Daftar Obat Yang Dianjurkan Untuk Ibu Hamil Dan Menyusui

8/3/2019 Daftar Obat Yang Dianjurkan Untuk Ibu Hamil Dan Menyusui

1/10


2/10

September 2001.

Approved: (Table 6) Maternal Medication Usually Compatible With Breastfeeding

Caution: (Table 5) Drugs That Have Been Associated With Significant Effects on Some Nursing Infantsand Should Be Given to Nursing Mothers With Caution

NR: Not Reviewed. This drug has not yet been reviewed by the AAP.

** PerMedications and Mothers Milkby Thomas Hale, PhD (2004 edition).

Lactation Risk Categories Pregnancy Risk Categories

L1 (safest)

L2 (safer)

L3 (moderately safe)

L4 (possibly hazardous)

L5 (contraindicated)

A (controlled studies show no risk)

B (no evidence of risk in humans)

C (risk cannot be ruled out)

D (positive evidence of risk)

X (contraindicated in pregnancy)

NR: Not Reviewed. This drug has not yet been reviewed by Hale.

1. Aspirin use is discouraged in children and nursing mothers due to the risk of Reyes syndrome and internal

bleeding.2. Fioricet (Fiorinal, Bancap, Two-dyne) contains acetaminaphen or asprin, caffeine, and butalbital. Per Hale,

baby should be observed for sedation.3. Hale suggests weakened or premature infants be observed for sedation and apnea.

4. Hale suggests newborns be observed for sedation, apnea, constipation.

5. Per Hale, use of frequent, higher dose may result in infant sedation.6. Per Hale, Meperidine use during labor or early postpartum has been associated with sedation, poor sucking

reflex, and neurobehavioral delay in infants.

7. Per Hale, observe infant for sedation, respiratory depression, addiction, withdrawal syndrome.

8. Per Hale, higher doses may result in infant sedation.9. Per Hale, should be used with caution due to its long half-life and its effect on babys cardiovascular

system, kidneys and GI tract; short-term, infrequent or occasional use is not necessarily incompatible withbreastfeeding.10. Roxicet, Endocet, Roxiprin, Percocet also contain acetaminophen. Per Hale, observe infant for sedation.

11. Per Hale, observe infant for sedation.

12. Per Hale, observe infant for GI cramping, distress, diarrhea.13. Per Hale, observe infant for sedation.

14. Per Hale, observe infant for sedation.

Non-steroidal anti-inflammatory analgesics (NSAIDs) [more]

Nama Generik Nama DagangAAP

approved?*

Kategori Risiko

Kehamilan** Risiko Menyusui**

Azapropazone (apazone) Rheumox Approved - L2Dipyrone (banned in the US &

UK)- Approved - NR

Flufenamic acid - Approved - NR

IbuprofenAdvil, Nuprin, Motrin,Pediaprofin

ApprovedB (1st, 2nd trim.)

D (3rd trim.)L1

Indomethacin Indocin ApprovedB (1st, 2nd trim.)

D (3rd trim.)L3

Ketorolac Toradol, Acular Approved

B (1st, 2nd trim.)

D (3rd trim.) L2Mefenamic acid Ponstan, Ponstel Approved - NR

NaproxenAnaprox, Naprosyn,

Naproxen, AleveApproved B

L3

L4 (for chronic use)

Phenylbutazone Butazolidine Approved - NR

Piroxicam Feldene Approved B L2

Suprofen Profenal Approved - NR

Tolmetin Tolectin Approved C L3

Steroid [contents]
http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T6http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://www.kellymom.com/health/meds/pain-meds.htmlhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T6http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://www.kellymom.com/health/meds/pain-meds.htmlhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.kellymom.com/health/meds/aap-approved-meds.html#toc


3/10

Methylprednisolone

[ high dosagemethylprednisolone]

Solu-Medrol, Depo-Medrol,

MedrolApproved C L2

Prednisolone - Approved C L2

PrednisoneDeltasone, Meticorten,

OrasoneApproved C L2

Obat Asma [contents]

Dyphylline Dilor, Lufyllin, Dyphylline Approved C L3

Terbutaline Bricanyl, Brethine Approved B L2

TheophyllineAminophylline, Quibron,

Theo-DurApproved C L3

Analgetik Narkotik [more]

Butorphanol Stadol ApprovedB (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

PropoxypheneDarvocet N, Propacet,Darvon

Approved C L2

Obat Batuk

Nama ObatAAP approved?

*Risiko Menyusui**

Codeine yes L3 (moderately safe)

Dextromethorphan not reviewed L1 (safest)

Guaifenesin not reviewed L2 (safer)

Dekongestan (Obat Pilek)

Nama ObatAAP approved?

*Risiko Menyusui**

Phenylephrine not reviewed L3 (moderately safe)

Pseudoephedrine

(Sudafed, Actifed)

yes

L3 (moderately safe) for acute use

L4 (possibly hazardous) for chronic use due to potential for

decreasing milk supply

* Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revisedSeptember 2001.

** PerMedications and Mothers Milkby Thomas Hale, PhD (2006 edition)

Nasal Sprays (Spray Hidung)

Nama ObatAAP

approved?*Risiko Menyusui**

Beclomethasone

(Vanceril, Beclovent,

Beconase, Vancenase)

not reviewed L2 (safer)

Cromlyn sodium(Nasalcrom)

not reviewed L1 (safest)

Fluticasone (Flonase) not reviewed L3 (moderately safe)

Mometasone (Nasonex) not reviewed L3 (moderately safe)

Phenylephrine (in some

forms of Sinex and Neo-Synephrine)

not reviewed L3 (moderately safe)

Triamcinolone Acetonide

(Nasacort)not reviewed L3 (moderately safe)
http://neonatal.ama.ttuhsc.edu/discus/messages/58/MP-158.pdfhttp://neonatal.ama.ttuhsc.edu/discus/messages/58/MP-158.pdfhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/pain-meds.htmlhttp://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://neonatal.ama.ttuhsc.edu/discus/messages/58/MP-158.pdfhttp://neonatal.ama.ttuhsc.edu/discus/messages/58/MP-158.pdfhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/pain-meds.htmlhttp://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://www.kellymom.com/health/meds/lactation_risk_cat.html


4/10

Antihistamin (Anti Alergi)

Nama ObatAAP

approved?*Risiko Menyusui**

Brompheniramine not reviewed L3 (moderately safe)

Chlorpheniramine

(Chlor-Trimeton) CTMnot reviewed L3 (moderately safe)

Cetirizine (Zyrtec) not reviewed L2 (safer)

Dexbrompheniraminemaleate

with d-isoephedrine

yes not reviewed

Diphenhydramine

(Benadryl)not reviewed L2 (safer)

Doxylamine not reviewed L4 (possibly hazardous)

Fexofenadine (Allegra) yes L3 (moderately safe)

Loratadine (Claritin) yes L2 (safer)

Terfenadine (Seldane) yes not reviewed

Triprolidine (Actidil,

Actifed)

yes L1 (safest)


** PerMedications and Mothers Milkby Thomas Hale, PhD (2002 edition)

Obat Anestesi

Nama ObatAAP

approved?*

Kategori Risiko

Kehamilan**

Risiko

Menyusui**Notes

Local anesthetics

Articaine (Septocaine) NR - NR more

Bupivacaine (Marcaine) NR C L2 Lidocaine (Xylocaine) Approved C L2

Mepivacaine (Carbocaine, Polocaine) NR C L3 more

Procaine HCL (Novocaine) NR C L3

General anesthetics

Halothane (Fluothane) Approved C L2 more

Isoflurane (Forane) NR - NR 1

Ketamine NR - NR more

Methohexital (Brevital) Approved B L3

Nitrous oxide NR - L3 Sevoflurane (Ultane) NR B L3

Thiopental (Pentothal) Approved C L3

Other medications often used during anesthesia

Sedatives

Diazepam (Valium) Concern D L3; L4 forchronic use

Midazolam (Versed) Concern D L3

Propofol (Diprivan) NR B L2 more

Triazolam (Halcion) NR X L3

Narcotic Analgesics

Alfentanil (Alfenta) NR C L2

Fentanyl (Sublimaze) Approved B L2

Hydromorphone (Dilaudid) NR C L3

Morphine Approved B L3

Reversal Medication

Flumazenil (Romazicon) NR C NR 2

Naloxone (Narcan) NR C NR 3

Steroids
http://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://neonatal.ama.ttuhsc.edu/discus/messages/53/359.html#POST191http://neonatal.ama.ttuhsc.edu/discus/messages/39/1182.html#POST713http://neonatal.ama.ttuhsc.edu/discus/messages/39/432.html#POST256http://www.kellymom.com/health/meds/anesthetics.html#anote1http://neonatal.ama.ttuhsc.edu/discus/messages/56/231.html#POST123http://www.eurekalert.org/pub_releases/2005-03/nu-nmh031105.phphttp://www.kellymom.com/health/meds/anesthetics.html#note2http://www.kellymom.com/health/meds/anesthetics.html#note3http://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://neonatal.ama.ttuhsc.edu/discus/messages/53/359.html#POST191http://neonatal.ama.ttuhsc.edu/discus/messages/39/1182.html#POST713http://neonatal.ama.ttuhsc.edu/discus/messages/39/432.html#POST256http://www.kellymom.com/health/meds/anesthetics.html#anote1http://neonatal.ama.ttuhsc.edu/discus/messages/56/231.html#POST123http://www.eurekalert.org/pub_releases/2005-03/nu-nmh031105.phphttp://www.kellymom.com/health/meds/anesthetics.html#note2http://www.kellymom.com/health/meds/anesthetics.html#note3


5/10

Decadron (Dexamethasone) NR C NR more

Stimulants

Epinephrine (Adrenaline) NR C L1

Anti-nausea

Promethazine (Phenergan) NR C L2

* Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised

September 2001.


Concern: (Table 4) Drugs for Which the Effect on Nursing Infants Is Unknown but May Be ofConcern

Caution: (Table 5) Drugs That Have Been Associated With Significant Effects on Some Nursing

Infants and Should Be Given to Nursing Mothers With Caution




L1 (safest) L2 (safer)

L3 (moderately safe) L4 (possibly hazardous)


A (controlled studies show no risk) B (no evidence of risk in humans)

C (risk cannot be ruled out) D (positive evidence of risk)


NR: Not Reviewed. This drug has not yet been reviewed by Hale.

1. Isoflurane (Forane) is used for c-sections and directly in newborns. Induction of and recovery from

isoflurane anesthesia are rapid, so the majority of the medication is out of the body (and milk) very quickly.More here.

2. Flumazenil (Romazicon) is used directly in children aged 12 months and up.

3. Naloxone (Narcan) is used directly in newborns and children.4. Many forms of Robitussin, Delsym and Benylin are considered compatible with breastfeeding. Always

check the active ingredients, as there are many versions.

Kelompok Antasida, Antibiotik, Antivirus, Antijamur, Kontrasepsi, Obat jantung & Hipertensi, Vitamin,

dll

Nama Generik Nama DagangAAP approved?*

Kategori Risiko

Kehamilan**

Risiko

Menyusui**

Antasida [contents]

Cimetidine (Antacid) Tagamet Approved B L2Cisapride (GI tract stimulant) Propulsid Approved C L2

Domperidone (used for nausea

& vomiting, stimulateslactation) [more]

Motilum Approved - L1

Antibiotika [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

CeftazidimeCeftazidime, Fortaz,

TaxidimeApproved B L1

Ceftriaxone Rocephin Approved B L2

Ciprofloxacin [more] Cipro Approved C L3

Clindamycin Cleocin Approved B L3
http://neonatal.ama.ttuhsc.edu/discus/messages/58/2060.htmlhttp://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T6http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T4http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T4http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://neonatal.ama.ttuhsc.edu/discus/messages/39/432.html#POST256http://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/prescript_galactagogue.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://messageboards.ivillage.com/iv-ppbreastfeed/?msg=37332.4http://neonatal.ama.ttuhsc.edu/discus/messages/58/2060.htmlhttp://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T6http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T4http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T4http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://neonatal.ama.ttuhsc.edu/discus/messages/39/432.html#POST256http://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/prescript_galactagogue.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://messageboards.ivillage.com/iv-ppbreastfeed/?msg=37332.4


6/10

ErythromycinE-Mycin, Ery-tab,

ERYC, IlosoneApproved B

L1

L3 earlypostnatal

Fleroxacin - Approved - NR

Gentamicin Garamycin Approved C L2

Kanamycin Kebecil, Kantrex Approved D L2

Moxalactam Moxam Approved - NR

Nitrofurantoin Macrobid Approved B L2Ofloxacin Floxin Approved C L2

Penicillin - Approved B L1

Streptomycin Streptomycin Approved D L3

Sulbactam - Approved - NR

SulfisoxazoleGantrisin, Azo-

GantrisinApproved C L2

TetracyclineAchromycin, Sumycin,Terramycin

Approved D L2

TicarcillinTicarcillin, Ticar,

TimentinApproved B L1

Trimethoprim/sulfamethoxazoleProloprim, Trimpex Approved C L3

Antikoagulan [contents]

Bishydroxycoumarin

(dicumarol)- Approved - NR

Warfarin Coumadin, Panwarfin Approved D L2

Antikonvulsan (Anti kejang) [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

Anti Jamur [contents]

Fluconazole [more] Diflucan Approved C L2

KetoconazoleNizoral Shampoo,Nizoral

Approved C L2

Antivirus [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 saltsRidaura, Myochrysine,

SolganalApproved C L5

Kontrasepsi, Hormon [contents]

Estradiol

Estratab, Permarin,Menest

Approved X

L3 (mayinterfere with

milk

production)

Clogestone - Approved - NR

Contraceptive pill with

estrogen/progesterone

Preven, Seasonale,Norinyl, Norlestin,

Ortho-Novum, Ovral,

Lunelle injection,Ortho-Evra patch, etc.

Approved X

L3 (mayinterfere with

milkproduction)

LevonorgestrelNorplant, Mirena, Plan

BApproved X L2

Medroxyprogesterone Provera, Depo-Provera,Cycrin

Approved D L1

L4 (if used

first 3 days
http://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/newman/20fluconazole.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://messageboards.ivillage.com/n/mb/message.asp?webtag=iv-ppbreastfeed&msg=44459.6http://messageboards.ivillage.com/iv-ppbreastfeed/?msg=63958.8http://www.kellymom.com/health/meds/aap-approved-meds.html#Painhttp://www.kellymom.com/health/meds/aap-approved-meds.html#Painhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/newman/20fluconazole.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://messageboards.ivillage.com/n/mb/message.asp?webtag=iv-ppbreastfeed&msg=44459.6http://messageboards.ivillage.com/iv-ppbreastfeed/?msg=63958.8http://www.kellymom.com/health/meds/aap-approved-meds.html#Painhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#toc


7/10

postpartum)

Norethynodrel Enovid Approved X L2

Progesterone Crinone, Prometrium Approved - L3

Obat Diabetes [contents]

Note: Insulin has not been reviewed by the AAP. Pregnancy risk category = B; Lactation risk category = L1.

Tolbutamide Oramide, Orinase Approved D L3

Obat Diare [contents]

Loperamide

Imodium, PeptoDiarrhea Control,Maalox Antidiarrheal

Caplets, Kaopectate II

Caplets, Immodium

Advanced

Approved B L2

** Note: Pepto-Bismol & Kaopectate (bismuth subsalicylate is the active ingredient in both) are not

recommended for routine use by nursing moms, due to the association of salicylates with Reyes syndrome inchildren. [more]

Diuretik (Peluruh Kencing) [contents]

Acetazolamide Dazamide, Diamox Approved C L2

Bendroflumethiazide Naturetin Approved DL4 (may

inhibit

lactation)

Chlorothiazide Hydrodiuril Approved D L3

Chlorthalidone Hygroton Approved D L3

Hydrochlorothiazide (HCT)Hydrodiuril, Esidrix,

OreticApproved D L2

Spironolactone Aldactone Approved D L2

Anti Muntah [more] [contents]

Domperidone Motilum Approved - L1Anti Hipertensi, Obat Jantung [contents]

Anti aritmia

Disopyramide Norpace, Napamide Approved C L2

Flecainide Tambocor Approved C L3

Mexiletine Mexitil Approved B L2

Procainamide Pronestyl, Procan Approved C L3

Quinidine Quinaglute, Quinidex Approved C L2

Anti Hipertensi

Captopril Capoten Approved DL3 (if used

after 30 days)

Diltiazem/Diltiazem HCL

Cardizem Sr, Dilacor-

XR, Diltiazem,Cardizem CD

Approved C L3

Enalapril/Enalapril Maleate Vasotec ApprovedC (1st trim.)

D (2nd, 3rd trim.)L2

Hydralazine Apresoline Approved C L2

Labetalol Trandate, Normodyne Approved C L2

Methyldopa Aldomet Approved C L2

Metoprolol Toprol XL, Lopressor Approved B L3

MinoxidilLoniten, Minodyl,

RogaineApproved C

L2 (topically)

L3 (orally)

Nadolol Corgard, Nadolol Approved C L4

Nifedipine Adalat, Procardia Approved C L2

OxprenololApsolox, Slow-

Trasicor, TrasicorApproved - NR

Propranolol Inderol Approved C L2

Sotalol Betapace Approved B L3
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8/10

Timolol Blocadren Approved C L2

VerapamilCalan, Isoptin, Covera-

HSApproved C L2

Cardiac stimulants

Digoxin Lanoxin, Lanoxicaps Approved C L2

Laksan (Pelancar BAB) [more] [contents]

Cascara/Cascara Sagrada - Approved C L3

Danthron - Approved - NRMagnesium sulfate Epsom salt Approved B L1

Senna - Approved - L3

Obat malaria [contents]

ChloroquineAralen, Novo-

chloroquineApproved C L3

Hydroxychloroquine Plaquenil Approved C L2

Pyrimethamine Daraprim Approved C L4

Quinine Quinamm Approved D L2

Medical Testing [more] [contents]

Diatrizoate - Approved - NR

Fluorescein - Approved C L3

Gadopentetic (Gadolinium) - Approved C L2

Iohexol Omnipaque Approved B L2

Iopanoic acid Telepaque Approved D L2

Metrizamide Amipaque Approved B L2

Metrizoate Isopaque Approved B L2

Obat Migren [more] [contents]

Sumatriptan Imitrex Approved C L3

Obat Sedativ [more] [contents]Chloral hydrate Aquachloral, Noctec Approved C L3

Methyprylon (withdrawn fromuse in US & Canada)

- Approved - NR

Bromide - Approved D L5

Secobarbital Seconal Approved D L3

Obat Tidur [contents]

Zolpidem/Zolpidem Tartrate Ambien Approved B L3

Obat Anti Tiroid [more] [contents]

Carbimazole - Approved D L3

Methimazole (active metabolite

of carbimazole)Tapazole Approved D L3

Propylthiouracil PTU Approved D L2

Thiouracil - Approved - NR

LevothyroxineSynthroid, Levothroid,Thyroid, Levo-T,

LevoxylApproved A L1

Obat TBC [contents]

Cycloserine Seromycin Approved C L3

Ethambutol Ethambutol,Myambutol

Approved B L2

Isoniazid INH, Laniazid Approved C L3

Rifampin Rifadin, Rimactane Approved C L2

VITAMIN [more] [contents]

B-1 (thiamin) - Approved - NR

B-12 (Cyanocobalamin) - Approved A L1

B-6 (pyridoxine) - Approved A L2; L4 in

high doses
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9/10

(may inhibit

lactation)

D, vitamin Calciferol, Delta-d Approved AL3 (do notoverdose)

Folic acid - ApprovedA (1st, 2nd trim.)

C (3rd trim.)L1

K-1, vitamin (Phytonadione) - Approved C L1

Riboflavin/B2 - Approved A L1

Lain-lain [contents]

Acitretin (Anti-psoriasis) Soriatane Approved - NR

Alcohol/Ethanol [more] - Approved D L3

Allopurinol Zyloprim, Lopurin Approved C L2

Antimony - Approved - NR

Atropine (Anticholinergic,drying agent)

Belladonna, Atropine Approved C L3

Azapropazone/apazone

(Antirheumatic)Rheumox Approved - L2

Baclofen (muscle relaxant) Lioresal, Atrofen Approved C L2Barbiturate - Approved - NR

Caffeine [more]Vivarin, NoDoz,Coffee

Approved B L2

Carbetocin (Antihemorrhagic) Duratocin Approved - NR

Chloroform - Approved - NR

Cisplatin (Anti-cancer) Platinol Approved D L4

Dapsone (Antileprosy) Avlosulfon, DDS Approved C L4

Hydroxychloroquine(Antirheumatic, lupus)

Plaquenil Approved C L2

Iodides - Approved - NR

Iodine - Approved - NR

Iodine (povidone-iodine, eg, ina vaginal douche)

- Approved - NR

Ivermectin (Antiparasitic) Mectizan Approved C L3

Nalidixic acid (Urinary Anti-

infective)NegGram Approved B L4

Norsteroids - Approved - NR

Pyridostigmine (Musclestimulant)

Mestinon, Regonol Approved C L2

Scopolamine (Motion sickness) Transderm Scope Approved C L3

Sulfapyridine Dagenan Approved - NR

Timolol (glaucoma med) Blocadren Approved D L3



Caution: (Table 5) Drugs That Have Been Associated With Significant Effects on Some Nursing Infants

and Should Be Given to Nursing Mothers With Caution




L1 (safest)

L2 (safer)

L3 (moderately safe) L4 (possibly hazardous)


A (controlled studies show no risk) B (no evidence of risk in humans)

C (risk cannot be ruled out) D (positive evidence of risk)

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10/10

NR: Not Reviewed. This drug has not yet been reviewed by Hale

Documents

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