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Hi! I am Dr Saleem. Welcome to JustAnswer.Thank you for the question. I will be answering your query shortly.
I understand your concern. The active ingredient, xylometazoline acts locally on the blood vessels and doesn't enter the blood in any significant amounts. The use is not recommended since we don't have enough safety information as of now. There is no evidence of harm to the baby or mother's during pregnancy but it would be prudent to restrict its use as much as possible during pregnancy.
Please let me know if you have other, related queries. I will be happy to answer. Thanks.
Steroid nasal sprays like Flonase may be used alongwith a safe anti histamine like Loratidine, on and off, instead of Sudafed.
You don't need a prescription for that. You may get that from a pharmacy as well.