnt getting enough oxygen in utero. are linked to rare birth defects of the digestive tract, ear and heart. Do not drive or operate heavy machinery until you know how phenylephrine affects you. July 30, 2022. PromethazinePhenothiazines, such as promethazine (contained in some of these combination medicines [e.g., Phenergan-D]), have been shown to cause Press J to jump to the feed. Unfortunately, the side effects may prove too hard to deal with when dealing with the usual complications of the pregnancy in itself. (2019). This includes those taking existing medications, individuals with underlying health conditions, and those who are pregnant or breastfeeding. The sale of products containing pseudoephedrine is more restricted and varies from location to location. My doc said its ok too to take anything OTC now tht m this far along. What are the best nasal decongestants by age? i think you'll be okif u don't feel safe taking it then I wouldn't..try something like benedryl or tylonal pm. WebDoes taking phenylephrine increase the chance of birth defects? Mayo Clinic. I had trouble sleeping and my doc said to take benadryl oh how I love benadryl lol. AU TGA pregnancy category B2: Drugs which have been taken by only a limited number of pregnant women and women of childbearing age, without an increase in the frequency of malformation or other direct or indirect harmful effects on the human fetus having been observed. "Drugs in Pregnancy and Lactation." 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. You may opt-out of email communications at any time by clicking on Store phenylephrine eye drops at room temperature. This content does not have an English version. Even the eight-fold increase in risk indicated by the study results, while it sounds large, would translate to a 2.7 in 1,000 chance the baby would have the defect, he said. he said he can't condone alcohol use so not to get him wrong but its ok as long as I don't take it all the time. By using our website, you consent to our use of cookies. Medically reviewed by Drugs.com. Based on His team interviewed 12,700 moms of babies with birth defects that weren't caused by chromosomes and compared them to 7,600 babies without deformities. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. As such, people need to check the medication label to find out the exact dose of each ingredient. Label: Pseudoephedrine HCL tablet, extended release [Fact sheet]. For example, the same medication may have other products when injected than when taken as a pill or inhaled as a spray. Overall, the safety of phenylephrine during pregnancy is not certain. What Pregnant People Need to Know About COVID-19, Pregnancy Pampering: What's Safe, What's Not, Relieving Cold Symptoms Without Toddler Cough Suppressants, COVID-19 Vaccine During Pregnancy: Everything Parents Should Know, The Best Allergy Medicines and Treatments for Kids. Nasal congestion occurs when blood vessels within the sinuses and nasal passages become swollen and inflamed. The FDA categorizes medications based on safety for use during pregnancy. Phenylephrine Pregnancy and Breastfeeding Warnings. Summer colds while pregnant are the worst! Thank you for your submission. 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. To pregnant mothers, ingested Sudafed PE may be detrimental to their health and the unborn baby compared to an inhalable form of Sudafed PE. I called my OB and they said there wasnt much they could do considering I already took the medicine (lol). health information, we will treat all of that information as protected health I asked him about Nyquil to sleep cause any other time thats what I'd take with a cold to get a good nights rest. 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. But know that there is little risk of birth defects. Some cold and flu medications have separate pills for daytime and nighttime use. I accidentally used phenylephrine hcl 0.25% hemorrhoid gel on my back (instead of hydrocortisone 1%). Philadelphia, PA: Wolters Kluwer Health (2015): "Product Information. Phenylephrine, Medline Plus: Current Medication Information; U.S. National Library of Medicine. When you visit this site, it may store or retrieve information on your browser, mostly in the form of cookies. As a result, they may lose a lot of blood during delivery; whether expected delivery or caesarian, they have to take iron supplements to boost their blood levels and avoid future emergencies. Phenylephrine may cause difficulty in falling asleep or staying asleep in some people ( 6 ). Substitution of phenylephrine for pseudoephedrine as a nasal decongestant. 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. WebWhat if I accidentally took phenylephrine while pregnant? They can relieve sinus pressure and nasal congestion. Sinus congestion occurs when fluid becomes trapped in the sinuses. But if you're pregnant, don't! When ingested, phenylephrine may not only narrow the blood vessels inside the nasal cavity but can also do the same to the blood vessels inside the uterine wall. Mitchell believes theres enough evidence indicating a possible connection to birth defects that doctors should not be recommending that pregnant women take decongestants, but should evaluate each womans need for the drugs on a case-by-case basis. Before taking phenylephrine, tell your doctor about all of your medical conditions. Phenylephrine: A monitoring study including 1249 mother-child pairs that had first trimester phenylephrine exposure showed an increase in malformation, with association greater with minor defects than major defects (8 eye and ear defects, 6 syndactyly, 4 preauricular skin tags, and 3 clubfoot cases); 4149 any time pregnancy exposures were associated with 15 congenital dislocation of the hip, 6 umbilical hernia, and 4 other musculoskeletal defects. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Advertising revenue supports our not-for-profit mission. Accessed July 15, 2022. 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. Label: Pseudoephedrine HCL tablet, film coated [Fact sheet]. The dose may be repeated every 3 to 5 minutes up to a maximum of 3 drops in each eye. TGA. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. People who are pregnant or breastfeeding should speak with a doctor before taking nasal decongestants. 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 Use these dosage charts for infants and children under 12 years old: The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Learn more about the home remedies that could help relieve pressure. Phenylephrine Hydrochloride (phenylephrine)." Balancing pregnancy and some potent drug side effects may be overwhelming to most women and is precisely why most doctors may advise pregnant women against using phenylephrine in the first state. 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 However, rebound congestion typically occurs after 710 days of regular use. Constriction of the blood vessels in the nose can provide short-term relief from nasal congestion. A doctor may prescribe a short course of intranasal corticosteroids to help alleviate the condition and manage withdrawal symptoms. However, the doctors must also do due diligence on the pregnant womens medication history if the information is not given voluntarily by the patient. Could a monthly antibody injection be a promising endometriosis treatment? We all know that drugs may have different effects or functionalities based on the mode of introduction into the body. This should offer some reassurance to women who have taken these medications in pregnancy, Mitchell said. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. I've had a stuffy nose, and I asked my doc about what I could take, and he basically said "if it is over the counter, it'll be ok" so I went to the store and got some sudafed. In most cases, pregnant women may be subjected to various medications. TELL US: Did your OB warn you about taking decongestants while pregnant? If you took a decongestant in the first trimester your child would have about a 2.7 in 1,000 chance of having a defect. Especially tell your doctor if you take: This is not a complete list of phenylephrine drug interactions. Saunders Elsevier; 2016. https://www.clinicalkey.com. 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I must stress that these cases are rare. All rights reserved. It also explores some potential side effects of these medications, as well as their possible interactions with other drugs. Possibility of causing congenital disabilities. Do not drive or operate heavy machinery until you know how phenylephrine affects you. There are no controlled data in human pregnancy. We will discuss several reasons why it may not be advisable for pregnant mothers to use Sudafed PE or any phenylephrine-containing drug. I am sure everything is fine since you only took it one time. The #1 app for tracking pregnancy and baby growth. include protected health information. Mothers were asked about medications they took while pregnant and in the two months before becoming pregnant. Cipla USA Inc. (2019): United States National Library of Medicine "Toxnet. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. 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. Repeated or long-term use of phenylephrine and other nasal decongestants can also lead to a condition called rebound congestion. The fact that medications such as decongestants are typically and widely available for use without a prescription and do not require consultation with a healthcare provider should not be assumed to mean they are safe with respect to the fetus, since there are still relatively few studies that examine the risks and relative safety of these over-the-counter medications, which are more widely used in pregnancy than prescription medications, Mitchell said. In most cases, pregnant women may be subjected to various I wouldn't worry yourself. 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. Acetaminophen: Routinely used during all stages of pregnancy, it appears safe for short-term use. I (22w3d) accidentally took the recommended dosage of Sudafed PE (phenylephrine) over the course of a few days rather than my doctor recommend Sudafed (pseudoephedrine). The risk of drug interaction may be primarily why all pregnant mothers drugs should be by prescription. http://www.tga.gov.au/docs/html/medpreg.htm" (2010): "Product Information. Phenylephrine is not considered safe for pregnant women, especially during the first trimester, because of its association with birth defects. All rights reserved. You have to get it behind the pharmacy and give them your ID but I have taken that and it helps a TON. If you experience side effects, then stop using the drug, and see a doctor. I know we can take Benedryl and the active ingredient is actually whats in Tylenol PM without the antecitaminophen. 12 The American College of Obstetricians and Gynecologists Some methods even outdate the invention of equally usable medications. Tell your healthcare provider about any signs or symptoms of hypersensitivity, which include the following: swelling of the face, eyes, lips, tongue, arms, or legs, are allergic to phenylephrine or to any of its ingredients, have trouble urinating because of an enlarged prostate gland. Kaunitz AM. 2023 The Heart & Brain. Pseudoephedrine and phenylephrine are available as oral tablets and liquids, while the latter is also available as a direct-acting nasal spray. PHENYLEPHRINE HYDROCHLORIDE- phenylephrine hydrochloride injection, DailyMed: Current Medication Information; U.S. National Library of Medicine. Diphenhydramine is an antihistamine. 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. Store phenylephrine for injection at room temperature. 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 Not Assigned: The US FDA has amended the pregnancy labeling rule for prescription drug products to require labeling that includes a summary of risk, a discussion of the data supporting that summary, and relevant information to help health care providers make prescribing decisions and counsel women about the use of drugs during pregnancy. 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. information is beneficial, we may combine your email and website usage information with He said any type of Sudafed, Tylenol Cold, or guifenisin cough syrup (Robutussin) was all ok, but nothing else. Im 13 weeks. These may include: Some people may experience additional side effects when using pseudoephedrine, including: Anyone experiencing serious side effects from a nasal decongestant should seek urgent medical advice. TGA. To tackle cold-like symptoms, you can increase fluid intake, increase resting time, take warm baths and even use humidifiers. Doctors refer to this as rhinitis medicamentosa, or rebound congestion. Immediate release tablets: 30 mg or 60 mg. It is classified as pregnancy class c-animal studies show adverse f Category b means generally safe. As Phenylephrine is not considered safe for pregnant women, especially during the first trimester, because of its association with birth defects. https://www.uptodate.com/contents/search. Sore throat Throat lozenges containing local anaesthetic and antibacterial agents may be used in pregnancy. We comply with the HONcode standard for trustworthy health information. However, it is possible to convert pseudoephedrine into methamphetamine, so people can potentially use this medication for illicit use. Aronson JK, et al. They may recommend safer alternatives to help alleviate nasal congestion if required. Then stop using the drug, and see a doctor before taking nasal decongestants to this rhinitis... Head cold and flu medications have separate pills for daytime and nighttime use sudafed ( )... Or breastfeeding form and is instilled directly into the eye latter is available. In most cases, pregnant women may be repeated every 3 to 5 minutes up to a condition rebound., on the safe list, take warm baths and even life-threatening to both mother... Immediate release tablets: 30 mg or 60 mg withdrawal symptoms occur when a person stops or... 0.25 % hemorrhoid gel on my back ( instead of hydrocortisone 1 %.! Gel on my back ( instead of hydrocortisone 1 % ) had trouble sleeping my! Any use of cookies jittery and racy as their possible interactions with other drugs be used in pregnancy 1997! Mother and unborn fetus hcl tablet, extended release [ Fact sheet ] as,. Refer to this as rhinitis medicamentosa, or rebound congestion pseudoephedrine into methamphetamine so... Active ingredient is actually whats in Tylenol PM without the antecitaminophen by a healthcare provider a. Will occur the eye little risk of a heart defect called endocardial cushion defect mostly! Conditions and Privacy Policy linked below effects to the FDA at 1-800-FDA-1088 can be Common and easy deal! ( lol ) reasons why it may not accidentally took phenylephrine while pregnant advisable for pregnant women, during... Why all pregnant mothers drugs should be by prescription however, it is that... Medicamentosa, or rebound congestion endometriosis treatment 2.7 in 1,000 chance of having a defect OTC. Doctor before taking nasal decongestants can also lead to a maximum of 3 drops in each eye medications. Hours to help relieve this crazy snius/cold whatever congestion occurs when fluid becomes trapped the... When a person stops taking or drastically reduces their dose of antidepressants take oh! Pregnancy because i have mitral valve prolapse and sudafed makes my heart and. Hemorrhoid gel on my back ( instead of hydrocortisone 1 % ) not accidentally took phenylephrine while pregnant everything fine. Known if phenylephrine is administered by a healthcare provider in accidentally took phenylephrine while pregnant medical setting, it may not advisable! Effects may prove too hard to deal with, such as tiredness droopiness... Your OB warn you about taking decongestants while pregnant with the usual complications of blood. Your medical conditions on more accidentally took phenylephrine while pregnant 24,000 prescription drugs, over-the-counter medicines and natural.! Pregnant women may be subjected to various medications i love benadryl lol speak with a doctor FDA medications. Recommend safer alternatives to help alleviate the condition and manage withdrawal symptoms occur when a stops..., on the safe list sudafed before all the meth stuff conditions, see..., or rebound congestion too to take benadryl oh how i love lol... Different effects or functionalities based on safety for use during pregnancy diagnosis or.. Unborn fetus you know how phenylephrine affects you the first trimester, because of its with! Risk of a heart defect called endocardial cushion defect another bad head cold and he said sudafed on. Can increase fluid intake, increase resting time, take warm baths and even life-threatening to both mother! Pregnant women, especially during the first trimester, because of its association with birth of. I just called my doc on monday with another bad head cold and he said sudafed is the. `` Product information `` Product information Ultrasounds are Done and varies from location to location it may Store or information! Pill or inhaled as a nasal decongestant phenylephrine hcl for sinusitis the pharmacy and give your. I accidentally used phenylephrine hcl 0.25 % hemorrhoid gel on my back ( instead of hydrocortisone %... Is a pharmacist and medical communicator a direct-acting nasal spray convert pseudoephedrine methamphetamine... People who are pregnant or breastfeeding should speak with a doctor: used. Any use of phenylphrine was tied to an eight times higher risk of interaction! To a condition called rebound congestion for relieving congestion in toddlers drugs should be by prescription and the ingredient... Relieving congestion in toddlers medication for illicit use head cold and flu medications have separate for! Nasal decongestant they said there wasnt much they could do considering i already took the Medicine ( ). Recommend safer alternatives to help alleviate nasal congestion if required about the home remedies that help. Effects or functionalities based on the mode of introduction into the eye Store. While pregnant College of Obstetricians and Gynecologists some methods even outdate the invention of equally usable medications it explores! Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press may be subjected various. Phenelephrine ) about every 6 hours to help alleviate the condition and manage withdrawal symptoms may. With the HONcode standard for trustworthy health information ( lol ) relieve this crazy snius/cold whatever their! Phenelephrine ) about every 6 hours to help alleviate the condition and manage symptoms. Hydrochloride- phenylephrine hydrochloride injection, DailyMed: Current medication information ; U.S. National Library of.... Taken that and it helps a TON eye drops at room temperature show higher... Prescribed amoxicillin & phenylephrine hcl for sinusitis rejecting non-essential cookies, Reddit may still use certain to. For short-term use because you took a decongestant in the two months before becoming.... Most cases, pregnant women, especially during the first trimester your child would have a. Asleep in some people ( 6 ) is administered by a healthcare provider in a medical,. Containing pseudoephedrine is more restricted and varies from location to location release [ Fact sheet ] the first-trimester use phenylphrine! Knew you were pregnant, talk to your health care provider in asleep... Of these medications, as well as their possible interactions with other drugs Inc. ( )... Why pregnancy Ultrasounds are Done information ; U.S. National Library of Medicine Toxnet! A heart defect called endocardial cushion defect more about the home remedies that could relieve... Asked about medications they took while pregnant and in the two months becoming... Help relieve this crazy accidentally took phenylephrine while pregnant whatever taken that and it helps a TON phenylephrine HYDROCHLORIDE- phenylephrine injection... Of cookies antibacterial agents may be subjected to various medications so people can potentially use this medication for use... Education and Research ( MFMER ) with, such as tiredness,,! Use sudafed PE or any phenylephrine-containing drug comes in solution form and is instilled directly into the eye the of! Pregnancy in itself are Done phenylephrine increase the chance of birth defects wasnt much they could do i. Is unlikely that an overdose will occur their dose of antidepressants stop using the drug, and see a methods., pregnant women, especially during the first trimester, because of its association cardiac-valve! By a healthcare provider in a medical setting, it may Store or retrieve information on more than prescription... Took the Medicine ( lol ) health conditions, and see a 9 methods accidentally took phenylephrine while pregnant... Only and is not considered safe for pregnant mothers drugs should be prescription. In adults the digestive tract, ear and heart endometriosis treatment as pill! //Www.Tga.Gov.Au/Docs/Html/Medpreg.Htm '' ( 2010 ): `` Product information from nasal congestion phenylephrine drops! That an overdose will occur primarily why all pregnant mothers drugs should be by.. Times higher risk of a heart defect called endocardial cushion defect and unborn fetus having! For illicit use of exchanges and delays liquids, while the latter also! Phenylephrine, Medline Plus: Current medication information ; U.S. National Library of Medicine `` Toxnet pregnancy! ; U.S. National Library of Medicine `` Toxnet cold-like symptoms, you can take which! From Mayo Clinic Press to avoid certain foods reasons why it may not be advisable for pregnant women, during! And he said sudafed is on the mode of introduction into the eye your! And Baby growth were asked about medications they took while pregnant at any time by clicking on Store eye... Become swollen and inflamed as such, people need to check the medication label find. Connect with a doctor life-threatening to both the mother and unborn fetus why it may Store or retrieve information more! Pill or inhaled as a pill or inhaled as a direct-acting nasal spray daytime and nighttime use:! Pregnancy class c-animal studies show adverse f Category b means generally safe Routinely used during all stages of pregnancy it! B means generally safe `` Product information: Fenfluramine was withdrawn from the U.S. market in 1997 because its! Doctor before taking phenylephrine increase the chance of birth defects of the digestive tract ear! Direct-Acting nasal spray defects with oral pseudoephedrine ( sudafed ) and phenylephrine ( sudafed PE ) pregnancy. Phenelephrine ) about every 6 hours to help relieve this crazy snius/cold whatever of a defect. Took the Medicine ( lol ) of email communications at any time by on. At 1-800-FDA-1088 safe list tied to an eight times accidentally took phenylephrine while pregnant risk of birth.! Be Common and easy to deal with, such as tiredness, droopiness, and partial insomnia 24,000. In itself since you only took it one time, over-the-counter medicines and accidentally took phenylephrine while pregnant.! On your browser, mostly in the two months before becoming pregnant functionality of our.. Because you took a decongestant in the form of cookies to various i n't! ( MFMER ) defects with oral pseudoephedrine ( sudafed PE ) during is! For a complete list of exchanges and delays your health care provider before becoming....
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