Is Flonase Safe During Pregnancy
Status
cautionReason
Limited pregnancy data; use only if needed after OB/prescriber review.
Drug Information
Safe Amount
Dosage must be determined by your provider based on individual risk/benefit. Follow the product label unless your prescriber advises otherwise.
Effects
- Pregnancy
- No adequate human studies. Use only if benefits outweigh possible fetal risk.
- Mother
- May help nasal allergy symptoms; local side effects can occur.
- Baby
- FDA label reports animal fetal growth effects and skeletal variations at high doses; human data are limited.
Trimester Notes
- 1st Trimester
- Human pregnancy data are limited; fetal risk cannot be ruled out.
- 2nd Trimester
- Use only if needed after provider review; data are limited.
- 3rd Trimester
- No trimester-specific warning in the FDA label; use only if needed and reviewed by your prescriber.
Conditions & Warnings
- Allergic rhinitis
- Consult OB/GYN or prescriber
Alternatives
- Saline nasal spray
- Non-drug measures such as allergen avoidance
- Ask your OB/GYN or prescriber about other pregnancy options
References
- FDA label for Flonase (fluticasone propionate) nasal spray
https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/020121s045lbl.pdf - PubMed review: Safety of intranasal corticosteroid sprays during pregnancy
https://pubmed.ncbi.nlm.nih.gov/29164323/