What should I Know Regarding Pregnancy, Nursing and Administering Nasal Four Spray, Non-Aerosol to Children or the Elderly?

If you are PREGNANT

  • Only When Necessary: EVIDENCE FOR MALFORMATIONS; CAN REDUCE UTERINE BLOOD FLOW CAUSING FETAL HYPOXIA

If you are NURSING

  • Precaution: ORAL BIOAVAILABILITY LOW; INFANT EXPOSURE MAY BE MINIMAL

If you are an adult over 60

  • management or monitoring precaution: Cardiovascular-Elderly are more sensitive to tachycardia and hypertensive effects. May exacerbate symptomatic coronary insufficiency. Genitourinary-May cause urinary retention. Neuro/Psych-May worsen cognitive impairment in some elderly with dementia. Insomnia risk.

Giving Nasal Four Spray, Non-Aerosol to a child under 12

  • Severe Precaution: Risk of CNS excitation. Do not use age <6 years without clinician consult.