Nasal Congestion Pregnancy

Before starting any medication, always consult your healthcare provider to ensure it is safe for your specific pregnancy. Rhinitis and pregnancy: literature review - PMC

| Drug Class | Example | Safety Category* | Notes | |------------|---------|------------------|-------| | | Budesonide, Fluticasone | B | First-line drug therapy if saline fails. Minimal systemic absorption. | | Intranasal Antihistamines | Azelastine | C | Second-line; limited data but likely low risk. | | Oral Antihistamines | Loratadine, Cetirizine | B | For coexisting allergic rhinitis; not first-line for ROP alone. | | Decongestants (Oral) | Pseudoephedrine | C | Avoid in first trimester (small risk of gastroschisis). Use only after 12 weeks and short-term. Avoid with hypertension. | | Decongestant Sprays | Oxymetazoline | C | Risk of rhinitis medicamentosa. Limit to ≤3 days. | nasal congestion pregnancy

Nasal congestion during pregnancy is a common but often under-recognized condition. Affecting an estimated 20–40% of pregnant individuals, it typically appears in the second trimester and resolves within two weeks after delivery. This report outlines the causes, symptoms, differential diagnosis, maternal and fetal implications, and evidence-based management strategies. | | Intranasal Antihistamines | Azelastine | C