How to treat a cold during pregnancy (what medications are available)


Is it possible to use Otrivin during pregnancy?

Otrivin is prescribed for a runny nose, which can be viral, bacterial, allergic, or caused by a deviated nasal septum. Many women are familiar with rhinitis during pregnancy (or hormonal runny nose), when nasal congestion occurs for no apparent reason during pregnancy. Sometimes this condition continues until childbirth. Otrivin, entering the nasal cavity, constricts blood vessels, relieves swelling and allows normal breathing.

The cause of rhinitis in pregnant women (severe and prolonged swelling of the mucous membranes) is hormonal surges occurring in the body of the expectant mother.

It is not recommended to take vasoconstrictor drugs, which include Otrivin, during pregnancy: their effect extends not only to the nasal cavity, but also to the entire body. Therefore, there is a possibility of impaired blood flow in the placenta, which can result in oxygen starvation and miscarriage.

Hello! For several years I have been suffering from severe nasal congestion, I turned to specialists, everyone says that everything is fine, it’s just a habit, I need to wean myself off the drug and that’s it! But I can’t sleep at night if I don’t use a remedy for the runny nose, I’ve tried a thousand times, and nothing works - I don’t sleep almost the whole night... For a couple of months, only a vacation in southern countries helps! Everything would be fine, but at the moment I am 14 weeks pregnant, I know that vasoconstrictor drugs are contraindicated for pregnant women!!! How much harm can this cause to the unborn child?

Answers Alekseev P.A., ENT doctor:

Vasoconstrictor drugs are really contraindicated for you! Nobody can tell you how much harm this can cause, but the state of hypoxia is clearly not good for the fetus! I advise you to use saline solutions to rinse your nose 3-4 times a day; it is also very important whether you have allergies, and prescribe treatment depending on this!

Alekseev P. A., ENT doctor

https://health.mail.ru/consultation/154594/

But in cases where nasal breathing is very difficult, Otrivin can still be prescribed. Breathing through the mouth is harmful, since less oxygen enters the woman’s body (and therefore the fetus), sleep is disturbed, and nervousness appears.

Otrivin
Otrivin is a vasoconstrictor drug that relieves swelling of the nasal mucosa during a runny nose.

Prevention of runny nose and colds in pregnant women

A runny nose during early pregnancy often occurs due to swelling of the nasopharynx and lack of mucus in the nose. Many girls continue to work in offices with air conditioners that dry out the air and inhale dust. All this leads to the development of the disease.

Pregnant women especially need to ventilate the room and humidify the air, since they are carrying a baby under their hearts, which needs oxygen for development. Let's look at the causes of a runny nose that occurs during the 4th week of pregnancy:

  • a runny nose during pregnancy may occur during the flowering period, so the cause will be an allergic reaction of the body to pollen;
  • an infectious disease, if rhinitis in pregnant women is accompanied by headache, fever, sore throat due to a cold;
  • a sign of exacerbation of chronic diseases: sinusitis, sinusitis;
  • infection with respiratory diseases or sore throat due to weakened immunity, dry mucous membranes.

If you have nothing but nasal congestion, this should not be surprising. This happens, and this is normal. On the 7th day everything goes away without treatment.

Nature has provided for a decrease in immunity in women while expecting a baby, so it is not surprising why allergies can be caused even by things to which a woman was indifferent.

In the 1st trimester of bearing a baby, it is better to take care of disease prevention than to treat a runny nose during pregnancy.

  • Lead a healthy, active lifestyle and spend more time in the fresh air.
  • Ventilate and moisten your living space well.
  • Eat onions and garlic, fruits and vegetables to ensure your diet is rich in vitamins and minerals.
  • Dress appropriately for the weather. You shouldn’t wrap yourself up, but don’t overcool your body either.
  • Visit crowded places less, especially hospitals and public transport.
  • During the winter, try not to communicate with those who have a cold.
  • Pregnant women are strictly prohibited from staying in epidemic zones.

During pregnancy, you should adhere to simple hygiene standards and generally known rules in order to feel good and allow the fetus to develop normally. Remember that knowledge helps you avoid all sorts of dangers, so share the information in this article with your friends and acquaintances.

We wish you health for many years and excellent health!

Every mother wants her child to be healthy, and taking care of his health should begin from the first weeks of pregnancy. To avoid a runny nose, you need to have a good understanding of the reasons why it may appear:

  • Hypothermia (or, in common parlance, a cold);
  • Allergies (reaction to pollen, household chemicals, polluted air, certain products);
  • Changes in the structure or injury of the nasal septum;
  • Overgrowth of adenoids (in severe forms of tonsillitis, infection can enter the nasal passages);
  • Sinusitis (inflammation of the sinuses);
  • Hormonal changes (vasomotor rhinitis).

Preventive measures to avoid a runny nose in the 1st trimester should include the following measures:

  • Strengthen the immune system (vitaminized balanced diet, walks in the fresh air, feasible physical activity, lack of stress);
  • Avoid contact with infected people, and if forced to communicate, wear a mask;
  • Avoid sudden changes in temperature, which can cause a cold;
  • Use oxolinic ointment when visiting public places;
  • Begin treatment at the first signs of discomfort, after consulting with your doctor.

Measures to strengthen the immune system can be supplemented by the introduction of decoctions and teas from raspberries, rose hips, cranberries, and rowan into the daily diet. When drinking drinks, you should add a spoonful of honey to them. Just put honey not in boiling water, but in warm tea, then all its beneficial components will be preserved. Better yet, take honey into your mouth and hold it until completely dissolved, then drink it. This will ensure the nasopharynx receives a full antiseptic effect.

Release forms, composition and action

Otrivin is available in several forms with different active ingredients and their concentrations.

The disadvantages of drugs containing xylometazoline include rapid addiction. In case of an overdose, the nasal mucosa can atrophy (lose function), and the vessels, without the influence of the substance, practically stop narrowing on their own. Therefore, only the doctor determines the dosage and duration of treatment.

Release forms of Otrivin (indicating pediatric and adult dosages) - table

NameRelease formActive substanceUse during pregnancy
Otrivin dropsdrops (in adult and pediatric dosages)xylometazolineNot recommended
Otrivin sprayspray (in adult and pediatric dosages)
Otrivin Complexspray
  • xylometazoline;
  • ipratropium bromide.
allowed in the second and third trimesters when analyzing the ratio of expected benefits and risks
Otrivin More Ecosprayhypertonic seawater solutionallowed

Danger


The greatest danger in the early stages of pregnancy is self-medication for the baby, as well as incorrectly selected medications for the common cold during pregnancy.
It is they that can cause harm, and not rhinitis itself, which is often observed in pregnant women and goes away quite quickly. But if the process is protracted, you should definitely contact a specialist and be treated for a runny nose, since it can be a symptom of a more dangerous disease. It is important for a woman to understand the dangers of the disease and its complications for the baby.

Let's look at all the possible consequences of rhinitis.

  • If a woman has a stuffy nose for a long time during pregnancy, problems with oxygen saturation of the fetus may arise, that is, there is a risk of hypoxia.
  • If your nose is stuffy during pregnancy for a long time, but earlier than even at week 17, there may be a virus in the body that can cause miscarriage or premature birth.
  • A runny nose that begins in a woman as a symptom of dangerous diseases (up to 12 weeks) can cause abnormal development of the fetus, since a virus or infection can spread to the child.

Oxygen starvation leads to pathology of the brain and organs of the embryo. A timely visit to the clinic will calm you down and also provide you with doctor’s recommendations for the future.

Instructions for the safe use of Otrivin during pregnancy

If the doctor believes that the expectant mother needs to be treated with Otrivin, she is most often recommended drops in a children's dosage or a children's spray, where the concentration of xylometazoline is minimal and amounts to 0.05%. The drops are easy to dose, but there is a possibility of the medication getting into the esophagus. The spray irrigates the nasal cavity evenly, making it more convenient to use outside the home.

For a runny nose caused by colds or allergies, Otrivin is used one drop or one spray in each nostril no more than three times a day and no longer than three days in a row, since pregnant women are more prone to addiction than ordinary people.

For rhinitis in pregnant women, there is no talk of treatment - after childbirth, this condition goes away on its own. But it is necessary to alleviate the symptoms so that oxygen can freely enter the body and placenta. In this case, the drug is used once a day before bedtime. This way, the expectant mother will be able to sleep and breathe normally. During the day, you can relieve nasal congestion using gentler methods (rinsing or using medications approved during pregnancy).

How to rinse your nose correctly - video

Children's or adult dosage, application features

For adults, Rinonorm nasal spray 0.1% is produced. In childhood and during pregnancy, a dosage of 0.05% is used.

Vasoconstrictor medications are used during pregnancy only when safer methods do not help relieve nasal congestion.

Rinonorm is prescribed one injection into each nasal passage up to 3 times a day, but to minimize the risk of complications, use the drug, preferably once at night. Before use, it is advisable to rinse the nasal cavity with saline solution or just water.

Treatment with vasoconstrictors does not need to be carried out for more than a week, but it is better to use Rinonorm for up to 3 days. You should not use the spray for a long time, nor should you exceed a single dose.

To prevent and treat rhinitis, you can rinse the nasal cavity with saline several times a day. Sometimes these measures are enough to help the body cope with the problem on its own. But if the symptoms increase, you need to visit a specialist.

Side effects and contraindications

Otrivin (even in pediatric dosage) sometimes causes side effects:

  • itching in the nose;
  • headache;
  • insomnia;
  • increased blood pressure;
  • cardiopalmus;
  • nausea.

If at least one of them appears, immediately stop taking the drug and consult a doctor.

Contraindications for use are:

  • high blood pressure;
  • tachycardia (rapid heartbeat);
  • atrophic rhinitis (reduction and loss of mucosal functions);
  • dysfunction of the thyroid gland;
  • atherosclerosis (damage to the arteries due to cholesterol accumulation);
  • diabetes.

Drugs with similar effects approved during pregnancy

Expectant mothers need to choose the safest medications possible. Remedies for the common cold based on sea water or vegetable oils are allowed to be used without restrictions. And only in cases where they do not help, a doctor can prescribe vasoconstrictors.

Drugs that can replace Otrivin during pregnancy - table

NameActive substanceRelease formContraindicationsIndicationsUse during pregnancy
Aqua Marissea ​​water
  • spray;
  • drops.
individual intolerance
  • chronic nasal diseases;
  • runny nose;
  • adenoids;
  • prevention of infections.
no restrictions
Salinisotonic aqueous sodium chloride solutionspray
  • pulmonary edema;
  • cerebral edema;
  • heart failure;
  • renal failure;
  • hypernatremia (high plasma sodium concentration);
  • hyperkalemia (high concentration of potassium in plasma).
  • runny nose;
  • dry nasal mucous membranes;
  • rehabilitation after operations.
Pinosol
  • peppermint, pine, eucalyptus oil;
  • thymol;
  • alphatocopherol acetate.
  • drops;
  • spray;
  • ointment.
  • individual intolerance to components;
  • allergic rhinitis;
  • sinusitis.
  • inflammation of the nasal mucosa;
  • inflammation of the trachea, bronchi;
  • runny nose.
Sanorinnaphazoline nitrate
  • drops;
  • spray.
  • hypersensitivity to the components of the drug;
  • chronic and atrophic rhinitis;
  • angle-closure glaucoma;
  • severe eye diseases;
  • arterial hypertension;
  • severe atherosclerosis;
  • tachycardia;
  • hyperthyroidism;
  • diabetes.
runny nose (including allergic)when prescribed, the benefit to the mother must outweigh the risk to the child

Fighting the temperature

During pregnancy, it is not so much a cold that is dangerous as a high temperature, which is one of the manifestations of the disease. With a slightly elevated temperature, there is practically no risk for the baby even in the 1st trimester. But a fever over 38.5°C can cause malformations, that is, it is a teratogenic factor. There is evidence that a serious cold in the 2nd trimester with a high fever can lead to the appearance of a cleft lip and neural tube defects.

It is recommended to start lowering your temperature during pregnancy a little earlier than usual: as soon as it approaches 38°C. The following antipyretic cold medications are approved:

A drugCharacteristicMaximum daily dose
ParacetamolThe safest drug, has successfully passed numerous studies.4 g
AspirinFor a long time it was considered dangerous for pregnant women. It has now been proven that modern forms of aspirin do not affect the fetus. Moreover, aspirin can be used to eliminate increased blood clotting and prevent recurrent miscarriages. 150 mg
IbuprofenAllowed during pregnancy; when taken in the 2-3 trimesters, medical supervision is required.800 mg

Can Otrivin be used during pregnancy?

The main active ingredient of this product is xylometazoline hydrochloride. It affects the vessels of the nose, causing them to narrow. This, in turn, leads to a reduction in swelling of the mucous membrane and easier nasal breathing, which occurs with rhinitis and colds.

Xylometazoline hydrochloride is practically not absorbed. It is practically not absorbed into the blood. Otrivin begins to act approximately 5-10 minutes after its application, and the effect lasts for 12 hours.

Products for adults, sold in the form of spray and drops, have a balanced pH value. Due to this, they have a gentle effect on the delicate mucous membrane of the nasopharynx. According to reviews, the drug is well tolerated, including patients with sensitive mucous membranes.

The product contains eucalyptus and menthol, which cool inflamed tissues and alleviate the condition of a sick person.

Instructions for use of Otrivin by women during pregnancy

Indications for use of the drug:

  1. Symptomatic treatment of nasal congestion due to colds, sinusitis, hay fever, allergic rhinitis;
  2. Complex therapy of otitis media;
  3. Diseases of the paranasal sinuses;
  4. When performing rhinoscopy and other ENT procedures.

How should women use Otrivin during pregnancy?

First you need to thoroughly clean your nose of the mucus that has accumulated in it. The product in the form of drops 0.05% is intended for children. It is used once or twice a day, 1-2 drops are administered. The product in the form of drops 0.1% is intended for children over 6 years old and adults. It is used up to 4 times a day, 2-3 drops are administered into each nasal passage. The spray is used for children from 6 years of age and adults up to 4 times a day, one injection into each nasal passage.

The instructions for Otrivin state that it is not recommended to use the product for more than 10 days without a break. If therapy does not bring results, the doctor should change the drug.

Contraindications for use

First of all, it should not be used by people with individual intolerance.

In addition, contraindications include the following pathologies: severe atherosclerosis; hyperthyroidism; glaucoma; atrophic rhinitis; transsphenoidal hypophysectomy; history of surgical operations with exposure of the meninges; The spray should not be used by children under 6 years of age.

The drug Otrivin is prescribed with caution to people with diabetes, tremor, arrhythmia, tachycardia, high blood pressure, and pathologies of the cardiovascular system.

It is prohibited to use it simultaneously with monoamine oxidase inhibitors and antidepressants.

How to use during pregnancy?

The instructions state that this remedy, like others containing xylometazoline, is contraindicated during pregnancy. However, doctors widely use them, but only for special indications. You cannot use this drug on your own, as it can worsen the course of a runny nose. It can only be prescribed by a doctor, having assessed the ratio of possible benefits and risks. As a rule, during pregnancy the minimum effective doses are prescribed, most often for children.

Side effects

  1. The most common negative reaction is dry mucous membranes;
  2. Feeling of burning and itching in the throat;
  3. Headache;
  4. Nausea;
  5. Rarely, the use of the drug leads to arrhythmia, tachycardia, blurred vision, insomnia, and increased blood pressure;
  6. Long-term use can lead to increased secretion of mucus from the nose and also provoke depression.

Otrivin Sea: use during pregnancy

This form is available in the form of a spray based on sterilized isotonic water. The drug helps maintain the normal physiological state of the mucous membrane.

It is also used to thin mucus and normalize its production by mucosal goblet cells. Microelements that are part of sea water have an anti-inflammatory effect.

They increase the resistance of the mucous membrane to various bacteria and viruses, and also improve the functioning of the ciliated epithelium.

Otrivin Sea: how to use spray during pregnancy

The spray is used to combat acute, allergic, vasomotor rhinitis, chronic pathologies of the nasopharynx, which are accompanied by dryness, as well as adenoiditis. Doctors often prescribe it as a prophylaxis for infectious diseases of the upper respiratory tract in the autumn-winter period. The spray is sometimes used to wash wounds in the nasal cavity and to treat the paranasal sinuses before and after surgery. Sometimes doctors recommend it for nasal hygiene procedures in newborns.

The drug Otrivin Sea is contraindicated in case of intolerance to any of its components. The dosage and duration of administration should only be determined by a doctor, since these two parameters directly depend on the patient’s disease and the person’s age. The course of treatment can vary from several days to months.

Children's Otrivin: use during pregnancy

The annotation states that the product is used during pregnancy only in exceptional cases. If your doctor has prescribed it, you must strictly adhere to the dosage.

Why does the instructions indicate that it is not recommended for pregnant women?

The fact is that this drug constricts blood vessels, as described above. Under their influence, blood flow in the placenta may be disrupted, as a result of which the child will experience oxygen starvation. However, children's Otrivin, like other forms of the drug, acts locally and is practically not absorbed into the general bloodstream.

At the same time, nasal congestion, especially with an advanced cold, is also dangerous. The doctor must take into account the possible risks before prescribing any remedy.

A runny nose can also lead to oxygen starvation of the fetus. So the use of Otrivin in minimally effective doses and for a short period of time is acceptable.

Pharmacodynamics and pharmacokinetics

Xylometasol is a drug belonging to the group of decongestants that have local vasoconstrictor effectiveness, as a result of which they are widely used in ENT practice. The drug has a pronounced alpha-adrenomimetic effect. Local application of xylometazoline to the mucous membranes of the nose and nasopharynx leads to a narrowing of the blood vessels in them, as well as the elimination of hyperemia and swelling and, as a consequence, to the relief of nasal breathing in painful conditions that occur with nasal congestion (rhinitis).

Xylometazoline has a balanced pH characteristic of the nasal cavity and is quite well tolerated by patients with sensitive mucous membranes. The anticongestive effect of the drug does not prevent the discharge of nasal mucus.

Additional ingredients of the drops and spray - hypromellose and sorbitol - act as additional moisturizers, which helps reduce the symptoms of dryness and irritation of the mucous membranes observed with prolonged use of xylometazoline.

Levomenthol and eucalyptol, included in the menthol and eucalyptus spray, have a cooling and refreshing effect.

The use of the drug in therapeutic dosages does not cause hyperemia and does not lead to irritation of the mucous membranes. The pharmacological effectiveness of xylometazoline is noted within a few (3-5) minutes after its topical use and is observed for 12 hours.

The absorption of xylometazoline when applied topically tends to zero, and its plasma content is so small that it cannot be determined using existing analytical methods.

Otrivin during pregnancy and consequences for the child

Otrivin is a vasoconstrictor; its main component is xylometazoline hydrochloride. The nasal spray may also contain eucalyptus and menthol, which can cool the inflamed nasal mucosa.

Otrivin

Otrivin is a nasal medication that can reduce swelling of the nasal mucosa, improving breathing.

According to the instructions, Otrivin is prohibited from use during pregnancy. The fact is that the active substance causes vasoconstriction, which makes breathing easier. Any vasoconstrictor drugs that contain xylometazoline easily cross the placenta and can lead to disruptions in blood flow. This causes oxygen deficiency and impaired fetal development.

In addition, the action of the active component can provoke an increase in uterine tone and lead to premature birth, since the effect on adrenergic receptors, which are located in all tissues of the body, causes muscle spasms. The use of the drug in the first and second trimester of pregnancy is especially dangerous, when all the organs and systems of the child’s body are formed.

A hormonal runny nose does not pose any threat to the baby’s health, but advanced symptoms of a cold and nasal congestion in a pregnant woman can cause hypoxia (oxygen starvation) of the fetus and an increase in systolic blood pressure in the expectant mother. Therefore, unpleasant manifestations should never be ignored.

Doctors prefer not to treat rhinitis in pregnant women, especially in the late stages, at all, since after childbirth the hormonal balance in the body normalizes and the runny nose goes away. However, the doctor may prescribe Otrivin in the last months of the third trimester if:

  • sinusitis;
  • allergic rhinitis;
  • acute respiratory disease (ARI);
  • complex treatment of otitis media.

Possible complications

A runny nose in the first trimester is dangerous due to possible complications and side effects of medications. Incorrect behavior at the beginning of pregnancy can harm the fetus and the expectant mother. That is why every pregnant woman should be well aware of the possible negative consequences of inattentive treatment of a runny nose:

  1. A runny nose can cause any cold, because the nasal passages are blocked, cold air enters directly into the respiratory organs and supercools them. Find out about quick treatment for a runny nose in this material;
  2. A constantly stuffy nose opens the way for viral infections directly into the lungs and further to the fetus. After all, the nasal mucosa, in addition to warming, also traps pathogenic microbes, processing them into mucus. A viral infection of the fetus is a direct path to miscarriage or premature birth;
  3. When the nasal passages are blocked, all nearby organs are at risk of inflammation, which can cause a sore throat, sinusitis, and otitis media;
  4. If a pregnant woman is unable to fully breathe through her nose, there may be a risk of fetal hypoxia, which can lead to abnormalities in the development of the fetus;
  5. The transition of a runny nose from the acute stage to the chronic stage, when treatment will no longer be so quick and effective;
  6. If a runny nose lasts throughout pregnancy, there is a risk of infecting other pregnant women in the delivery room. Here the question may arise about the safety of staying in the general ward.

The main risk during this period is the inability to use most medications due to the vulnerability of the fetus. Any medicine has contraindications, and at the beginning of pregnancy (up to 12 weeks), the unborn child is still developing, and the placenta along with it. Only by the 13th week does the growth of the child's place finish, and then the child receives full protection.

Side effects and contraindications

There may be some side effects when using Otrivin. They may appear as:

  • dryness of the mucous membranes of the nasopharynx;
  • nausea;
  • headache;
  • sore throat;
  • vomiting.

In some cases, rapid heartbeat, increased blood pressure, and sleep disturbances may occur. Using the drug for more than 3 days during pregnancy may cause addiction to the drug and the development of drug-induced rhinitis. This is manifested by swelling of the mucous membrane, increased mucus secretion, and refusal of the medication causes an increase in negative symptoms.

At the first signs of a decrease in the effectiveness of Otrivin, you should immediately stop using it and consult your doctor.

Contraindications to the use of Otrivin are:

  • glaucoma - diseases of the organs of vision in which eye pressure increases;
  • tachycardia - rapid heartbeat;
  • allergy to medication components;
  • diabetes;
  • atrophic rhinitis - inflammation of the nasal mucosa with loss of its functions.

Patients suffering from cardiovascular diseases should use the product with caution.

Analogues of the drug

During pregnancy, it is better to use drugs that successfully cope with the negative consequences of a runny nose and do not have a harmful effect on the fetus. Thus, the use of Pinosol, which is a mixture of essential oils from medicinal plants, is allowed. And thanks to the high content of vitamin E, dryness of the nasal passages and gland secretion are reduced, and blood circulation is improved.

How can Otrivin be replaced during pregnancy - table

NameActive substanceRelease formIndicationsContraindicationsUse during pregnancyprice, rub.
Aqua MarisAdriatic sea water
  • Spray;
  • drops.
  • Acute and chronic diseases of the nose;
  • rhinitis;
  • enlarged adenoids;
  • prevention of infectious diseases.
Individual intoleranceNo restrictionsFrom 156
SalinIsotonic aqueous sodium chloride solutionSpray
  • Rhinitis;
  • rehabilitation period after maxillofacial operations;
  • dry mucous membranes.
  • Heart or kidney failure;
  • swelling of the brain or lungs;
  • hypernatremia;
  • hyperkalemia.
From 47
Pinosol
  • Peppermint oil;
  • pine oil;
  • eucalyptus oil;
  • thymol;
  • alpha-tocopherol acetate.
  • Drops;
  • spray;
  • ointment.
  • Runny nose;
  • inflammation of the nasal mucosa, trachea, bronchi.
Individual intoleranceFrom 157
SanorinNaphazoline
  • Drops;
  • spray.
  • Rhinitis;
  • allergic runny nose.
  • High blood pressure;
  • atherosclerosis;
  • tachycardia.
When prescribing the drug, the possible risk to the fetus and the expected therapeutic effect on the woman’s health should be taken into account.From 73

Analogues of the nasal remedy in the photo

Salin has an antiseptic and anti-edematous effect, its use during pregnancy is allowed. Pinosol has an antimicrobial, anti-inflammatory effect, stimulates the restoration of the nasal mucosa. Sanorin quickly eliminates swelling, restores breathing, but during pregnancy it is prescribed extremely rarely. Aqua Marisa is based on sterile water of the Adriatic Sea containing various microelements which help normalize the nasal mucosa

Features of treatment of runny nose during pregnancy - video

Healing procedures

These are safe and quite effective remedies for pregnant women.
In addition to drugs, drops, and ointments, procedures for pregnant women are also suitable; pregnant women need to be wary of pills.

But gargling, rinsing the nose, and inhalations have not been canceled.

So, here are the most common procedures that can be conveniently done at home to treat a runny nose during pregnancy.

  • If you rinse your nose with drops or sprays containing sea water, this product will help disinfect the nasal passages and also quickly relieve swelling and inflammation.
  • Using saline solution to rinse the nasal passages. For this, 1 tsp. Stir salt in a glass of water. The product removes mucus, moisturizes and makes breathing easier.
  • Gargling with a solution of salt and soda. It is advisable to rinse your nose and throat 6 times a day at intervals of 2 hours.
  • Inhalations based on sage, chamomile, eucalyptus, mint. Add a drop of oil to boiling water and inhale the steam, covered with a towel. Inhalation over boiled potatoes or peelings, familiar from childhood, is perfect for this case.

All these remedies for the common cold cannot cause harm if you do not have other diseases or contraindications.

Composition of the spray and its purpose

Spray "Otrivin" is primarily a vasoconstrictor that gently eliminates mucous secretions during inflammation of rhinitis. The action of the drug is aimed at constricting blood vessels, enlarging the bronchi and normalizing breathing.

Thus, the medicine has a beneficial effect in case of inflammation of the nasal sinuses, severe nasal congestion and in the event of swelling in the mucous part of the nasal passage.

The drug is prescribed for acute or chronic rhinitis, allergic forms of inflammation, the penetration of viruses and infections that provoke the appearance of inflammation and thick mucous discharge.
The drug contains active ingredients that act within five minutes after administration into the nose. An effective combination of active ingredients allows you to restore breathing and normalize the functioning of the nasopharynx.

It is necessary to take Otrivin in case of pregnancy only after personal consultation with a therapist, since the drug differs from other vasoconstrictor drugs in a host of side effects.

Despite the good and rapid action of the medicine, during pregnancy you need to be more careful when choosing medications. Avoid any unpleasant consequences of medications; therefore, when treating ENT inflammations, permission from a therapist or gynecologist is required.

Do not take the spray without consulting a doctor, as in case of hypersensitivity to the active ingredients, serious consequences may occur: nausea, vomiting, dizziness and changes in blood pressure. In the latter case, this is dangerous due to the threat of miscarriage.

How to use the spray correctly during pregnancy

The use of Otrivin in case of pregnancy without prior consultation is strictly prohibited.
It is especially important to take medications with significant side effects correctly in the first months of pregnancy. At this time, any uncontrolled treatment of the expectant mother can negatively affect the development and structure of the unborn child. Therefore, if you are feeling unwell, please contact your GP.

Treatment in early pregnancy

It is dangerous to take Otrivin during pregnancy in the 1st trimester. But some doctors may prescribe the drug if there is no risk to the fetus or placenta. Only a qualified doctor can determine the degree of risk.

Keep in mind that if the dosage is incorrect, nosebleeds and dryness in the mucous membrane very often appear in the first stages. Some patients complain of a burning sensation, sneezing, and nasal congestion with frequent use of Otrivin. There is soreness in the nasopharynx and rhinalgia.

In extremely rare cases, mucous discharge and significant discomfort in the paranasal sinuses, discomfort in the throat and swelling of the pharynx appear.

Be careful if you have dry mouth, nausea, pain when eating or drinking, as well as skin rashes, kidney and genitourinary dysfunction. In such cases, it is necessary to seek medical help as quickly as possible, since undesirable processes form in the body after using the medication.

Treatment in the second trimester

Everyone knows that in the early stages of pregnancy, pregnant women are more often susceptible to any infectious inflammation.
But with the onset of the 2nd trimester, the expectant mother’s immune system is restored.

Women get sick much less often, but you shouldn’t be completely confident in the body’s protection.

It is dangerous to catch any inflammation at this time, since at this time the development of the baby’s internal organs occurs.

If the expectant mother gets sick, it is necessary to take the necessary measures and choose a drug that least traumatizes the body.

Treatment with the drug "Otrivin" at this period can negatively affect the formation of the child's organs. It is prohibited to take the drug yourself, as it is necessary to study the degree of risk. Only a therapist can do this. If the outcome is favorable, the patient is prescribed medication according to an individual dosage.

In each case, the doctor himself determines the required dose of the drug. Typically, a pregnant woman in the second trimester is allowed to administer up to two sprays of the spray per day. You must first clear your nose of mucous secretions using solutions prescribed by your doctor.

Otrivin should not be used if there are contraindications. These include:

  • excessive sensitivity of the body to the active ingredients;
  • in case of atrophic rhinitis;
  • surgical interventions on the head area;
  • disruption of brain function;
  • increased pressure inside the eyes;
  • severe changes in blood pressure;
  • cardiopalmus.

In addition, you should refuse treatment with Otrvin in case of diabetes mellitus and in cases of inflammation of glaucoma.

Keep in mind that you should not violate the dosage of the drug.
With excessive use of the active component of the drug, rare cases of overdose are possible, which manifest themselves in the form of dry mouth, difficulty breathing, and rapid heartbeat.

In this case, symptomatic treatment is necessary.

Appropriate measures must be taken at the slightest sign of overdose. Medical supervision is necessary for eight hours after intoxication of the body.

In more severe cases, the necessary measures must be taken within one hour. Otherwise, unforeseen consequences may occur.

Keep in mind that the medicine cannot be combined with certain medications at the same time. These medications include monoamine oxidase inhibitors and various types of antidepressants and antibiotics. Therefore, tell your doctor about all medications you are currently taking or have taken in the previous two weeks.

When taking inappropriate drugs at the same time, blood pressure increases. With a strong change in pressure, death or severe damage to the development of the fetus is possible.

Treatment in the third trimester

The safest use of Otrivin is considered to be in the 3rd trimester.
At this time, the fetus is protected by a compacted placenta, through which it is impossible for viruses or other harmful microorganisms to penetrate.

But treatment must be carried out under the constant supervision of the treating physician, since with heavy mucous discharge there is a risk of complications.

Often a runny nose provokes the appearance of otitis media, sinusitis or disease of the Eustachian tube, which invariably leads to ear congestion and other consequences.

In the later stages, as before, the expectant mother is prescribed the children's form of Otrivin. It is believed that it is more gentle and does not harm the placenta. In addition, the children's preparation contains a minimal concentration of xylometazoline.

This form of the drug is easier to dose and distribute evenly in the nasal cavity.

In case of colds or rhinitis caused by allergies, it is necessary to take two sprays into each nasal cavity up to three times a day. The spray should be used for no more than three days.

Treatment can be extended, but keep in mind that during pregnancy, women get used to medications faster.

This causes the drug to be ineffective during long-term treatment.

"Otrivin" during pregnancy in the later stages can negatively affect blood pressure.

When blood pressure changes, a pregnant woman feels worse.

In addition, such changes are dangerous for the child, since a violation of the integrity of the placenta or its detachment may occur. Such consequences can cause premature birth, which will negatively affect the development of the baby.

Stuffy nose during pregnancy: what to do?

What are the dangers of Otrivin during pregnancy? Doctors consider 2 options with special attention: use in the first and last trimesters. What harm does the medicine cause to the woman and the unborn baby:

  • Treatment with medication in the early stages is dangerous because such therapy can affect the development of the child and the formation of his organs. "Otrivin" during pregnancy (1st trimester) can negatively affect the cardiac system of the embryo, which is very vulnerable: it is just beginning to form. The drug can also affect the neural tube, causing its incomplete closure, which can lead to congenital pathologies.
  • "Otrivin" during pregnancy (3rd trimester) can affect the blood pressure of the expectant mother, which is dangerous for the fetus. If it increases significantly, then this is fraught with fetal hypoxia and even placental abruption. This is all very serious.

It is strictly forbidden to use Otrivin during pregnancy if the woman has contraindications. These include hypersensitivity, medicinal or atrophic rhinitis, hypertension or tachycardia. Treatment with Otrivin is prohibited for hyperthyroidism, glaucoma, and also if surgical interventions on the meninges have previously been performed. If the expectant mother has diabetes, then use should be discontinued.

There is a drug called Otrivin, which expectant mothers can not only use, but also need to use. The use of this medicine can protect a woman from infection and disease. "Otrivin Sea" contains a sterile solution of sea water. The drug washes the nasal mucosa, moisturizing it and clearing it of bacteria.

It is important that such a medication does not contain preservatives that could negatively affect the formation and growth of the embryo. Marine spray "Otrivin" during pregnancy (2nd trimester or any other period - not so important) is used for prevention and treatment. The composition can be administered into the nasal passages an unlimited number of times during the day:

  • Treatment of a runny nose involves cleansing the mucous membranes with Otrivin. After using it, you can apply a topical medication prescribed by your doctor.
  • Prevention with the drug helps maintain nasal hygiene and protects against viral infection. Also, to some extent, the solution relieves swelling: the salt draws out excess liquid.

Even Otrivin for children during pregnancy can cause unpleasant consequences. But it is in this form that the medicine is prescribed to women who are in an “interesting” situation. Even if the expectant mother previously calmly tolerated taking the described active ingredients, now everything may change. The fact is that during pregnancy a restructuring of all systems occurs.

If after using the medication you experience nausea, headache, disturbed sleep, shortness of breath and other unpleasant symptoms, then you need to stop treatment as soon as possible. Do not select an antidote yourself. Be sure to consult a doctor to assess your well-being and select further treatment tactics.

From the moment a woman finds out about her pregnancy, her attitude towards her well-being should radically change. If earlier she could take medications without permission, now it is strictly forbidden to do so. But the need for medications sometimes still exists.

Every second expectant mother experiences a cold in the early stages. Most often it is a viral infection. It develops due to a decrease in immune defense. Women get sick less often in the second trimester. In recent weeks, it is especially undesirable to catch an infection. But if this happens, then nothing can be done.

You need to take prescribed medications and follow your doctor's recommendations. A common symptom that worries expectant mothers when they have a cold is nasal congestion. Women are wondering whether Otrivin can be taken during pregnancy. After all, this drug is very popular and copes well with a runny nose.

Today's article will help you answer the question.

ipratropium bromide. This component has an anticholinergic effect.

Can this medicine be used during pregnancy? What do the instructions say? The annotation states that Otrivin Complex is strictly prohibited for use in the first trimester.

In the second and third, the medication is used in case of urgent need. But even when prescribing medication, the expectant mother should avoid overdose. Women should use Otrivin Complex as rarely as possible.

The duration of therapy does not exceed 7 days.

In the first trimester, it is not advisable to put Nazivin in your nose, because... active laying of fetal organs and formation of the placenta occurs. Experts believe that oxymetazoline, which is part of the drug, negatively affects the intrauterine development of the child.

If no other means help ease nasal breathing for a woman expecting a baby, the doctor may prescribe her Nazivin even in the early stages of pregnancy. You must follow the prescribed dosages and follow all recommendations of a specialist.

Due to the fact that Nazivin has a pronounced vasoconstrictor effect, it should not be used by those patients with a risk of high blood pressure or a history of hypertension. Other contraindications:

  • glaucoma (the disease can cause difficulty in draining fluid and poor circulation, and oxymetazoline can significantly aggravate the situation);
  • atrophic rhinitis (the medication is not prescribed if the patient has changes in the nasal mucosa and multiple crusts, which provokes the development of bleeding);
  • dysfunction of the heart muscle (angina pectoris, ischemia, tachycardia);
  • diabetes;
  • thyroid diseases;
  • hypothyroidism;
  • high intraocular pressure;
  • pheochromocytosis;
  • individual sensitivity to one of the components of the drug.

Long-term use of the drug is addictive. In this case, the effect of its action is achieved by increasing the dose, but such actions will not benefit the developing fetus. Using Nazivin for more than the prescribed period or in violation of the recommended dosage provokes adverse reactions in the form of:

  • drying out the nasal passages;
  • bleeding;
  • nausea;
  • hypertension;
  • migraine;
  • insomnia;
  • itching and burning.

During pregnancy, Nazivin should be instilled into the nose for 3-5 days, but no more. In the first trimester, it is generally undesirable to use medications based on oxymetazoline (Fervex, Nasivion, Nesopin, Lekonil, Oxymetazoline). Experts advise using alternative and more gentle means, consisting of natural ingredients, but no less effective. These include Pinosol, Composite and Euphorbium.

Pinosol contains only plant extracts and essential oils, which helps overcome the symptoms of a runny nose (more details in the article: using Pinosol during pregnancy). The product is safe for both mother and baby. Before using the medication, an allergy test should be performed.

READ MORE: Severe headache: what to do and how to get rid of it?

Means based on saline solutions can relieve nasal congestion during pregnancy. Most often they are used for mild or moderate runny nose. Such drugs include:

  • Dolphin;
  • No-salt;
  • Sanomarin;
  • Marimer;
  • Morenasal;
  • Humer.

Considering the release form, saline solutions are injected into the nasal passages, if it is a spray, or a few drops are instilled for rinsing. Such drugs do not cause discomfort, but at the same time effectively cope with rhinitis.

Traditional methods effective in the fight against nasal congestion:

  1. Inhalations with herbs and certain essential oils. Inflammation and swelling are relieved by sage, thyme, tea tree oil and eucalyptus.
  2. Home remedy from chamomile. Pour boiling water (500 ml) over 50 g of the plant and leave to steep for 6 hours in a thermos. Strain the finished infusion and you can put a few drops in your nose (usually 2-3 is enough). Use these drops every 2 hours.
  3. Rinse the nasal sinuses with a solution of salt. You need to dilute 1 tbsp in 1 liter of water. salt and use this solution to clear your nose of accumulated mucus.
  4. Freshly squeezed apple or carrot juice can be used as drops for a runny nose. The finished fresh juice should be carefully strained and a few drops placed into the nostrils.
  5. Aloe drops. The leaves of the plant need to be washed well and the skin removed. Then chop with a knife or in a blender and squeeze out the juice through cheesecloth. Apply the resulting drops to your nose several times a day. The product can cause sneezing.

When using herbal remedies, one must not forget about possible allergic reactions. A woman in this position is more susceptible to allergies, so folk remedies should be used under the supervision of a doctor.

Pregnancy and childbirth are an important and joyful period for every family; most women change their lifestyle to a healthier one.

The protective barriers of the expectant mother's body weaken, directing all their strength to bearing the fetus, which often leads to various types of inflammation of the nasal mucosa (runny nose, rhinitis) in the pregnant woman. During such a period, it is important to immediately take measures to eliminate a runny nose, because the fetus receives oxygen from the mother, through her respiratory organs. Otherwise, the fetus may have abnormal development due to lack of oxygen.

A runny nose during pregnancy is a fairly common problem; a third of women experience it at different stages, which is where the concept of “pregnant rhinitis” even arose. The causes may be different, the main reason is viral diseases, which often appear in pregnant women due to reduced immunity.

  1. Dry indoor air or dust.
  2. Inflammation of the paranasal sinuses – chronic sinusitis.
  3. ORZ.
  4. Sinusitis.
  5. Adenoids.
  6. Deviation of the nasal septum.

In the 1st trimester, a runny nose often occurs due to hormonal changes and viral diseases, as well as chronic respiratory diseases. In the second and third trimester, rhinitis appears more often due to ARVI, acute respiratory infections or due to allergies. In autumn, winter, and also during the summer heat, rhinitis appears due to dry indoor air, and therefore, in order to avoid a runny nose during pregnancy, it is necessary to constantly humidify the air.

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