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How to Safely Manage Hay Fever During Pregnancy

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Allergic rhinitis affects at least 20% of pregnancies. While hay fever itself won’t affect your pregnancy, the discomfort can make it harder to sleep and leave you feeling run down. The good news is that there are safe ways to manage your symptoms without harming your baby.
The NHS recommends trying natural remedies first, like saline nasal sprays and avoiding allergy triggers, before considering pregnancy-safe medications.
Understanding the best ways to manage hay fever safely ensures you stay comfortable and healthy throughout your pregnancy. Let’s go through the safest options to keep your symptoms under control.

 

Key Findings

  • Some antihistamines are considered safe during pregnancy but always check with your GP or midwife before taking any medication. 
  • Hay fever doesn’t harm your baby; however, symptoms can make pregnancy more uncomfortable.  
  • Having a hay fever treatment plan with options for pregnancy-safe medication and natural remedies will help to ensure that you don’t suffer from bothersome symptoms whilst pregnant.

Is Hay Fever Medicine Safe in Pregnancy?

Common Antihistamine Medicines

Some hay fever medicines are safe during pregnancy, but it's important to choose the right ones. 

If your symptoms are severe, certain antihistamines and nasal sprays may be considered safe; however, you should always check with your GP, midwife, or pharmacist before taking any medication during pregnancy. 

  • Non-drowsy oral antihistamines – These may be recommended by a doctor because they work effectively to block histamine, which helps to prevent symptoms that make pregnancy uncomfortable, such as a blocked nose and sneezing. 
  • Steroid Nasal sprays – If you need an extra boost Beconase and Beclometasone can help ease inflammation, as well as a stuffy or runny nose. They’re usually safe to use during pregnancy, but need to be approved by your doctor first. 

Alternative Hay Fever Treatments

Every pregnancy is different, and for some mothers, using alternative treatments for hay fever symptoms is a feasible option. This could include:

  • Saltwater solution: A saline rinse helps to clear nasal passages, debris, and allergens. It is considered safe for use during pregnancy, but you should only use sterile, distilled, or boiled and cooled water.  
  • Herbal remedies: Peppermint contains menthol, which may act as a natural decongestant, helping to reduce allergic rhinitis symptoms such as nasal inflammation and soothe a sore throat. However, there are limited studies on its direct impact.   
  • Probiotics: Live microorganisms from probiotics can help to maintain or improve good bacteria. This keeps your gut microbiome balanced, which is beneficial for both your immune system and your pregnancy.  

It’s important to consider the potential risks before trying an alternative hay fever remedy. It’s a good idea to discuss your plan with your GP so they can advise on the best course of action for treating your specific symptoms.  

What Doctors Suggest as the Best Choice

Medicines Doctors Often Recommend

Medical advice from the NHS antihistamine guidelines states that Loratadine is usually recommended in pregnancy. Loratadine or Cetirizine are typically okay to use while breastfeeding, too.  

The use of antihistamines during pregnancy is on a case-by-case basis, and doctors must assess safety and your suitability for starting any treatment. 

Medicine-free Hay Fever Remedies

Although medication plays a key role in managing hay fever, doctors also highlight the importance of lifestyle adjustments to reduce your exposure to allergens and relieve symptoms: 

  • Protect your nostrils: applying a thin layer of petroleum jelly creates a sticky barrier that can trap pollen before it enters your nasal passages and triggers an allergic reaction. 
  • Avoid outdoor activities at peak times: keep an eye on Met Office pollen forecasts so you can plan your daily tasks without getting caught out. 

Practical Daily Tips for Hay Fever Protection in Pregnancy

Keeping Your Home Safe

Home should be a sanctuary for any expectant mother. Creating a safe, comfortable environment is especially important during pregnancy, as it helps reduce exposure to allergens like pollen and dust.  

Here are some tips for promoting both your well-being and the health of your growing baby: 

  • Maintain good housekeeping: Regularly dust and vacuum with a HEPA filter to capture pollen and other allergens. It's a good idea to wipe down surfaces frequently and wash bedding in hot water to remove any pollen that may have settled. 
  • Protect windows and doors: Keep them closed during peak pollen times, usually in the early morning and late afternoon, to prevent allergens from entering. 

Lifestyle Hacks for Better Protection

Adding a little self-care into your routine can help boost your hay fever treatment plan and prevent symptoms from worsening: 

  • Rest and recharge: Get enough sleep each night to support your immune system and allow your body to manage allergens better. 
  • Practice gentle breathing exercises: Deep breathing can help manage stress and clear your airways, improving comfort and relaxation. 
  • Stay hydrated: Drink plenty of water throughout the day to help thin mucus and keep your airways clear. 

When to Seek Medical Advice

While allergy medication and self-care can help manage hay fever symptoms, there are times when it's important to seek medical advice, especially during pregnancy.  

Consider reaching out to your GP or pharmacist if: 

  • You have severe hay fever symptoms, or they last longer than expected 
  • You experience wheezing, chest tightness, or shortness of breath  
  • You’re considering over-the-counter or prescription medications   
  • Your skin or eyes become irritated, inflamed, or infected 
  • Your hay fever is affecting your ability to rest, work, or manage daily tasks 

Always err on the side of caution and seek medical advice if you're concerned about your health or the well-being of your baby. 

 Prenatal Discussions

When you're pregnant and dealing with hay fever, it's essential to have open discussions with your obstetrician.  

Here are some key questions to consider when talking about your symptoms and care options: 

  • What kind of natural hay fever remedies are safe for me and my baby? 
  • Which over-the-counter or prescription antihistamines or nasal sprays won’t affect my pregnancy? 
  • What are the signs that indicate I need to review my treatment or dosage? 
  • What are the best pregnancy-safe lifestyle changes I can make? 

Talking openly to your GP about any hay fever related concerns will ensure you get the best support and advice to manage your symptoms effectively throughout each trimester. 

Take the Next Step with Chemist Click

If you’re looking for convenient and reliable ways to manage hay fever during pregnancy, Chemist Click is here to help.  

As a trusted online pharmacy, we offer a wide range of allergy relief medicines that can support your well-being during pregnancy. 

Here’s how you can take the next step: 

  • Consult with a Pharmacist: We provide access to experienced pharmacists who can offer advice on pregnancy-safe allergy relief options. 
  • Browse Non-Drowsy Hay Fever Products: Explore a selection of antihistamines and nasal sprays, then use our short consultation form which will be assessed by a qualified pharmacist.  
  • Order Online, Delivered to Your Door: Conveniently order allergy relief products and have them delivered straight to your door without leaving your home. 

FAQs

What can I take for Hay Fever When Pregnant?

Safe non-drowsy antihistamines such as Cetirizine and Loratadine are usually recommended for pregnant women with hay fever; however, you should always consult a pharmacist or GP before taking any allergy medicine. 

Why is Hay Fever Worse in Pregnancy?

Hormonal fluctuations, immune system changes, and fluid retention can all worsen hay fever whilst pregnant. Your body undergoes several significant changes during pregnancy that can affect how long and how intense your symptoms are. 

What Antihistamines are Safe During Pregnancy?

Non-drowsy antihistamines are considered the safest to use during pregnancy. This is because they’re not as likely to cause drowsiness compared to first-generation antihistamines.  

Is it Safe to Take Piriton in the First Trimester of Pregnancy?

According to NHS medical guidelines, chlorphenamine can be used in pregnancy because there is no evidence to suggest it would be harmful to your baby. A GP or pharmacist may suggest trying a non-drowsy antihistamine first, as chlorphenamine can make some people feel drowsy.   

Sources


Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.

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