If you are:
FDB Only When Necessary: INSUFFICIENT HUMAN DATA AVAIL; ANIMAL DATA DO NOT SUG DEV TOX
FDB Contraindicated or Not Recommended: FDA C BEFORE 30WKS;PREMATURE CLOSURE OF DUCTUS ARTERIOSUS;EARLY MISCARRIAGE RISK
Precaution: INSUFFICIENT DATA AVAILABLE; LOW LEVELS FOUND IN BREASTMILK
Precaution: INSUFFICIENT HUMAN DATA AVAIL; SIMILAR DRUG OMEPRAZOLE EXCRETED AT LOW LEVELS
An adult over 60:
management or monitoring precaution: General-Prolonged use may decrease absorption of Vitamin B-12. Avoid for >8 weeks duration unless for high risk patients (eg. oral corticosteroids or chronic NSAID use), erosive esophagitis, Barrett's esophagitis, pathologic hypersecretory condition, or demonstrated need for maintenance treatment. Musculoskeletal-Increased risk of fracture with high dose or prolonged use of greater than 1 year. Gastrointestinal-Long term use may be associated with C. difficile diarrhea.
management or monitoring precaution: Gastrointestinal-Risk for ulceration or serious GI bleed; highest with history of PUD or GI bleed. Renal-Risk for exacerbation of CKD. Cardiovascular-May exacerbate pre-existing hypertension or CHF. Risk of cardiovascular thrombotic events, including MI and stroke. This risk may occur early in treatment and increases with duration of use. Risk for reinfarction with minimal NSAID use post-MI. Contraindicated with CABG. Hepatic-Elevated hepatic transaminases may occur with chronic use.
Giving vimovo to a child under 12:
Severe Precaution: Safety and efficacy not established.
management or monitoring precaution: Safety and efficacy of combination product not established in pediatrics.
management or monitoring precaution: Increased incidence of tachypnea, regurgitation and increased ALT in patients age < 1 year.