Daftar obat-obatan yang boleh untuk ibu menyusui dan ibu hamil
Kadang-kadang kondisi sedang menyusui membuat kita ragu-ragu untuk mengkonsumsi obat, takut obat bakal berpengaruh terhadap ASI dan atau bayi. Padahal banyak obat yang boleh dikonsumsi untuk ibu-ibu yang hamil dan menyusui mulai dari tingkat L1 (safest) sampai L4. Sebaiknya obat hanya dikonsumsi pada kondisi terpaksa, alias tidak ada pilihan
lain, jika masih bisa home therapy, sebaiknya obat tidak dikonsumsi. Salah satu obat paling aman untuk ibu hamil dan atau menyusui adalah acetaminophen atau parasetamol.
Berikut ini linknya:
http://www.kellymom.com/health/meds/aap
-approved-meds.html
Generic name Trade Name AAP
approved?* Pregnancy Risk
Category**
Lactation Risk Category**
Analgesics (Pain-killers) [more]
Acetaminophen Tylenol Approved
B L1
Colchicine Colchicine
Approved D L4
Nefopam Acupan Approved -
NR
Non-steroidal anti-inflammatory
analgesics (NSAIDs) [more]
Azapropazone (apazone) Rheumox
Approved - L2
Dipyrone (banned in the US & UK)
- Approved - NR
Flufenamic acid - Approved
- NR
Ibuprofen Advil, Nuprin, Motrin,
Pediaprofin Approved B
(1st, 2nd trim.)
D (3rd trim.) L1
Indomethacin Indocin Approved
B (1st, 2nd trim.)
D (3rd trim.) L3
Ketorolac Toradol, Acular
Approved B (1st, 2nd
trim.)
D (3rd trim.) L2
Mefenamic acid Ponstan, Ponstel
Approved - NR
Naproxen Anaprox, Naprosyn,
Naproxen, Aleve Approved B
L3
L4 (for chronic use)
Phenylbutazone Butazolidine
Approved - NR
Piroxicam Feldene Approved
B L2
Suprofen Profenal
Approved - NR
Tolmetin Tolectin
Approved C L3
Narcotic analgesics [more]
Butorphanol Stadol Approved
B (1st, 2nd trim.)
D (3rd trim.) L3
Codeine Tylenol #3, #4 Approved
C L3
Fentanyl Sublimaze
Approved B L2
Meperidine Demerol Approved
B L2
L3 (if used early postpartum)
Methadone Dolophine
Approved B L3
Morphine Morphine
Approved B L3
Propoxyphene Darvocet N, Propacet,
Darvon Approved C L2
Anesthesia, Anesthetics [more]
[contents]
Halothane Fluothane
Approved C L2
Lidocaine Xylocaine
Approved C L2
Methohexital Brevital
Approved B L3
Thiopental Pentothal
Approved C L3
Antacids, GI meds [contents]
Cimetidine (Antacid) Tagamet
Approved B L2
Cisapride (GI tract stimulant)
Propulsid Approved
C L2
Domperidone (used for nausea &
vomiting, stimulates lactation) [more]
Motilum Approved - L1
Antibiotics [contents]
Amoxicillin Larotid, Amoxil
Approved B L1
Aztreonam Azactam Approved
B L2
Cefadroxil Ultracef, Duricef
Approved B L1
Cefazolin Ancef, Kefzol
Approved B L1
Cefotaxime Claforan
Approved B L2
Cefoxitin Mefoxin Approved
B L1
Cefprozil Cefzil Approved
C L1
Ceftazidime Ceftazidime, Fortaz,
Taxidime Approved B
L1
Ceftriaxone Rocephin
Approved B L2
Ciprofloxacin [more]
Cipro Approved C L3
Clindamycin Cleocin Approved
B L3
Erythromycin E-Mycin, Ery-tab,
ERYC, Ilosone Approved B
L1
L3 early postnatal
Fleroxacin - Approved
- NR
Gentamicin Garamycin
Approved C L2
Kanamycin Kebecil, Kantrex
Approved D L2
Moxalactam Moxam Approved
- NR
Nitrofurantoin Macrobid
Approved B L2
Ofloxacin Floxin Approved
C L2
Penicillin - Approved
B L1
Streptomycin Streptomycin
Approved D L3
Sulbactam - Approved
- NR
Sulfisoxazole Gantrisin, Azo-
Gantrisin Approved C
L2
Tetracycline Achromycin, Sumycin,
Terramycin Approved D
L2
Ticarcillin Ticarcillin, Ticar,
Timentin Approved B
L1
Trimethoprim/sulfamethoxazole
Proloprim, Trimpex
Approved C L3
Anticoagulants [contents]
Bishydroxycoumarin (dicumarol) -
Approved - NR
Warfarin Coumadin, Panwarfin
Approved D L2
Anticonvulsants [contents]
Carbamazepine Tegretol, Epitol
Approved C L2
Ethosuximide Zarontin
Approved C L4
Magnesium sulfate Epsom salt
Approved B L1
Phenytoin Dilantin
Approved D L2
Valproic acid Depakene, Depakote
Approved D L2
Antifungals [contents]
Fluconazole [more]
Diflucan Approved C
L2
Ketoconazole Nizoral Shampoo,
Nizoral Approved C L2
Antihistamines [more]
[contents]
Dexbrompheniramine maleate with d-
isoephedrine - Approved
- NR
Fexofenadine Allegra Approved
C L2
Loratadine Claritin
Approved B L1
Terfenadine Seldane Approved
- NR
Triprolidine Actidil, Actifed
Approved C L1
Antivirals [contents]
Acyclovir [more]
Zovirax Approved C L2
Interferon-alpha [more]
Alferon N, Interferon Alpha
Approved C L2
Arthritis meds (see also: pain meds)
[contents]
Gold salts Ridaura, Myochrysine,
Solganal Approved C
L5
Asthma meds (see also: steroids)
[contents]
Dyphylline Dilor, Lufyllin,
Dyphylline Approved C
L3
Terbutaline Bricanyl, Brethine
Approved B L2
Kadang-kadang kondisi sedang menyusui membuat kita ragu-ragu untuk mengkonsumsi obat, takut obat bakal berpengaruh terhadap ASI dan atau bayi. Padahal banyak obat yang boleh dikonsumsi untuk ibu-ibu yang hamil dan menyusui mulai dari tingkat L1 (safest) sampai L4. Sebaiknya obat hanya dikonsumsi pada kondisi terpaksa, alias tidak ada pilihan
lain, jika masih bisa home therapy, sebaiknya obat tidak dikonsumsi. Salah satu obat paling aman untuk ibu hamil dan atau menyusui adalah acetaminophen atau parasetamol.
Berikut ini linknya:
http://www.kellymom.com/health/meds/aap
-approved-meds.html
Generic name Trade Name AAP
approved?* Pregnancy Risk
Category**
Lactation Risk Category**
Analgesics (Pain-killers) [more]
Acetaminophen Tylenol Approved
B L1
Colchicine Colchicine
Approved D L4
Nefopam Acupan Approved -
NR
Non-steroidal anti-inflammatory
analgesics (NSAIDs) [more]
Azapropazone (apazone) Rheumox
Approved - L2
Dipyrone (banned in the US & UK)
- Approved - NR
Flufenamic acid - Approved
- NR
Ibuprofen Advil, Nuprin, Motrin,
Pediaprofin Approved B
(1st, 2nd trim.)
D (3rd trim.) L1
Indomethacin Indocin Approved
B (1st, 2nd trim.)
D (3rd trim.) L3
Ketorolac Toradol, Acular
Approved B (1st, 2nd
trim.)
D (3rd trim.) L2
Mefenamic acid Ponstan, Ponstel
Approved - NR
Naproxen Anaprox, Naprosyn,
Naproxen, Aleve Approved B
L3
L4 (for chronic use)
Phenylbutazone Butazolidine
Approved - NR
Piroxicam Feldene Approved
B L2
Suprofen Profenal
Approved - NR
Tolmetin Tolectin
Approved C L3
Narcotic analgesics [more]
Butorphanol Stadol Approved
B (1st, 2nd trim.)
D (3rd trim.) L3
Codeine Tylenol #3, #4 Approved
C L3
Fentanyl Sublimaze
Approved B L2
Meperidine Demerol Approved
B L2
L3 (if used early postpartum)
Methadone Dolophine
Approved B L3
Morphine Morphine
Approved B L3
Propoxyphene Darvocet N, Propacet,
Darvon Approved C L2
Anesthesia, Anesthetics [more]
[contents]
Halothane Fluothane
Approved C L2
Lidocaine Xylocaine
Approved C L2
Methohexital Brevital
Approved B L3
Thiopental Pentothal
Approved C L3
Antacids, GI meds [contents]
Cimetidine (Antacid) Tagamet
Approved B L2
Cisapride (GI tract stimulant)
Propulsid Approved
C L2
Domperidone (used for nausea &
vomiting, stimulates lactation) [more]
Motilum Approved - L1
Antibiotics [contents]
Amoxicillin Larotid, Amoxil
Approved B L1
Aztreonam Azactam Approved
B L2
Cefadroxil Ultracef, Duricef
Approved B L1
Cefazolin Ancef, Kefzol
Approved B L1
Cefotaxime Claforan
Approved B L2
Cefoxitin Mefoxin Approved
B L1
Cefprozil Cefzil Approved
C L1
Ceftazidime Ceftazidime, Fortaz,
Taxidime Approved B
L1
Ceftriaxone Rocephin
Approved B L2
Ciprofloxacin [more]
Cipro Approved C L3
Clindamycin Cleocin Approved
B L3
Erythromycin E-Mycin, Ery-tab,
ERYC, Ilosone Approved B
L1
L3 early postnatal
Fleroxacin - Approved
- NR
Gentamicin Garamycin
Approved C L2
Kanamycin Kebecil, Kantrex
Approved D L2
Moxalactam Moxam Approved
- NR
Nitrofurantoin Macrobid
Approved B L2
Ofloxacin Floxin Approved
C L2
Penicillin - Approved
B L1
Streptomycin Streptomycin
Approved D L3
Sulbactam - Approved
- NR
Sulfisoxazole Gantrisin, Azo-
Gantrisin Approved C
L2
Tetracycline Achromycin, Sumycin,
Terramycin Approved D
L2
Ticarcillin Ticarcillin, Ticar,
Timentin Approved B
L1
Trimethoprim/sulfamethoxazole
Proloprim, Trimpex
Approved C L3
Anticoagulants [contents]
Bishydroxycoumarin (dicumarol) -
Approved - NR
Warfarin Coumadin, Panwarfin
Approved D L2
Anticonvulsants [contents]
Carbamazepine Tegretol, Epitol
Approved C L2
Ethosuximide Zarontin
Approved C L4
Magnesium sulfate Epsom salt
Approved B L1
Phenytoin Dilantin
Approved D L2
Valproic acid Depakene, Depakote
Approved D L2
Antifungals [contents]
Fluconazole [more]
Diflucan Approved C
L2
Ketoconazole Nizoral Shampoo,
Nizoral Approved C L2
Antihistamines [more]
[contents]
Dexbrompheniramine maleate with d-
isoephedrine - Approved
- NR
Fexofenadine Allegra Approved
C L2
Loratadine Claritin
Approved B L1
Terfenadine Seldane Approved
- NR
Triprolidine Actidil, Actifed
Approved C L1
Antivirals [contents]
Acyclovir [more]
Zovirax Approved C L2
Interferon-alpha [more]
Alferon N, Interferon Alpha
Approved C L2
Arthritis meds (see also: pain meds)
[contents]
Gold salts Ridaura, Myochrysine,
Solganal Approved C
L5
Asthma meds (see also: steroids)
[contents]
Dyphylline Dilor, Lufyllin,
Dyphylline Approved C
L3
Terbutaline Bricanyl, Brethine
Approved B L2
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