Drugs Contraindicated in Pregnancy:

Category B:
Antibiotics = Ampicillin/Penicillin /Erythromycin
Metronidazol ( Flagyl) = Contraindicated in 1st Trimester
Category C:
Corticosteroids
Chloramphenicol* : Antibiotic ( grey baby syndrome)
Sulfonamide (A/b: Sulfa Drugs = begins with “Sulfa”)
Sulfonyureas* ( Oral Antidiabetic)
Fluoroquinolones = Ciprofloxacin/ Levofloxacin/ Norfloxacin
Opioids/Narcotics = Codeine/Oxycodone/Hydrocodone
Percocet ( Acetaminophen + Oxycodone)
Antifungal = “ Conazole”: Ketoconazole/Miconazole/Tioconazole
Nystatin/Griseofulvin
Category D:
ACE - Inhibitors*: ( “ Pril”) = Enalapril/Lisinopril
Beta-Blockers: ( “ Lol”) = Atenolol ( fetal growth retardation)
Benzodiazepines*( “Zepam”/”Zolam”)
Barbiturates = Phenobarbital
Aminocaproic Acid
Aminoglycosides* = Gentamycin/Tobramycin/Amikacin ( deafness of fetus)
Anticonvulsant * =Carbamazepine ( Tegretol)/ Dilantin ( Phenytoin)/
Valproic Acid ( Depakote)
Chemotherapy Drugs ( exc. methotrexate) = Busulfan/Chlorambucil/Cyclophosphamide
Lithium* = Manic Stage of Bipolar Disorder
NSAIDS* = Contraindicated in 3rd Trimestr
ASA (Aspirin)/Indomethacin/Naproxen (Aleve)/Excedrin/Midol
“Profen” =Ibuprofen (Advil, Motrin)/Vicoprofen(Hydrocodone + Ib
uprofen)
“Lac”/”Dac”/”Fenac” = Ketorolac/ Sulindac/Diclofenac
“Coxib” = Celecoxib ( Celebrex)
Tetracyclines* = Doxycycline ( Vibramycin)/ Minocycline: ( child’s teeth staining
)
Thiazides Diuretics = Hydrochlorothiazide ( fetal growth retardation)
Thyroid Drugs = PTU ( Propylthiouracil)/ Triiodthyronine/Methimazole
Potassium Iodide ( SSKI)/Radioactive Iodine ( cause
fetal goiter)
Category X:
Benzodiazepines* ( “Zepam”/”Zolam”)
Oral Contraceptives* ( Birth Control Pills) = All
a)COCP: Estrogen-Progesterone/ (Estradiol- Progestin) Combination = the “Pill”:
*Alesse/Aviane/Brevicon/Ogestrel/Ortho-Novum/Ovcon/Tri-Cyclen/Triphasil
Beyaz/Yasmin/Yaz = Take Orally)/ Nuvaring = Take Intravaginally
b)POP: Progesterone Only = “ Mini-Pill” ( must take = at the same time each day)
*Depo-Provera ( Medroxyprogesterone) = 3-month shot: Deep IM Gluteal/Deltoid.
Micronor ( Norethindrone) = Take Orally
Implanon ( Etonogestrel) = Implant
Hormone Replacement Therapy* = All (Synthetic Estrogens (Estradiol)/Progesterone
s)
Estrone/Menest/ Premarin/Cenestin/Ogen = synthetic estrogen
Diethylstilbestrol *(DES) = synthetic estrogen, antineoplastic
Progestaject/Progestasert/Prometrium = synthetic progesterone
Danazol* ( Danocrine)= synthetic testosterone : used to treat endometriosis, fib
rocystic breast disease)
Finasteride* ( Proscar) = synthetic antiandrogen to treat benign prostatic hyper
plasia
Mifepristone = synthetic hormone to terminate pregnancy
Misoprostol = prevent & treat nsaids-gastric ulcers
Methotrexate = Chemotherapy
Raloxifene (Evista) = serm : selective estrogen receptor modulator to prevent os
teoporosis in postmenopausal women.
Retinoids *: Isotretinone ( Acutane)/Vit.A preparations
Ribavirin = Antiviral : for Severe RSV Infection/ Hepatitis C
Quinine = Anti-malarial : causes deafness of fetus
Statins* ( Lovastatin/Atorvastatin/Simvastatin)
Thalidomide ( Thalomid) = used to treat multiple myeloma
Warfarin *( Coumadin) = anticoagulant, crosses placenta ( fetal warfarin syndrom
e, spontaneous abortion, stillbirth, iugr, blindness, mental retardation)
Immunizations Contraindicated = Live Vaccines: MMR, Polio, Chickenpox
Immunizations Safe during Pregnancy = Diphtheria/Tetanus Toxoid/Influenza/Hep. B
Drugs Safe during Pregnancy:
Acetaminophen ( Tylenol)
Antacids : Maalox, Mylanta,Pepcid, Zantac
Antiemetic: Reglan, Phenergan, Zofran
Antihistamines: Claritin, Benadryl, Zyrtec, Allegra
Azythromycin ( Zyrthromax)
Bisacodyl ( Dulcolax)
Cephalosporins: Ancef, Duricef, Keflex, Ceclor, Ceftin
Clotrimazole ( Mycelex)
Colace ( Docusate)
Cough Suppressants : Robitussin ( Guaifenesin)
Decongestants: Sudafed
Erythromycin
Heparin
Insulin
Levothyroxine ( Synthroid)
Methyldopa ( Aldomet)
Methamucil
Nasal Contestants: Nasonex, Flonase
Penicillins ( Amoxicillin, Ampicillin)
Simethicone
Terbutaline ( Brethine)
Yeast : Nystatin, Monistat, Femstat, Terazol, Lotrimin

Drugs that are capable of acting as teratogens include:

• ACE (angiotensin converting enzyme) inhibitors
• Acne medication: Isotretinoin (ACCUTANE, RETIN-A).
• Alcohol -- increases the risk of a stillbirth and the Fetal Alcohol Syndrome.
• Androgens (male hormones).
• Antibiotics: Tetracycline (ACHROMYCIN), and Doxycycline (VIBRAMYCIN), Streptomy
cin.
• Quinolones: Ciprofloxacin ( Cipro)/ Floxin (Ofloxacin)/Levaquin ( Levofloxacin)
/
• Anticoagulant (blood-thinner) Warfarin(COUMADIN).
• Anticonvulsants (seizure medications) such as:
- Phenytoin (DILATIN), - Valproic acid (DEPAKENE, VALPROTATE), -Trimethadione
(TRIDIONE),
- Paramethadione (PARADIONE), - Carbamazepine (TEGRETOL).
• Anti-depressant drug: Llithium(ESKALITH, LITHOB).
• Antimetabolite/anticancer drugs: Methotrexate (RHEUMATREX) and Aminopterin.
• Antirheumatic agent and metal-binder (chelator): Penicillamine (CIPRIMENE, DEPEN
).
• Antithyroid drugs such as: Thiouracil/propylthiouracil and
o Carbimazole/methimazole.
• Cocaine.
• DES (diethylstilbestrol), a hormone.
• Thalidomide (THALOMID)