What should I Know Regarding Pregnancy, Nursing and Administering Back Pain-Off to Children or the Elderly?

If you are PREGNANT

  • FDB Contraindicated or Not Recommended: FDA CATEGORY C;SALICYLATES NOT RECOMMENDED ESPECIALLY IN 3RD TRIMESTER/NEAR TERM
  • Only When Necessary: REPORTS OF MISCARRIAGE,POOR FETAL GROWTH POSSIBLY ASSOC W/HIGH DOSES OF CAFFEINE

If you are NURSING

  • Precaution: HIGH DOSES MAY CAUSE HYPERACTIVITY AND WAKEFULNESS IN INFANT.
  • Absolute Contraindication: ONE REPORT OF METABOL ACIDOSIS W/ASA;RISK OF REYE'S SYN W/VIRAL ILLNESS/FEVER
  • No Known Risk: LOW LEVELS EXCRETED WITH LOW RISK FOR ADVERSE EFFECTS IN INFANT

If you are an adult over 60

  • management or monitoring precaution: Neuro/Psych-Avoid in elderly with insomnia due to CNS stimulation effects.
  • management or monitoring precaution: General-Elderly have a higher incidence of systemic toxicities. Dose reduction may be needed.
  • management or monitoring precaution: Hepatic-Elderly are more susceptible to hepatotoxicity. Strict adherence to a maximum daily dose of 3000mg is advised.

Giving Back Pain-Off to a child under 12

  • management or monitoring precaution: Use weight based dosing in children less than 12 years.
  • management or monitoring precaution: Adverse CNS effects of insomnia, restlessness, nervousness, and mild delirium, more severe in children.
  • Severe Precaution: Do not use in viral illness (influenza, varicella) due to possible increased risk of Reye syndrome. Consult clinician prior to use.
  • management or monitoring precaution: Caution in: seizure disorder, cardiovascular disease, or in premature neonates with renal or hepatic impairment.