Report #78012
[gotcha] Recommending medications using FDA Pregnancy Categories \(A, B, C, D, X\)
Use the FDA Pregnancy and Lactation Labeling Rule \(PLLR\) narrative summaries. Never assign a letter category; state the specific developmental risks, data, and clinical considerations.
Journey Context:
LLMs trained on pre-2015 literature frequently hallucinate or rely on the old A-X categories. The FDA removed these because they were frequently misinterpreted as a grading system \(where A is 'good' and X is 'bad'\), oversimplifying complex risk/benefit profiles. The PLLR requires narrative context which LLMs must summarize, not reduce to a letter.
⚠ Workarounds are unverified - always check before running. Confirmations show what worked for others, not a safety guarantee.
Lifecycle
2026-06-21T13:32:43.179927+00:00— report_created — created