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Suggest treatment for allergic cold - Online Doctor Chats

Date : 08-Apr-2014
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
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Doctor:Hello XXXXXXX How may I help you?
User:Hello Doc, I think i'm suffering from allergy, have a stuffy nose all the time, Its been more than a month now that I'm on nasal decongestant (nasivion). But I'm apprehensevve to continue it any longer as i am 6 months in my pregnancy now. pls suggest
Doctor:Hi. Taking New medications during pregnancy is a very tricky thing
Doctor:Many a time the Pregnancy itself will be the cause of the congestion as the hormonal changes that you are going through will increase blood flow to the nasal passages
User:Actually doc I have hd this probleb earlier as well before the pregnancy
User:I keep using nasivion and then discontinue
Doctor:Have you discussed the stuffy nose with you OBGYN?
User:Yes, she's suggested to consult an ENT specialist
User:Will do that but needed something for immediate relief as I'm losing sleep otherwise
Doctor:Ok. Well the first thing i need to tell you is that NASIVION is not a good long term drug. It can actually cause rebound stuffiness after the drug wears off. Making your problem even worse
Doctor:The drugs that I normally reccomend for allergic rhinitis are Allegra (fexofenadine) and Deslor (Desloratidine). But I have never used them on someone who is pregnant. So if you will give me a moment i will check if they are safe to use in pragnancy
User:Sure doc. Will appreciate that.
User:Usually i take either alegra or cetriz . but not sure how safe it is to take it now
Doctor:One moment
Doctor:So Allegra is a Class C drug and SHOULD NOT BE USED IN PREGNANCY
Doctor:let me check on the deslor and cetrizine
Doctor:1 minute
Doctor:Deslor is class C as well
Doctor:so can't use that
User:Is there any nasal spray that i can use other than saline ones as those doesn't help at all
Doctor:one moment
Doctor:Cetrizine is Class B.
Doctor:That means that either animal-reproduction studies have not demonstrated a foetal risk but there are no controlled studies in pregnant women or animal-reproduction studies have shown an adverse effect (other than a decrease in fertility) that was not confirmed in controlled studies in women in the 1st trimester (and there is no evidence of a risk in later trimesters).
Doctor:So if you must use a drug. I believe a small dose of cetrizine would be the safest
Doctor:Steam inhalations also help quite a bit. Have you ever tried that?
User:Ya , i tried steam with vapocap
Doctor:and that wasn't helpful?
User:not really
User:Think will take cetriz then..
Doctor:OK, but get yourself to an ENT as soon as you can for a more comprehensive therapy
Doctor:Do you have any more queries?
User:Ya will do that. Thanks for yur help Doctor
User:No.No more queries. Thanks
Doctor:Bye. Thanks for coming to
Doctor:Good luck with the baby
User:Ya Thanks a lot. Bye
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