IN the absence of national guidelines for the treatment of hayfever in pregnancy, the following medicines can be recommended if treatment is required. They are listed in order of preference:
- Topical preparations (such as steroid nasal sprays and sodium cromoglicate eye drops) — these have a lower systemic absorption than oral preparations.
- If the symptoms are not controlled with topical treatment, then the following can be considered:
- Loratadine — this has more safety data compared to cetirizine.
- Chorphenamine — sedative side effects mean this is less preferred.
DO NOT recommend:
- Decongestants (oral or topical).
When recommending or prescribing medicines for use in pregnancy, pharmacists should also take into account the licensed indications in the manufacturer’s Summary of Product Characteristics.
UK Teratology Information Service (UKTIS) patient information leaflets are available on: