Antihistamines in Pregnancy and Breastfeeding: What You Need to Know
Managing allergies during pregnancy can be tricky, especially when you are trying to avoid anything that might affect your baby. From hay fever to pet allergies, many women need some form of relief. So, what’s safe to take, and are there non-medical ways to manage symptoms? Here's what you need to know.
Are Any Antihistamines Safe in Pregnancy or when breastfeeding?
Yes, if you need an antihistamine during pregnancy, loratadine or cetirizine are usually recommended. These are non-sedating antihistamines (they don't cause drowsiness) and are considered safe for both pregnant and breastfeeding women.
If these aren't effective, chlorphenamine can be used, however it may cause drowsiness, so it’s often used with caution. Fexofenadine is another option, but there’s limited data on its use during pregnancy. While it's thought to be safe, it should only be considered if other treatments aren't suitable. Always speak to your midwife, GP, or pharmacist before starting any medication during pregnancy.
What Should You Keep in Mind Before Taking Antihistamines?
Antihistamines are among the most commonly prescribed medicines in pregnancy. So far, there’s no evidence that loratadine or cetirizine cause birth defects. That said, only a limited number of studies have been done, so more research is needed. Always speak to a healthcare professional before taking anything new, especially if you're in your first trimester.
Weighing the Risks and Benefits
Every pregnancy is different. That’s why it’s important to talk with your doctor or midwife about the benefits versus any risks. For many women, managing allergy symptoms is not just about comfort — it can improve sleep, reduce stress, and support overall wellbeing. These are all important factors to consider when making decisions about medication during pregnancy.
Can You Manage Allergies Without Medication?
Yes, there are several non-medical ways to reduce allergy symptoms, especially if you want to avoid medicines in early pregnancy:
General Tips:
-
Avoid the triggers as much as possible (e.g. pollen, pets, dust)
-
Stay indoors during high pollen times.
-
Vacuum regularly to reduce dust and pollen and keep surfaces clean to reduce allergens.
For Hay Fever:
-
Wear large sunglasses to protect your eyes.
-
Keep windows and doors closed when pollen levels are high.
-
Avoid drying clothes outside where pollen can stick.
-
Shower and change clothes after being outdoors.
-
Dab Vaseline around your nostrils to trap pollen and stop it from being inhaled.
There are also some nasal sprays and eye drops that are considered safe in pregnancy ask your pharmacist or GP for advice on what’s best for you.
Final Thought
You don’t need to suffer in silence. Whether you prefer natural strategies or need medical support, there are safe options to help you feel more comfortable throughout your pregnancy. Always speak to a healthcare professional to find the best approach for you and your baby.
