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However, not all of them are safe to use during pregnancy. One of the components of bismuth subsalicylate is salicylate, which is a component that crosses the placenta. Due to this, there is an increased risk for intrauterine growth retardation, fetal hemorrhage, and maternal hemorrhage within organogenesis and in the second/third trimester. [ 12 ]
Antihistamines, specifically H1-antihistamines, are medicines which provide relief for allergic symptoms such as runny nose, sneezing, itching, and watery eyes from seasonal allergies . They are usually the first line of medications prescribed by a general practitioner, or a pharmacist for allergies in a community pharmacy.
It is unclear if use during pregnancy or breastfeeding is safe. [4] It is an antihistamine and mast cell stabilizer. [5] [2] Olopatadine was patented in 1986 and came into medical use in 1997. [6] It is available as a generic medication. [2]
Use in pregnancy appears safe, but use during breastfeeding is not recommended. [8] The medication works by blocking histamine H 1 receptors, mostly outside the brain. [6] Cetirizine can be used for paediatric patients. The main side effect to be cautious about is somnolence. [9] It was patented in 1983 [10] [11] and came into medical use in ...
It is unclear if use is safe during pregnancy or breastfeeding. [9] It is a second-generation antihistamine and works by blocking the release of a number of inflammatory mediators including histamine. [7] [8] Azelastine was patented in 1971 and came into medical use in 1986. [10] It is available as a generic medication.
Use in pregnancy appears to be safe. [6] Montelukast is in the leukotriene receptor antagonist family of medications. [6] It works by blocking the action of leukotriene D4 in the lungs resulting in decreased inflammation and relaxation of smooth muscle. [6] Montelukast was approved for medical use in the United States in 1998. [6]
Use in pregnancy appears safe, but has not been well studied; use in breastfeeding is of unclear safety. [4] It is believed to work in part by anticholinergic and antihistamine mechanisms. [3] Meclizine was patented in 1951 and came into medical use in 1953. [5] It is available as a generic medication and often over the counter.
Available data suggests that mefloquine is safe and effective for use by pregnant women during all trimesters of pregnancy, [24] and it is widely used for this indication. [25] In pregnant women, mefloquine appears to pose minimal risk to the fetus, [25] [26] and is not associated with increased risk of birth defects or miscarriages. [27]
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