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Re: use of nasal sprays in pregnancyFrom: Anna Meenan, MD (annam@uic.edu)Thu Mar 22 17:51:13 2001
At Wed, 21 Mar 2001, K Dew wrote: > >I'm aware that quite a few OBs tell their patients not to use nasal sprays >such as AFRIN etc. while pregnant. Is there any evidence that, >appropriately dosed, there is any effect on uterine blood flow? Or is this >another "old obstetricians tale? > >Kevin Dew, MD >OB/GYN >Bardstown, KY I don't tell pt's not to use nasal sprays during pregnancy. Don't believe there is enough systemic absorption to worry about it. There is a higher risk of rhinitis medicamentosa (rebound) due to the increased vascular congestion of pregnancy. Had one mom who used them straight through each of her pregnancies, knew she was "hooked" on them, and after each delivery she weaned herself off of them by using successively smaller concentrations (1/2%, 1/4%, then the 1/8% baby nose drops). You can also wean someone off of them by having them use them on only one side so they can breathe through that side until the rebound goes away in the other nostril and then stop using them altogether.
-- Anna Meenan, MD
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