DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU HAMIL

DAN MENYUSUI
Antikonvulsan, Obat Tidu, S!dati", dan Mi#!n
Nama Obat R.Hamil R.Menyusui
Sumatriptan
C L3
Chloral hydrate C L3
Methyprylon - NR
Bromide D L5
Secobarbital D L3
Zolpidem B L3
Bishydroxycoumarin - NR
ar!arin D L"
Carbama#epine C L"
$thosuximide C L%
Ma&nesium sul!ate B L'
(henytoin D
L"
)alproic acid
D
L"
La$tation Risk %at!#oi!s
L& 'sa"!st(
L) 'sa"!(
L* '+od!at!l, sa"!(
L- '.ossibl, /a0adous(
L1 '$ontaindi$at!d(
2!#nan$, Risk %at!#oi!s
A '$ontoll!d studi!s s/o3 no isk(
B 'no !vid!n$! o" isk in /u+ans(
% 'isk $annot b! ul!d out(
D '.ositiv! !vid!n$! o" isk(
4 '$ontaindi$at!d in .!#nan$,(
NR5 Not R!vi!3!d6 T/is du# /as not ,!t b!!n !vi!3!d b, Hal!6
*eneric name +rade Name AAP
approved?*
(re&nancy
Ris,
Cate&ory--
Lactation Ris,
Cate&ory--
.nal&esics /(ain-,illers0 1more2
.cetaminophen +ylenol Approved B L1
Colchicine Colchicine Approved D L
Ne!opam .cupan Approved - NR
Non-steroidal anti-inflammatory analgesics (NSAIDs) 1more2
.#apropa#one /apa#one0 Rheumox Approved - L!
Dipyrone /banned in the 3S 4
350
- Approved - NR
6lu!enamic acid - Approved - NR
7bupro!en .d8il9 Nuprin9
Motrin9
(ediapro!in
Approved B /'st9 "nd
trim:0
D /3rd trim:0
L1
7ndomethacin 7ndocin Approved B /'st9 "nd
trim:0
D /3rd trim:0
L"
5etorolac +oradol9 .cular Approved B /'st9 "nd
trim:0
D /3rd trim:0
L!
Me!enamic acid (onstan9 (onstel Approved - NR
Naproxen .naprox9
Naprosyn9
Naproxen9 .le8e
Approved B L"
L /!or chronic
use0
(henylbuta#one Buta#olidine Approved - NR
(iroxicam 6eldene Approved B L!
Supro!en (ro!enal Approved - NR
+olmetin +olectin Approved # L"
Narcotic analgesics 1more2
Butorphanol Stadol Approved B /'st9 "nd
trim:0
D /3rd trim:0
L"
Codeine +ylenol ;39 ;% Approved # L"
6entanyl Sublima#e Approved B L!
Meperidine Demerol Approved B L!
L" /i! used
early
postpartum0
Methadone Dolophine Approved B L"
Morphine Morphine Approved B L"
(ropoxyphene Dar8ocet N9
(ropacet9 Dar8on
Approved # L!
.nesthesia9 .nesthetics 1more2 1contents2
<alothane 6luothane Approved # L!
Lidocaine =ylocaine Approved # L!
Methohexital Bre8ital Approved B L"
+hiopental (entothal Approved # L"
.ntacids9 *7 meds 1contents2
Cimetidine /.ntacid0 +a&amet Approved B L!
Cisapride /*7 tract stimulant0 (ropulsid Approved # L!
Domperidone /used !or nausea
4 8omitin&9 stimulates lactation0
1more2
Motilum Approved - L1
.ntibiotics 1contents2
.moxicillin Larotid9 .moxil Approved B L1
.#treonam .#actam Approved B L!
Ce!adroxil 3ltrace!9 Durice! Approved B L1
Ce!a#olin .nce!9 5e!#ol Approved B L1
Ce!otaxime Cla!oran Approved B L!
Ce!oxitin Me!oxin Approved B L1
Ce!pro#il Ce!#il Approved # L1
Ce!ta#idime Ce!ta#idime9
6orta#9 +axidime
Approved B L1
Ce!triaxone Rocephin Approved B L!
Cipro!loxacin 1more2 Cipro Approved # L"
Clindamycin Cleocin Approved B L"
$rythromycin $-Mycin9 $ry-tab9
$R>C9 7losone
Approved B L1
L" early
postnatal
6leroxacin - Approved - NR
*entamicin *aramycin Approved # L!
5anamycin 5ebecil9 5antrex Approved D L!
Moxalactam Moxam Approved - NR
Nitro!urantoin Macrobid Approved B L!
?!loxacin 6loxin Approved # L!
(enicillin - Approved B L1
Streptomycin Streptomycin Approved D L"
Sulbactam - Approved - NR
Sul!isoxa#ole *antrisin9 .#o-
*antrisin
Approved # L!
+etracycline .chromycin9
Sumycin9
+erramycin
Approved D L!
+icarcillin +icarcillin9 +icar9
+imentin
Approved B L1
+rimethoprim@sul!amethoxa#ole (roloprim9
+rimpex
Approved # L"
.nticoa&ulants 1contents2
Bishydroxycoumarin
/dicumarol0
- Approved - NR
ar!arin Coumadin9
(anAar!in
Approved D L!
.nticon8ulsants 1contents2
Carbama#epine +e&retol9 $pitol Approved # L!
$thosuximide Zarontin Approved # L
Ma&nesium sul!ate $psom salt Approved B L1
(henytoin Dilantin Approved D L!
)alproic acid Depa,ene9
Depa,ote
Approved D L!
.nti!un&als 1contents2
6lucona#ole 1more2 Di!lucan Approved # L!
5etocona#ole Ni#oral Shampoo9
Ni#oral
Approved # L!
.ntihistamines 1more2 1contents2
Dexbrompheniramine maleate
Aith d-isoephedrine
- Approved - NR
6exo!enadine .lle&ra Approved # L!
Loratadine Claritin Approved B L1
+er!enadine Seldane Approved - NR
+riprolidine .ctidil9 .cti!ed Approved # L1
.nti8irals 1contents2
.cyclo8ir 1more2 Zo8irax Approved # L!
7nter!eron-alpha 1more2 .l!eron N9
7nter!eron .lpha
Approved # L!
.rthritis meds /see alsoB pain meds0 1contents2
*old salts Ridaura9
Myochrysine9
Sol&anal
Approved # L$
.sthma meds /see alsoB steroids0 1contents2
Dyphylline Dilor9 Lu!yllin9
Dyphylline
Approved # L"
+erbutaline Bricanyl9 Brethine Approved B L!
+heophylline .minophylline9
Cuibron9 +heo-
Dur
Approved # L"
Contracepti8es9 <ormones 1more2 1contents2
$stradiol $stratab9
(ermarin9 Menest
Approved % L" /may
inter!ere Aith
mil,
production0
Clo&estone - Approved - NR
Contracepti8e pill Aith
estro&en@pro&esterone
(re8en9 Seasonale9
Norinyl9 Norlestin9
?rtho-No8um9
?8ral9 Lunelle
inDection9 ?rtho-
$8ra patch9 etc:
Approved % L" /may
inter!ere Aith
mil,
production0
Le8onor&estrel Norplant9 Mirena9
(lan B
Approved % L!
Medroxypro&esterone (ro8era9 Depo-
(ro8era9 Cycrin
Approved D L1
L /i! used
!irst 3 days
postpartum0
Norethynodrel $no8id Approved % L!
(ro&esterone Crinone9
(rometrium
Approved - L"
Cou&h meds 1more2 1contents2
Codeine +ylenol ;39 ;% Approved # L"
Noscapine - Approved - NR
Decon&estants 1more2 1contents2
(seudoephedrine Suda!ed9 <alo!ed9
No8a!ed9 .cti!ed
Approved # L" /!or acute
use0
L /!or chronic
use0
Diabetes meds 1contents2
Note: Insulin has not been reviewed by the AAP Pregnancy ris! category " #$ %actation ris!
category " %&
+olbutamide ?ramide9 ?rinase Approved D L"
Diarrhea meds 1contents2
Loperamide 7modium9 (epto
Diarrhea Control9
Maalox
.ntidiarrheal
Caplets9
5aopectate 77
Caplets9
7mmodium
.d8anced
Approved B L!
'' Note: Pe(to-#ismol ) *ao(ectate (bismuth subsalicylate is the active ingredient in both)
are not recommended for routine use by nursing moms+ due to the association of salicylates
with ,eyes syndrome in children 1more2
Diuretics 1contents2
.ceta#olamide Da#amide9
Diamox
Approved # L!
Bendro!lumethia#ide Naturetin Approved D L /may
inhibit
lactation0
Chlorothia#ide <ydrodiuril Approved D L"
Chlorthalidone <y&roton Approved D L"
<ydrochlorothia#ide <ydrodiuril9
$sidrix9 ?retic
Approved D L!
Spironolactone .ldactone Approved D L!
*alacta&o&ues /mil, supply0 1more2 1contents2
Domperidone Motilum Approved - L1
<eart9 Blood (ressure meds
/.ntiarrhythmics9 .ntihypertensi8es9 Cardiac stimulants0
1contents2
Antiarrhythmics
Disopyramide Norpace9
Napamide
Approved # L!
6lecainide +ambocor Approved # L"
Mexiletine Mexitil Approved B L!
(rocainamide (ronestyl9 (rocan Approved # L"
Cuinidine Cuina&lute9
Cuinidex
Approved # L!
Antihy(ertensives
Captopril Capoten Approved D L" /i! used
a!ter 3E days0
Diltia#em@Diltia#em <CL Cardi#em Sr9
Dilacor-=R9
Diltia#em9
Cardi#em CD
Approved # L"
$nalapril@$nalapril Maleate )asotec Approved # /'st trim:0
D /"nd9 3rd
trim:0
L!
<ydrala#ine .presoline Approved # L!
Labetalol +randate9
Normodyne
Approved # L!
Methyldopa .ldomet Approved # L!
Metoprolol +oprol =L9
Lopressor
Approved B L"
Minoxidil Loniten9 Minodyl9
Ro&aine
Approved # L!/topically0
L" /orally0
Nadolol Cor&ard9 Nadolol Approved # L
Ni!edipine .dalat9 (rocardia Approved # L!
?xprenolol .psolox9 SloA-
+rasicor9 +rasicor
Approved - NR
(ropranolol 7nderol Approved # L!
Sotalol Betapace Approved B L"
+imolol Blocadren Approved # L!
)erapamil Calan9 7soptin9
Co8era-<S
Approved # L!
-ardiac stimulants
Di&oxin Lanoxin9
Lanoxicaps
Approved # L!
Laxati8es 1more2 1contents2
Cascara@Cascara Sa&rada - Approved # L"
Danthron - Approved - NR
Ma&nesium sul!ate $psom salt Approved B L1
Senna - Approved - L"
Malaria meds 1contents2
ChloroFuine .ralen9 No8o-
chloroFuine
Approved # L"
<ydroxychloroFuine (laFuenil Approved # L!
(yrimethamine Daraprim Approved # L
Cuinine Cuinamm Approved D L!
Medical +estin& 1more2 1contents2
Diatri#oate - Approved - NR
6luorescein - Approved # L"
*adopentetic /*adolinium0 - Approved # L!
7ohexol ?mnipaFue Approved B L!
7opanoic acid +elepaFue Approved D L!
Metri#amide .mipaFue Approved B L!
Metri#oate 7sopaFue Approved B L!
Mi&raine meds /see alsoB pain meds0 1more2 1contents2
Sumatriptan 7mitrex Approved # L"
Sedati8es 1more2 1contents2
Chloral hydrate .Fuachloral9
Noctec
Approved # L"
Methyprylon /AithdraAn !rom
use in 3S 4 Canada0
- Approved - NR
Bromide - Approved D L$
Secobarbital Seconal Approved D L"
Sleep .ids 1contents2
Zolpidem@Zolpidem +artrate .mbien Approved B L"
Steroids 1contents2
Methylprednisolone
1 hi&h dosa&e
methylprednisolone2
Solu-Medrol9
Depo-Medrol9
Medrol
Approved # L!
(rednisolone - Approved # L!
(rednisone Deltasone9
Meticorten9
?rasone
Approved # L!
+hyroid meds 1more2 1contents2
Carbima#ole - Approved D L"
Methima#ole /acti8e metabolite
o! carbima#ole0
+apa#ole Approved D L"
(ropylthiouracil (+3 Approved D L!
+hiouracil - Approved - NR
Le8othyroxine Synthroid9
Le8othroid9
+hyroid9 Le8o-+9
Approved A L1
Le8oxyl
+uberculosis meds 1contents2
Cycloserine Seromycin Approved # L"
$thambutol $thambutol9
Myambutol
Approved B L!
7sonia#id 7N<9 Lania#id Approved # L"
Ri!ampin Ri!adin9
Rimactane
Approved # L!
)itamins 1more2 1contents2
B-' /thiamin0 - Approved - NR
B-'" /Cyanocobalamin0 - Approved A L1
B-G /pyridoxine0 - Approved A L!H L in hi&h
doses /may
inhibit
lactation0
D9 8itamin Calci!erol9 Delta-d Approved A L" /do not
o8erdose0
6olic acid - Approved A /'st9 "nd
trim:0
# /3rd trim:0
L1
5-'9 8itamin /(hytonadione0 - Approved # L1
Ribo!la8in@B" - Approved A L1
Miscellaneous 1contents2
.citretin /.nti-psoriasis0 Soriatane Approved - NR
.lcohol@$thanol 1more2 - Approved D L"
.llopurinol Zyloprim9 Lopurin Approved # L!
.ntimony - Approved - NR
.tropine /.nticholiner&ic9
dryin& a&ent0
Belladonna9
.tropine
Approved # L"
.#apropa#one@apa#one Rheumox Approved - L!
/.ntirheumatic0
Baclo!en /muscle relaxant0 Lioresal9 .tro!en Approved # L!
Barbiturate - Approved - NR
Ca!!eine 1more2 )i8arin9 NoDo#9
Co!!ee
Approved B L!
Carbetocin /.ntihemorrha&ic0 Duratocin Approved - NR
Chloro!orm - Approved - NR
Cisplatin /.nti-cancer0 (latinol Approved D L
Dapsone /.ntileprosy0 .8losul!on9 DDS Approved # L
<ydroxychloroFuine
/.ntirheumatic9 lupus0
(laFuenil Approved # L!
7odides - Approved - NR
7odine - Approved - NR
7odine /po8idone-iodine9 e&9 in a
8a&inal douche0
- Approved - NR
78ermectin /.ntiparasitic0 Mecti#an Approved # L"
Nalidixic acid /3rinary .nti-
in!ecti8e0
Ne&*ram Approved B L
Norsteroids - Approved - NR
(yridosti&mine /Muscle
stimulant0
Mestinon9
Re&onol
Approved # L!
Scopolamine /Motion sic,ness0 +ransderm Scope Approved # L"
Sul!apyridine Da&enan Approved - NR
+imolol /&laucoma med0 Blocadren Approved D L"
- (er the ..( (olicy Statement +he +rans!er o! Dru&s and ?ther Chemicals 7nto <uman Mil,9
re8ised September "EE':
ApprovedB /+able G0 Maternal Medication 3sually Compatible ith Breast!eedin&
#autionB /+able 50 Dru&s +hat <a8e Been .ssociated ith Si&ni!icant $!!ects on Some
Nursin& 7n!ants and Should Be *i8en to Nursin& Mothers ith Caution
NRB Not Re8ieAed: +his dru& has not yet been re8ieAed by the ..(:
-- (er
.edications/ and .others/ .il! by +homas <ale9 (hD /"EE% edition0:
La&tation Ris' #ate(ories Pre(nan&y Ris' #ate(ories
L1 /sa!est0
L! /sa!er0
L" /moderately sa!e0
L /possibly ha#ardous0
L$ /contraindicated0
A /controlled studies shoA no ris,)
B /no e8idence o! ris, in humans0
# /ris, cannot be ruled out0
D /positi8e e8idence o! ris,0
% /contraindicated in pre&nancy0
NRB Not Re8ieAed: +his dru& has not yet been re8ieAed by <ale:

References
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP
Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised
Setem!er "##$%
Hale, Thomas% Medications and Mothers Milk, $"th &dition% Hale Pu!lishing, "##'% Dr%
Hale(s )e!site is located athtt*++neonatal%ttuhsc%edu+lact+inde,%html%