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Re: Sudafed in pregnancy?From: Richard Chudacoff, MD, FACOG (anonymous@obgyn.net)Sat, 16 Mar 2002 17:38:09 -0600 (CST)
At Sat, 16 Mar 2002, Kris wrote: > >I have two conflicting opinions on taking sudafed in pregnancy. I >complained to my OB that after coming off a 10 day head cold and flu bug >my ear hurt. My OB said to take sudafed and have the ear checked by the >ENT. The ENT saw redness but not an inner ear infection but hard to say >if the tube was irritated. He suggested to ride it out, which I did, >and pain went away after a few days. I asked the ENT if I should take >the suggestion of the OB and use the sudafed. The ENT was very firm >that I should not use sudafed in pregnancy and suggested that its out of >vogue now after recent info that sudafed can constrict blood flow in the >vessels to the placenta. He said for years its been viewed as safe but >now in question and don't take it. He gave me a prescription for >erythomcin (sp) to be filled if needed. > >Days later I started another sore throat and sinus pain with blowing >yellow/green. I had an appt with my OB within a few days later. I >asked if I should give an anotibiotic a try. He again said no and only >sudafed. I told him what the ENT said about sudafed and my OB said its >just that ENT guys have their own bag of tricks and that risk to >placenta is unfounded. Just a side note I have a history of placenta >abruption in my last pregnancy so when I hear the word placenta being >possibly affected I get nervous. > >I am 2 weeks from term. I don't know what to do with these differing >opinions on sudafed safety. > >I need some direction on the safety of sudafed, a consenus of safety >using it near term? Not sure what to tell you. Perhaps the ENT has better info sources than your OB or I. If you don't want to take the psuedofed, then take Benadryl, unless your ENT objects to that, too.
-- Richard Chudacoff, MD, FACOG Chudacoff Obstetrics & Gynecology, PLLC Sugar Land, TX
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