Drug profile
Copper
Adult, child, renal, hepatic, pregnancy and breastfeeding information, with the source named on every line.
DRUG INFORMATION
ADULT
- Insert a single Paragard at the fundus of the uterine cavity. Remove Paragard no
later than 10 years from the date of insertion. ( 2.1 ) Insert and remove Paragard
only if you are a healthcare provider trained on these procedures. ( 2.1 ) See the
Full Prescribing Information for recommended timing of insertion preparation
instructions, insertion procedures, postplacement management, and instructions on
removing Paragard.
Source: US FDA label for copper (ParaGard T 380A), section 'dosage and
administration', retrieved 2026-08-29
CHILD
- No child dose in this label. That usually means untested in children, not
unsuitable - use a paediatric source.
Source: Read and found silent: the US FDA label for copper (ParaGard T 380A),
retrieved 2026-08-29
RENAL IMPAIRMENT
- No kidney-impairment dose in this label. Not a statement that none is needed.
Source: Read and found silent: the US FDA label for copper (ParaGard T 380A),
retrieved 2026-08-29
HEPATIC IMPAIRMENT
- No liver-impairment dose in this label. Not a statement that none is needed.
Source: Read and found silent: the US FDA label for copper (ParaGard T 380A),
retrieved 2026-08-29
PREGNANCY [ AVOID ]
The label says not to use it. Read the quote below before deciding.
- Risk Summary Use of Paragard is contraindicated for use in pregnant females
because there is no need for pregnancy prevention in a female who is already
pregnant and Paragard may cause adverse pregnancy outcomes.
Source: US FDA label for copper (ParaGard T 380A), section 'pregnancy', retrieved
2026-08-29
- If a female becomes pregnant with Paragard in place, there is an increased risk of
miscarriage, sepsis, premature labor, and premature delivery [see
Contraindications ( 4 ) and Warnings and Precautions ( 5.1 , 5.2 ) ] .
Source: US FDA label for copper (ParaGard T 380A), section 'pregnancy', retrieved
2026-08-29
- Advise the female of the potential risks if pregnancy occurs with Paragard in
place.
Source: US FDA label for copper (ParaGard T 380A), section 'pregnancy', retrieved
2026-08-29
BREASTFEEDING
- Studies on Paragard and birth defects have not been conducted. 8.2 Lactation Risk
Summary No difference has been detected in concentration of copper in human milk
before and after insertion of copper IUSs, including Paragard.
Source: US FDA label for copper (ParaGard T 380A), section 'use in specific
populations', retrieved 2026-08-29
- There is no information on the effect of copper in a breastfed child or the effect
on milk production.
Source: US FDA label for copper (ParaGard T 380A), section 'use in specific
populations', retrieved 2026-08-29
- The developmental and health benefits of breastfeeding should be considered along
with the mother’s clinical need for Paragard and any potential adverse effects on
the breastfed child from Paragard. 8.4 Pediatric Use The safety and effectiveness
of Paragard have been established in females of reproductive potential.
Source: US FDA label for copper (ParaGard T 380A), section 'use in specific
populations', retrieved 2026-08-29