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Diclofenac Pregnancy and Breastfeeding Warnings

Diclofenac is also known as: Cambia, Cataflam, Voltaren, Voltaren-XR, Zipsor, Zorvolex

Diclofenac Pregnancy Warnings

Diclofenac has been assigned to pregnancy category C prior to 30 weeks gestation and to category D starting at 30 weeks of gestation by the FDA. Use of diclofenac or other NSAIDs late in pregnancy (after 30 weeks gestation) may cause premature closure of the ductus arteriosus and prolong labor and delivery. If diclofenac is used after 30 weeks of pregnancy, the patient should be apprised of the potential hazard to the fetus. Animal studies have failed to reveal evidence of teratogenicity, despite the induction of maternal toxicity and fetal toxicity. There are no controlled data in human pregnancy. Diclofenac should be given during pregnancy only when the potential benefits outweigh the potential risks.

Diclofenac Breastfeeding Warnings

It is not known whether diclofenac is excreted in human milk; however, there is a case report in the literature indicating that diclofenac can be detected at low levels in breast milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from diclofenac, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

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