Are NSAIDs safe for breastfeeding women with rheumatoid arthritis (RA)?

Updated: May 11, 2018
  • Author: Katherine K Temprano, MD; Chief Editor: Christine Isaacs, MD  more...
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Answer

Answer

NSAIDs can be used with caution, provided newborns do not have jaundice, because NSAIDs can displace bilirubin and predispose patients to kernicterus. If NSAIDs must be used during breastfeeding, only NSAIDs with a known safety record should be used. [20]

EULAR guidelines find non-selective NSAIDS compatible with breastfeeding. The selective COX-2 inhibitor celecoxib has sufficient data to recommend use while breastfeeding. [18]


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