ðə mˌɛdɪkˈeɪʃən ɪz kˌɑːntɹəˈɪndᵻkˌeɪɾᵻd ɪn pɹˈɛɡnənsi, dˈʊɹɹɪŋ læktˈeɪʃən, ænd ɪn pˈeɪʃənts wɪð sᵻvˈɪɹ kˈɑːɹdiˌæk, kɹˈɑːnɪk kˈɪdni dɪzˈiːz ɔːɹ lˈɪvɚ dɪzˈiːz.
The medication is contraindicated in pregnancy, during lactation, and in patients with severe cardiac, chronic kidney disease or liver disease.