Avoid NSAIDs in Pregnancy After 20 Weeks: FDA
An FDA drug safety communication warns that the use of nonsteroidal anti-inflammatory drugs (NSAIDs) around 20 weeks or later in pregnancy may cause rare but serious kidney problems in an unborn baby. The notice says the use of NSAIDs can lead to low levels of amniotic fluid surrounding the baby and possible complications.
“After around 20 weeks of pregnancy, the unborn baby’s kidneys produce most of the amniotic fluid, so kidney problems can lead to low levels of this fluid,” the notice says. “Although this safety concern is well known among certain medical specialties, we want to communicate our recommendations more widely to educate other healthcare professionals and pregnant women,” FDA says. “The issue affects all NSAIDs that are available by prescription and those that can be bought over-the-counter (OTC) without a prescription.”
The agency says that for prescription NSAIDs it is requiring labeling changes to describe the risk of kidney problems in unborn babies that result in low amniotic fluid. FDA says it also will update the Drug Facts labels of OTC NSAIDs intended for use in adults.