Use of medication during pregnancy?
Hello, I am currently a 5-month pregnant woman.
Recently, I have noticed an increase in eye discharge upon waking up, and my eyes have suddenly become very itchy and watery.
The conjunctiva has also swollen.
I visited a doctor who diagnosed me with acute conjunctivitis and prescribed CROMO EYE DROPS.
The doctor advised me to apply a cold compress to my eyes and to use the eye drops only if the discomfort becomes unbearable.
However, my eyes continue to water and itch, and the conjunctival swelling has not subsided.
I have been hesitant to use the drops because I am concerned about their potential effects on my baby, especially since I found online that this medication should not be used during the first three months of pregnancy due to possible steroid components.
My eyes have not improved, and I am very uncomfortable.
Can I use the drops with peace of mind? Thank you.
Jie, 20~29 year old female. Ask Date: 2015/11/22
Dr. Gao Pilin reply Ophthalmology
Hello, Jie: This medication does not contain steroids; it is an antihistamine and a topical treatment, which actually has minimal impact.
The instructions indicate that it should be avoided during the first three months of pregnancy.
Since you are now five months along, there should be no issues with its use.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoon from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pi-Lin
Reply Date: 2015/11/22
More Info
When it comes to the use of eye drops during pregnancy, particularly in your case where you are experiencing acute conjunctivitis, it is essential to consider both the safety of the medication and the potential effects on your developing baby.
CROMO EYE DROPS, which you mentioned, contains the active ingredient cromolyn sodium, a mast cell stabilizer that is primarily used to treat allergic conjunctivitis. Generally, cromolyn sodium is considered to have a good safety profile during pregnancy. According to available data, it is classified as a Category B drug by the FDA, which means that animal reproduction studies have not shown a risk to the fetus, and there are no adequate and well-controlled studies in pregnant women. This classification suggests that the medication is likely safe to use during pregnancy, especially after the first trimester when the risk of teratogenic effects is lower.
It is understandable to be cautious about using any medication during pregnancy, especially when you are experiencing discomfort. The symptoms you describe—itching, tearing, and swelling of the conjunctiva—are indeed distressing and can significantly impact your quality of life. While the recommendation from your doctor to ice the eyes is a good initial approach to alleviate symptoms, if the symptoms persist, using the prescribed eye drops may be necessary to provide relief and treat the underlying condition.
Regarding your concern about corticosteroids, it is important to clarify that CROMO EYE DROPS does not contain corticosteroids. The fear of using steroids during pregnancy is valid, as systemic corticosteroids can have potential risks, but cromolyn sodium does not fall into that category. Therefore, you can feel more at ease using the drops as prescribed by your healthcare provider.
In addition, the use of topical medications, such as eye drops, generally results in minimal systemic absorption, which further reduces the risk of any adverse effects on the fetus. To minimize any potential absorption, you can follow these tips when using eye drops:
1. After instilling the drops, gently close your eyes for a minute or two to allow the medication to be absorbed.
2. Apply gentle pressure to the inner corner of your eye (the nasolacrimal duct) for a minute to prevent the drops from draining into your nasal cavity, which can lead to systemic absorption.
3. Avoid touching the dropper tip to your eye or any other surface to prevent contamination.
If you have any lingering concerns or if your symptoms do not improve with the use of CROMO EYE DROPS, it is crucial to follow up with your healthcare provider. They may consider alternative treatments or further evaluations to ensure both your health and the health of your baby.
In summary, based on the information available, using CROMO EYE DROPS during your fifth month of pregnancy should be safe, and it is important to prioritize your comfort and health. Always consult with your healthcare provider for personalized advice and to address any specific concerns you may have.
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