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Rectiv and Pregnancy

The FDA has classified Rectiv (nitroglycerin anal ointment) as a pregnancy Category C medicine, meaning that a pregnant woman may use it if her healthcare provider believes that its benefits outweigh the risks, which you should discuss with your doctor. In animal studies, pregnant rats who were given oral doses of Rectiv's active ingredient showed a slightly increased risk of developmental delays.

Can Pregnant Women Use Rectiv?

Rectiv™ (nitroglycerin anal ointment) is a prescription medication used to treat anal fissures. Based on the information currently available, it is unclear if the drug is safe for use during pregnancy.

What Is Pregnancy Category C?

The U.S. Food and Drug Administration (FDA) uses a 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.
In addition, medicines that have not been studied in any pregnant women or animals are automatically given a pregnancy Category C rating.
When given to pregnant rabbits, nitroglycerin (the active ingredient in Rectiv) did not cause any birth defects. In one study, giving high doses of nitroglycerin by mouth to pregnant rats caused a very slightly increased risk of delays in physical development.
However, it cannot be assumed that the same is true for humans. Animals do not always respond to medicines the same way that humans do. Therefore, a pregnancy Category C medicine (such as Rectiv) should be given to a pregnant woman only if the healthcare provider believes that the benefits to the woman outweigh any possible risks to the unborn child.
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Rectiv Medication Information

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