Allergic rhinitis and pregnancy


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Allergic rhinitis and pregnancy


The symptoms of allergic rhinitis may be worse if you are pregnant. Although you and your unborn baby (fetus) are not in danger, allergic rhinitis can lead to a worsening of asthma and sinusitis. It is important to discuss this with your doctor, as some medicines might be better for you and your baby than others.

  • If possible, do not use medicines during the first 3 months of your pregnancy. If you feel you need the medicine, talk to your doctor.
  • To treat nasal congestion, try using a saline spray or raising the head of your bed.

The U.S. National Asthma Education and Prevention Program (NAEPP) recommends the following for allergies during pregnancy:1

  • Inhaled corticosteroids at recommended doses are effective and can be used by pregnant women.
  • The antihistamines loratadine or cetirizine are recommended.
  • If you are already taking allergy shots, you may continue getting them, but starting allergy shots during pregnancy is not recommended.
  • Talk to your doctor about using decongestants you take by mouth (oral decongestants). There may be better treatment options.

References


Citations

  1. National Asthma Education and Prevention Program (2005). Quick Reference From the Working Group Report on Managing Asthma During Pregnancy: Recommendations for Pharmacologic Treatment Update 2004 (NIH Publication No. 05-5246). Available online: http://www.nhlbi.nih.gov/health/prof/lung/asthma/astpreg_qr.htm.

Credits


Author Debby Golonka, MPH
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman
Primary Medical Reviewer Caroline S. Rhoads, MD

- Internal Medicine
Specialist Medical Reviewer Harold S. Nelson, MD

- Allergy and Immunology
Last Updated August 8, 2007

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Last updated: August 08, 2007
Author: Debby Golonka, MPH
Reviewed By: Caroline S. Rhoads, MD - Internal Medicine, Harold S. Nelson, MD - Allergy and Immunology
Editors: Susan Van Houten, RN, BSN, MBA, Pat Truman

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