怀孕期间服用 Claritin 或其他抗过敏药安全吗?
回答 Mary Marnach, M.D.
有时,医疗护理专业人员会建议在怀孕期间服用某些抗过敏药。但是,在服用抗过敏药之前,请尝试按照以下提示缓解症状:
如果您仍想尝试抗过敏药,请咨询医疗护理团队成员。了解其风险和获益。要控制轻度过敏症状,医疗护理专业人员可能会建议口服抗组胺药。这些抗组胺药包括氯雷他定(Claritin、Alavert)和西替利嗪(Zyrtec Allergy)。
对于中度至重度症状,医疗护理专业人员可能会建议使用类固醇喷雾剂和抗组胺药。请使用最低有效剂量的类固醇喷雾剂。可供选择的无需处方即可购买的鼻喷雾剂包括布地奈德(Rhinocort Allergy)、氟替卡松(Flonase Allergy Relief)和莫米松(Nasonex 24HR Allergy)等。
医疗护理专业人员还可能会建议使用某些减充血剂来治疗鼻塞。羟甲唑啉鼻喷雾剂可连续使用最多三天。如果在三天内症状未好转,请咨询医疗护理团队成员。长时间使用可能导致鼻塞恶化。
在孕中期和孕晚期,如果未患高血压,医护团队可能会建议口服名为伪麻黄碱(Sudafed、SudoGest)的减充血剂。可能会告知您每 4 到 6 小时按需服用 30 到 60 毫克(mg)。每 24 小时服药请勿超过 240 mg。在尝试服用伪麻黄碱之前,请务必咨询医护团队。在孕早期使用此药物可能会带来严重出生缺陷的风险。
显示参考文献
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March 01, 2024Original article: https://www.mayoclinic.org/zh-hans/healthy-lifestyle/pregnancy-week-by-week/expert-answers/allergy-medications/faq-20058122