Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for letting us know your health concern.

I have gone through your query and here are your answers.
1. Relent.- the ambroxol contained in this combination belongs to category C of FDA. It should not be used in threatened pregnancy in the first and second trimester. However, studies have not reported any malformations.

2. Okacet- this belongs to category B of FDA. This means the drug has not shown to be harmful in studies and hence can be used when necessary.

3. Signoflam- this is also another category B medication.

4. Rantac-this again, is yet another category B medication.

5. Folvite- this is a category A supplement, deficiency of which is shown to cause fetal malformations. It should be used as necessary.

Since the majority are safe for use during pregnancy, you can stay assured, but, get regular follow up. Avoid medication in excess as much as possible.

Hope you find this information useful. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
The category B and A medications are unlikely to have any affect.

Detailed Answer:
Hello,

Thanks for writing back.

I have understood that your wife was prescribed these medications and taken them. That is why I gave the specific FDA categories and the inference.

In the current scenario, the medications belonging to category B and A are unlikely to affect the pregnancy. However, since a category A drug ambroxol was also used, caution needs to be exerted. If it was prescribed by another doctor, please do mention about the usage to your consultant.

It should suffice if proper care is taken to avoid any chance of threatened pregnancy. You did not mention how many weeks pregnant your wife is. If she is already into the second trimester well enough, she will be advised a routine anomaly scan which should suffice. Further management can be planned accordingly.

Hope your query has been clarified. Please get back if you need anything else. I will be ready to help.

regards,
Shanti.V.

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Brief Answer:
Safer than many others.

Detailed Answer:
Hello,

Thanks for writing again.

Pheniramine belongs to first generation antihistamines and has been extensively used during pregnancy with no observed untoward effects. It has been categorized C by FDA which means animal studies have shown malformations but no such effects have been seen in humans.

In essence, the medication is safer than many others to use. There is no need to go for an alternative. Let me repeat that it is always better to use medications only if absolutely needed, during pregnancy.

Hope this helps.

Please get back if you need anything else.

Wish you good health.

regards,
Shanti.V.

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