U.S. doctors online nowAsk doctors free
Fenton, MO
A 34-year-old female asked:

14 weeks pregnant - is it safe to take zurtek (allergys w/ runny nose) & sudafed (for congestion) together at same time? txs!

1 doctor answer2 doctors weighed in
Dr. Michael Zacharisen
Allergy and Immunology 35 years experience
Yes and no: It's important to consult with your ob, but zyrtec (cetirizine) is a category b antihistamine that most allergists would agree is safe during pregnancy and breast feeding. However, pseudoephedrine, sudafed (decongestant) has been linked to a birth defect called gastroschisis (problem with the abdominal wall not completely closing). In the first trimester, the risk/benefit ratio should be weighed carefully.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Liza Kunz
Dr. Liza Kunz commented
Maternal-Fetal Medicine 23 years experience
At 14 weeks, the abdominal wall should already be closed. I agree that starting with Zyrtec is best. If that doesn't adequately relieve your symptoms, talk to you OB, as Sudafed is likely fine (assuming you don't have issues with hypertension or other reasons to avoid it!).
Apr 8, 2013
Dr. Michael Zacharisen
Allergy and Immunology 35 years experience
Provided original answer
Thanks Liza! I appreciate your expertise.
Apr 8, 2013
Last updated Dec 9, 2013


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.