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Can Oxymetazoline nasal drops be continued during pregnancy?

Answered by
Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5069 Questions

Posted on Wed, 23 May 2018 in Pregnancy
Question: Hi Doctor,

My wife is 23 weeks now, she gets allergic rhinitis often during winter (Nov, Dec) and her nose gets blocked. She has started taking Oxymetazoline nasal drops ( Otrivin-one drop, sometimes two on each nostril) almost 2 weeks back and she continues even now.. Without the nasal spray she is hardly breathing so I did not oppose.. Since she has taken medication more than two weeks now I would like to confirm if it is safe and there will be no anomalies to fetus.

Thank you
Answered by Dr. Deepti Verma 1 hour later
Brief Answer:
Can be taken

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
Oxymetazoline is pregnancy category C drug which means that the drug should be used in pregnancy only if the benefits outweigh the risk.
So, if she cannot breathe without the drug, she can take it.
It is very unlikely to harm the fetus.
However, it is better to consult an ENT specialist so that she can be switched over to the safer alternative further.
Hope you found the answer helpful.
Dr Deepti Verma
Maternal and fetal medicine specialist
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