Post on 03-Apr-2018
7/28/2019 Dosis Ibu Hamil Menyusui
1/16
Kelompok Analgetik, NSAIDS, Obat Batuk dan Pilek,
Anti Alergi dan Asma, Anestesi
Obat untuk Penghilang Rasa Sakit (Pain Killer)
Nama Obat
AAP
approved?*
Kategori Risiko
Kehamilan** RisikoMenyusui**NotesAcetaminophen (Tylenol) Approved B L1
Aspirin CautionC (1st, 2nd trim.)
D (3rd trim.)L3 1
Azapropazone (Rheumox)Approved
- L2
Butalbital (Fioricet,
Fiorinal, Bancap, Two-
dyne)
NR D L3 2
Butorphanol (Stadol) ApprovedB (1st, 2nd trim.)
D (3rd trim.)L3
Celecoxib (Celebrex)) NR C L2
Codeine (in Tylenol #3, #4) Approved C L3 3
Colchicine Approved D L4
Diclofenac (Cataflam,
Voltaren)NR B L2
Fentanyl (Sublimaze) Approved B L2
Flurbiprofen (Ansaid,
Froben, Ocufen)NR
B (1st, 2nd trim.)
C (3rd trim.)L2
Hydrocodone (Lortab,
Vicodin)NR B L3 4
Hydromorphone(Dilaudid) NR C L3 5
Ibuprofen (Advil, Nuprin,
Motrin, Pediaprofen)Approved
B (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.)L2
Meperidine (Demerol) Approved B
L2;
L3 early
postpartum
6
Methadone (Dolophine) Approved B L3 7
Morphine (Duramorph,
Infumorph, Epimorph, MS
Contin)
Approved B L3 8
Nalbuphine (Nubain) NR B L2
Naproxen (Anaprox, Approved B L3; 9
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Naprosyn, Naproxen,
Aleve)
L4 for chronic use
Nefopam (Acupan) Approved - NR
Oxycodone (Tylox,
Percodan,Oxycontin,
Roxicet, Endocet, Roxiprin,Percocet)
NR B L3 10
Pentosan
polysulfate(Elmiron)NR B L2
Piroxicam (Feldene) Approved B L2
Propoxyphene(Darvocet
N, Propacet, Darvon)Approved C L2 11
Rofecoxib (Vioxx) Withdrawn from the market 12
Secobarbital (Seconal) Approved D L3 13
Tolmetin (Tolectin) Approved C L3
Tramadol HCL (Ultram,Ultracet)
NR C L3 14
Valdecoxib (Bextra) Withdrawn from the market more
* Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human
Milk, revised 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 Infants and 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 Reyessyndrome and internal bleeding.
2. Fioricet (Fiorinal, Bancap, Two-dyne) contains acetaminaphen or asprin, caffeine, andbutalbital. 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, withdrawalsyndrome.
http://www.kellymom.com/health/meds/pain-meds.html#note10http://www.kellymom.com/health/meds/pain-meds.html#note10http://www.kellymom.com/health/meds/pain-meds.html#note11http://www.kellymom.com/health/meds/pain-meds.html#note11http://www.fda.gov/cder/drug/infopage/vioxx/default.htmhttp://www.fda.gov/cder/drug/infopage/vioxx/default.htmhttp://www.kellymom.com/health/meds/pain-meds.html#note12http://www.kellymom.com/health/meds/pain-meds.html#note12http://www.kellymom.com/health/meds/pain-meds.html#note13http://www.kellymom.com/health/meds/pain-meds.html#note13http://www.kellymom.com/health/meds/pain-meds.html#note14http://www.kellymom.com/health/meds/pain-meds.html#note14http://www.fda.gov/cder/drug/infopage/COX2/default.htmhttp://www.fda.gov/cder/drug/infopage/COX2/default.htmhttp://neonatal.ama.ttuhsc.edu/discus/messages/48/724.htmlhttp://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://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/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T6http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://neonatal.ama.ttuhsc.edu/discus/messages/48/724.htmlhttp://www.fda.gov/cder/drug/infopage/COX2/default.htmhttp://www.kellymom.com/health/meds/pain-meds.html#note14http://www.kellymom.com/health/meds/pain-meds.html#note13http://www.kellymom.com/health/meds/pain-meds.html#note12http://www.fda.gov/cder/drug/infopage/vioxx/default.htmhttp://www.kellymom.com/health/meds/pain-meds.html#note11http://www.kellymom.com/health/meds/pain-meds.html#note107/28/2019 Dosis Ibu Hamil Menyusui
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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 with breastfeeding.
10.Roxicet, Endocet, Roxiprin, Percocet also contain acetaminophen. Per Hale, observe infantfor 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 Dagang AAP
approved?*
Kategori
Risiko
Kehamilan**RisikoMenyusui**
Azapropazone (apazone) Rheumox Approved - L2
Dipyrone (banned in the
US & UK)- Approved - NR
Flufenamic acid - Approved - NR
IbuprofenAdvil, Nuprin,
Motrin, PediaprofinApproved
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
NaproxenAnaprox, Naprosyn,
Naproxen, AleveApproved B
L3
L4 (for chronic
use)
Phenylbutazone Butazolidine Approved - NR
Piroxicam Feldene Approved B L2
Suprofen Profenal Approved - NRTolmetin Tolectin Approved C L3
Steroid [contents]
Methylprednisolone
[ high dosage
methylprednisolone]
Solu-Medrol, Depo-
Medrol, MedrolApproved C L2
Prednisolone - Approved C L2
http://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://neonatal.ama.ttuhsc.edu/discus/messages/58/MP-158.pdfhttp://neonatal.ama.ttuhsc.edu/discus/messages/58/MP-158.pdfhttp://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.update-software.com/abstracts/AB003227.htmhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.kellymom.com/health/meds/pain-meds.html7/28/2019 Dosis Ibu Hamil Menyusui
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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 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
PropoxypheneDarvocet N, Propacet,
DarvonApproved 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, revised September 2001.
** PerMedications and Mothers Milkby Thomas Hale, PhD (2006 edition)
http://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://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://www.kellymom.com/health/meds/pain-meds.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#toc7/28/2019 Dosis Ibu Hamil Menyusui
5/16
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)
Antihistamin (Anti Alergi)
Nama ObatAAP
approved?*Risiko Menyusui**
Brompheniramine not reviewed L3 (moderately safe)
Chlorpheniramine
(Chlor-Trimeton)
CTM
not reviewed L3 (moderately safe)
Cetirizine (Zyrtec) not reviewed L2 (safer)Dexbrompheniramine
maleate
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)
* Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human
Milk, revised September 2001.
** PerMedications and Mothers Milkby Thomas Hale, PhD (2002 edition)
http://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://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776http://www.kellymom.com/health/meds/lactation_risk_cat.htmlhttp://www.kellymom.com/health/meds/lactation_risk_cat.html7/28/2019 Dosis Ibu Hamil Menyusui
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Obat Anestesi
Nama ObatAAP
approved?*
Kategori Risiko
Kehamilan**RisikoMenyusui**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 dur ing anesthesia
Sedatives
Diazepam (Valium) Concern D L3; L4 for chronic
use
Midazolam (Versed) Concern D L3
Propofol (Diprivan) NR B L2 more
Triazolam (Halcion) NR X L3Narcotic 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
Decadron (Dexamethasone) NR C NR moreStimulants
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.
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Approved: (Table 6) Maternal Medication Usually Compatible With Breastfeeding Concern: (Table 4) Drugs for Which the Effect on Nursing Infants Is Unknown but
May Be of Concern
Caution: (Table 5) Drugs That Have Been Associated With Significant Effects onSome Nursing Infants and Should Be Given to Nursing Mothers With Caution
NR: Not Reviewed. This drug has not yet been reviewed by the AAP.** PerMedications and MothersMilkby 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. Isoflurane (Forane) is used for c-sections and directly in newborns. Induction of andrecovery 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 GenerikNama
DagangAAP
approved?*
KategoriRisiko
Kehamilan**RisikoMenyusui**
Antasida [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
Antibiotika [contents]
Amoxicillin Larotid,Amoxil
Approved B L1
Aztreonam Azactam Approved B L2
CefadroxilUltracef,
DuricefApproved B L1
CefazolinAncef,
KefzolApproved B L1
http://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://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://neonatal.ama.ttuhsc.edu/discus/messages/39/432.html#POST256http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776/T5http://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/T67/28/2019 Dosis Ibu Hamil Menyusui
8/16
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 BL1
L3 early postnatal
Fleroxacin - Approved - NR
Gentamicin Garamycin Approved C L2
KanamycinKebecil,
KantrexApproved 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/sulfamethoxazoleProloprim,
TrimpexApproved C L3
Antikoagulan [contents]
Bishydroxycoumarin
(dicumarol)- Approved - NR
WarfarinCoumadin,
PanwarfinApproved D L2
http://messageboards.ivillage.com/iv-ppbreastfeed/?msg=37332.4http://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://messageboards.ivillage.com/iv-ppbreastfeed/?msg=37332.47/28/2019 Dosis Ibu Hamil Menyusui
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Antikonvulsan (Anti kejang) [contents]
CarbamazepineTegretol,
EpitolApproved C L2
Ethosuximide Zarontin Approved C L4
Magnesium sulfate Epsom salt Approved B L1
Phenytoin Dilantin Approved D L2
Valproic acidDepakene,
DepakoteApproved D L2
Anti Jamur [contents]
Fluconazole [more] Diflucan Approved C L2
Ketoconazole
Nizoral
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,
Solganal
Approved C L5
Kontrasepsi, Hormon [contents]
Estradiol
Estratab,
Permarin,
Menest
Approved X
L3 (may interfere
with milk
production)
Clogestone - Approved - NR
Contraceptive pill with
estrogen/progesterone
Preven,Seasonale,
Norinyl,
Norlestin,
Ortho-
Novum,
Ovral,
Lunelle
Approved X
L3 (may interfere
with milk
production)
http://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#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#Painhttp://messageboards.ivillage.com/iv-ppbreastfeed/?msg=63958.8http://messageboards.ivillage.com/n/mb/message.asp?webtag=iv-ppbreastfeed&msg=44459.6http://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://www.kellymom.com/health/meds/aap-approved-meds.html#toc7/28/2019 Dosis Ibu Hamil Menyusui
10/16
injection,
Ortho-Evra
patch, etc.
Levonorgestrel
Norplant,
Mirena, Plan
B
Approved X L2
Medroxyprogesterone
Provera,
Depo-
Provera,
Cycrin
Approved D
L1
L4 (if used first 3
days postpartum)
Norethynodrel Enovid Approved X L2
ProgesteroneCrinone,
PrometriumApproved - L3
Obat Diabetes [contents]ote: Insulin has not been reviewed by the AAP. Pregnancy risk category = B; Lactation risk
category = L1.
TolbutamideOramide,
OrinaseApproved D L3
Obat Diare [contents]
Loperamide
Imodium,
Pepto
DiarrheaControl,
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 in children.[more]
http://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.parentsplace.com/expert/lactation/qas/0,10338,239838_106222,00.htmlhttp://www.parentsplace.com/expert/lactation/qas/0,10338,239838_106222,00.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#toc7/28/2019 Dosis Ibu Hamil Menyusui
11/16
Diuretik (Peluruh Kencing) [contents]
AcetazolamideDazamide,
DiamoxApproved C L2
Bendroflumethiazide Naturetin Approved DL4 (may inhibit
lactation)
Chlorothiazide Hydrodiuril Approved D L3
Chlorthalidone Hygroton Approved D L3
Hydrochlorothiazide (HCT)
Hydrodiuril,
Esidrix,
Oretic
Approved D L2
Spironolactone Aldactone Approved D L2
Anti Muntah [more] [contents]
Domperidone Motilum Approved - L1
Anti Hipertensi, Obat Jantung [contents]
Anti aritmia
DisopyramideNorpace,
NapamideApproved C L2
Flecainide Tambocor Approved C L3
Mexiletine Mexitil Approved B L2
ProcainamidePronestyl,
ProcanApproved C L3
QuinidineQuinaglute,
QuinidexApproved C L2
Anti H ipertensi
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 Approved
C (1st trim.)
D (2nd, 3rd
trim.)
L2
Hydralazine Apresoline Approved C L2
LabetalolTrandate,
NormodyneApproved C L2
http://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://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/prescript_galactagogue.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#toc7/28/2019 Dosis Ibu Hamil Menyusui
12/16
Methyldopa Aldomet Approved C L2
MetoprololToprol XL,
LopressorApproved B L3
Minoxidil
Loniten,
Minodyl,
Rogaine
Approved CL2 (topically)
L3 (orally)
NadololCorgard,
NadololApproved C L4
NifedipineAdalat,
ProcardiaApproved C L2
Oxprenolol
Apsolox,
Slow-
Trasicor,
Trasicor
Approved - NR
Propranolol Inderol Approved C L2
Sotalol Betapace Approved B L3Timolol Blocadren Approved C L2
Verapamil
Calan,
Isoptin,
Covera-HS
Approved C L2
Cardiac stimul ants
DigoxinLanoxin,
LanoxicapsApproved C L2
Laksan (Pelancar BAB) [more] [contents]Cascara/Cascara Sagrada - Approved C L3
Danthron - Approved - NR
Magnesium sulfate Epsom salt Approved B L1
Senna - Approved - L3
Obat malaria [contents]
Chloroquine
Aralen,
Novo-
chloroquine
Approved C L3
Hydroxychloroquine Plaquenil Approved C L2
Pyrimethamine Daraprim Approved C L4
Quinine Quinamm Approved D L2
http://www.kellymom.com/health/meds/laxatives.htmlhttp://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/laxatives.html7/28/2019 Dosis Ibu Hamil Menyusui
13/16
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 hydrateAquachloral,
NoctecApproved C L3
Methyprylon (withdrawn from
use 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
Levothyroxine
Synthroid,
Levothroid,
Thyroid,
Levo-T,
Levoxyl
Approved A L1
http://www.kellymom.com/health/meds/radioisotopes.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/migraine-meds.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/sedation.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/thyroid/index.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/thyroid/index.htmlhttp://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/sedation.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/migraine-meds.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/radioisotopes.html7/28/2019 Dosis Ibu Hamil Menyusui
14/16
Obat TBC [contents]
Cycloserine Seromycin Approved C L3
EthambutolEthambutol,
MyambutolApproved B L2
Isoniazid
INH,
Laniazid Approved C L3
RifampinRifadin,
RimactaneApproved 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 (may inhibit
lactation)
D, vitaminCalciferol,
Delta-dApproved A
L3 (do not
overdose)
Folic acid - Approved
A (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
AllopurinolZyloprim,
LopurinApproved C L2
Antimony - Approved - NR
Atropine (Anticholinergic,
drying agent)
Belladonna,
AtropineApproved C L3
Azapropazone/apazone
(Antirheumatic)Rheumox Approved - L2
Baclofen (muscle relaxant) Lioresal,Atrofen
Approved C L2
Barbiturate - Approved - NR
Caffeine [more]
Vivarin,
NoDoz,
Coffee
Approved B L2
Carbetocin (Antihemorrhagic) Duratocin Approved - NR
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15/16
Chloroform - Approved - NR
Cisplatin (Anti-cancer) Platinol Approved D L4
Dapsone (Antileprosy)Avlosulfon,
DDSApproved C L4
Hydroxychloroquine
(Antirheumatic, lupus) Plaquenil Approved C L2
Iodides - Approved - NR
Iodine - Approved - NR
Iodine (povidone-iodine, eg, in
a vaginal douche)- Approved - NR
Ivermectin (Antiparasitic) Mectizan Approved C L3
Nalidixic acid (Urinary Anti-
infective)NegGram Approved B L4
Norsteroids - Approved - NR
Pyridostigmine (Muscle
stimulant)
Mestinon,
Regonol Approved C L2
Scopolamine (Motion sickness)Transderm
ScopeApproved C L3
Sulfapyridine Dagenan Approved - NR
Timolol (glaucoma med) Blocadren Approved D L3
* Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human
Milk, revised 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 Infants and 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
Disusun kembali oleh dr.Abu Hanadari sumber URL : http://www.kellymom.com/health/meds/aap-approved-meds.html
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