Treatment of allergic diseases during pregnancy

Pregnant women often have an allergic disease. The treatment of allergic diseases in pregnancy does not differ much from the treatment in general population. More important is allergen avoidance and health education of pregnant woman. Double blind placebo controlled trials of the treatment of allergic diseases in pregnancy are extremely rare. Use of drugs that have been on the market for longer time is recommended, because there is more information available on the safety of these drugs. Drugs for local use are generally safer than systemic drugs. It is recommended that nasal decongestants should be avoided. Among antihistamines the drugs of choice are cetirizine and loratadine. Among inhaled corticosteroids the drug of choice is budesonide. The treatment of anaphylaxis is the same as in general population.