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Sprix and Pregnancy

During the first and second trimesters of pregnancy, Sprix (ketorolac nasal spray) is considered a pregnancy Category C medicine because it may increase the risk of miscarriage and difficulty during childbirth. However, during the third trimester, this drug is considered a pregnancy Category D classification due to the risk of fetal harm (such as kidney or lung problems).

Can I Use Sprix When Pregnant?

Sprix™ (ketorolac nasal spray) is a prescription medication approved to treat moderate to moderately severe pain for up to five days. Most healthcare providers do not recommend using this medication during pregnancy because it can possibly cause problems for the unborn child or complicate labor and delivery. Sprix should be avoided completely during the third trimester.
 

What Is Pregnancy Category C?

The U.S. Food and Drug Administration (FDA) uses a pregnancy category system to classify the possible risks to a fetus when a specific medicine is taken during pregnancy. Pregnancy Category C is given to medicines that have not been studied in pregnant humans, but do appear to cause harm to the fetus in animal studies.
 
Also, medicines that have not been studied in any pregnant women or animals are automatically given a pregnancy Category C rating.
 
When given to pregnant rats and rabbits, ketorolac, the active ingredient in Sprix, did not cause problems in the developing fetus. However, the medication did increase the risk for miscarriage and difficult childbirth in pregnant rats.
 
However, it is important to note that animals do not always respond to medicines in the same way that humans do. Therefore, a pregnancy Category C medicine may be given to a pregnant woman if the healthcare provider believes that the benefits to the woman outweigh any possible risks to the unborn child.
 
Sprix is considered a pregnancy Category C medication in the first and second trimesters of pregnancy. For the third trimester, it is considered a pregnancy Category D drug.
 
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Sprix Medication Information

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