A.P.L. intramuscular precautions What should I know regarding pregnancy, nursing and administering A.P.L. intramuscular to children or the elderly?If you are: Pregnant: Absolute Contraindication Nursing: Precaution: INSUFFICIENT DATA AVAILABLE An adult over 60: Giving A.P.L. intramuscular to a child under 12: Warning: DISCONTINUE IF SIGNS OF PRECOCIOUS PUBERTY OCCUR. Warning: NO SAFETY AND EFFICACY AGE < 4 YEARS.