The FDA put out a black box warning advising pregnant women that NSAIDS (non-steroidal anti-inflammatory drugs) should not be used after 20 weeks gestation because it causes fetal kidney problems.
What is a Black Box Warning?
“A black box warning means that medical studies indicate that the drug carries a significant risk of serious or even life-threatening adverse effects. It is the strongest alert the FDA can require.
What are Examples of NSAIDS?
NSAIDS are medications that reduce inflammation. Although they have “trade” names, their generic names are as follows: ibuprofen, naproxen, diclofenac, celecoxib, mefenamic acid, etoricoxib, and indomethacin.
Why are NSAIDS Dangerous During Pregnancy?
NSAIDS affect an unborn baby’s kidneys in a dangerous way. The kidneys produce amniotic fluid that acts as a cushion for the baby. NSAIDS decreases the amniotic fluid. When the amniotic fluid is low, there is an increased risk of damage to both the unborn baby and its umbilical cord.
How is Amniotic Fluid Measured?
With an ultrasound. Measurements are called the amniotic fluid index or AFI. An AFI of 7.0 Is borderline. An AFI of 5.0 or less means the baby must be delivered.
Bottom Line: Speak with your healthcare provider before taking any other-the-counter meds and stay away from NSAIDs during pregnancy.
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