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Is it safe? · Pregnancy Smart

Is Pataday safe during pregnancy?

Assigned clinical reviewerMatt Stahl· PharmDDraft · pending clinical reviewUpdated

What does the evidence say about Pataday during pregnancy?

  1. Studies have not been done in humans to see whether olopatadine increases the chance of birth defects, miscarriage, or pregnancy-related problems such as preterm delivery. 1
  2. Eye drops and nasal sprays result in lower medication exposure for a pregnancy than medicines that are swallowed, which is the main argument for choosing a drop when a drop will do the job. 1
  3. Plasma concentrations after ocular olopatadine were generally below the assay's quantitation limit of 0.5 ng/mL, with measurable levels ranging only from 0.5 to 1.3 ng/mL when detected at all. 2
  4. The label states the drug should be used in pregnant women only if the potential benefit to the mother justifies the potential risk to the embryo or fetus. 2
  5. Pataday is dosed as one drop in each affected eye once a day, should not be used for contact lens related irritation, and soft lenses should stay out for at least ten minutes after a drop goes in. 2

Is Pataday safe in each trimester?

  • First trimester. The appeal of an eye drop in early pregnancy is arithmetic: drops and sprays deliver less medicine to a pregnancy than anything swallowed. Human studies on olopatadine specifically have not been done, so the label frames it as a benefit-versus-risk judgment. Pressing gently on the inner corner of your eye after a drop reduces how much drains into your system.
  • Second trimester. Itchy, streaming eyes often flare in the middle months alongside nasal symptoms. If you are already taking an oral antihistamine, adding a drop means a second exposure for a symptom the tablet may already be covering, so it is worth asking whether one product can do both jobs.
  • Third trimester. Nothing about the third trimester changes the drop itself. Contact lens wearers should note the label's instruction to wait at least ten minutes after instilling before putting lenses back in, and that these drops are not meant for irritation caused by the lenses themselves.

Frequently asked questions

Are allergy eye drops safe during pregnancy?

Human studies on olopatadine have not been done, so no one can promise you safety from data. What is measurable is the exposure: blood levels after a drop sit at or below the limit the lab can detect. The label leaves the judgment to your clinician.

How much of an eye drop gets into your bloodstream?

Very little. In testing, plasma concentrations of olopatadine were generally below 0.5 ng/mL, the lowest level the assay could measure. MotherToBaby makes the same point more broadly: drops and sprays mean lower exposure for a pregnancy than swallowed medicine.

Can I wear contacts with Pataday?

Yes, with timing. The label says to wait at least ten minutes after instilling a drop before putting soft lenses back in, and that these drops are not for irritation caused by the lenses themselves. If your eyes are red, leave the lenses out and call your provider.

What can I use for itchy eyes while pregnant?

Preservative-free artificial tears and a cool compress carry no medicine at all and are a sensible first move. Beyond that, some people find an oral antihistamine already covers their eyes. Ask your provider whether a drop adds enough to justify a second exposure.

References

  1. Olopatadine: MotherToBaby Fact Sheet

    MotherToBaby · https://mothertobaby.org/fact-sheets/olopatadine/

  2. Pataday (olopatadine hydrochloride ophthalmic solution) Label, DailyMed

    NIH · https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ee6e2161-789b-4ba0-b234-d4b36fe41c94

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.