Daftar Obat Yang Aman Bagi Ibu Hamil

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    Sumber : http://kaahil.wordpress.com/2009/05/23/daftar-obat-aman-dan-berbahaya-

    untuk-ibu-hamil-dan-menyusui/

    DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU

    HAMIL DAN MENYUSUIAnti Alergi dan Asma, Anestesi

    Obat untuk Penghilang Rasa Sakit (Pain Killer)

    Nama ObatAAP

    approved?*Kategori Risiko

    Kehamilan**Risiko

    Menyusui**Notes

    Acetaminophen (Tylenol) Approved B L1

    Aspirin Caution

    C (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 3Colchicine 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)

    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.)L2

    Meperidine (Demerol) Approved B L2; 6

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    L3 earlypostpartum

    Methadone (Dolophine) Approved B L3 7

    Morphine (Duramorph,Infumorph, Epimorph, MS

    Contin)

    Approved B L3 8

    Nalbuphine (Nubain) NR B L2

    Naproxen (Anaprox,Naprosyn, Naproxen,

    Aleve)Approved B

    L3;

    L4 for chronic

    use

    9

    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    Rofecoxib (Vioxx) Withdrawn from the market 12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    Valdecoxib (Bextra) Withdrawn from the market more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 HumanMilk, 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.

    http://www.kellymom.com/health/meds/pain-meds.html#note7http://www.kellymom.com/health/meds/pain-meds.html#note8http://www.kellymom.com/health/meds/pain-meds.html#note9http://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#note10http://www.kellymom.com/health/meds/pain-meds.html#note9http://www.kellymom.com/health/meds/pain-meds.html#note8http://www.kellymom.com/health/meds/pain-meds.html#note7
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    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 withsedation, poor sucking reflex, and neurobehavioral delay in infants.

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

    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, observeinfant 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 Dagang AAP

    approved?*

    Kategori

    Risiko

    Kehamilan**Risiko

    Menyusui**

    Azapropazone (apazone) Rheumox Approved - L2

    Dipyrone (banned in theUS & UK)

    - Approved - NR

    Flufenamic acid - Approved - NR

    IbuprofenAdvil, Nuprin, Motrin,

    PediaprofinApproved

    B (1st, 2ndtrim.)

    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

    L3L4 (for chronic

    use)

    Phenylbutazone Butazolidine Approved - NR

    http://www.kellymom.com/health/meds/pain-meds.htmlhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.update-software.com/abstracts/AB003227.htmhttp://www.kellymom.com/health/meds/pain-meds.html
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    Piroxicam Feldene Approved B L2

    Suprofen Profenal Approved - NR

    Tolmetin Tolectin Approved C L3

    Steroid [contents]

    Methylprednisolone

    [ high dosagemethylprednisolone]

    Solu-Medrol, Depo-Medrol, Medrol Approved C L2

    Prednisolone - Approved C L2

    PrednisoneDeltasone, Meticorten,

    OrasoneApproved C L2

    Obat Asma [contents]

    DyphyllineDilor, Lufyllin,

    DyphyllineApproved C L3

    Terbutaline Bricanyl, Brethine Approved B L2

    Theophylline Aminophylline,Quibron, Theo-Dur

    Approved C L3

    Analgetik Narkotik [more]

    Butorphanol Stadol Approved

    B (1st, 2ndtrim.)

    D (3rd trim.)L3

    Codeine Tylenol #3, #4 Approved C L3

    Fentanyl Sublimaze Approved B L2

    Meperidine Demerol Approved BL2

    L3 (if used earlypostpartum)

    Methadone Dolophine Approved B L3

    Morphine Morphine Approved B L3

    PropoxypheneDarvocet N, Propacet,

    DarvonApproved C L2

    Obat Batuk

    Nama Obat

    AAP

    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**

    http://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://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://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#tochttp://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#toc
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    Phenylephrine not reviewed L3 (moderately safe)

    Pseudoephedrine

    (Sudafed, Actifed)yes

    L3 (moderately safe) for acute useL4 (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)

    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)

    http://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/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;108/3/776
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    * Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into HumanMilk, revised September 2001.

    ** 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 anesthesiaSedatives

    Diazepam (Valium) Concern D L3; L4 for

    chronic 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 L3Morphine Approved B L3

    Reversal Medication

    Flumazenil (Romazicon) NR C NR 2

    Naloxone (Narcan) NR C NR 3

    Steroids

    Decadron (Dexamethasone) NR C NR more

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    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.

    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 ofthe 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 Dagang AAP

    approved?*

    Kategori

    Risiko

    Kehamilan**Risiko

    Menyusui**

    Antasida [contents]

    Cimetidine (Antacid) Tagamet Approved B L2

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    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 L1Aztreonam 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, Taxidime

    Approved B L1

    Ceftriaxone Rocephin Approved B L2

    Ciprofloxacin [more] Cipro Approved C L3Clindamycin Cleocin Approved B L3

    Erythromycin

    E-Mycin, Ery-

    tab, ERYC,

    IlosoneApproved B

    L1L3 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 L2Penicillin - Approved B L1

    Streptomycin Streptomycin Approved D L3

    Sulbactam - Approved - NR

    SulfisoxazoleGantrisin, Azo-

    GantrisinApproved C L2

    Tetracycline

    Achromycin,

    Sumycin,

    TerramycinApproved D L2

    TicarcillinTicarcillin,

    Ticar, TimentinApproved B L1

    Trimethoprim/sulfamethoxazoleProloprim,

    TrimpexApproved C L3

    Antikoagulan [contents]

    Bishydroxycoumarin

    (dicumarol)- Approved - NR

    WarfarinCoumadin,

    PanwarfinApproved D L2

    http://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://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=37332.4http://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/meds/prescript_galactagogue.html
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    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 acidDepakene,Depakote

    Approved D L2

    Anti Jamur [contents]

    Fluconazole [more] Diflucan Approved C L2

    Ketoconazole

    Nizoral

    Shampoo,

    NizoralApproved C L2

    Antivirus [contents]

    Acyclovir [more] Zovirax Approved C L2

    Interferon-alpha [more]Alferon N,

    Interferon AlphaApproved C L2

    Arthritis meds (see also: pain meds) [contents]

    Gold saltsRidaura,Myochrysine,

    SolganalApproved C L5

    Kontrasepsi, Hormon [contents]

    Estradiol

    Estratab,

    Permarin,

    MenestApproved 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 milk

    production)

    LevonorgestrelNorplant,Mirena, Plan B

    Approved X L2

    MedroxyprogesteroneProvera, Depo-

    Provera, CycrinApproved D

    L1L4 (if used

    first 3 days

    postpartum)

    Norethynodrel Enovid Approved X L2

    ProgesteroneCrinone,

    PrometriumApproved - L3

    Obat Diabetes [contents]

    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#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#toc
  • 7/31/2019 Daftar Obat Yang Aman Bagi Ibu Hamil

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    Note: 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, PeptoDiarrhea

    Control, Maalox

    AntidiarrhealCaplets,

    Kaopectate II

    Caplets,

    ImmodiumAdvanced

    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]Diuretik (Peluruh Kencing) [contents]

    AcetazolamideDazamide,Diamox

    Approved C L2

    Bendroflumethiazide Naturetin Approved D

    L4 (mayinhibit

    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

    Procainamide Pronestyl,Procan Approved C L3

    QuinidineQuinaglute,Quinidex

    Approved C L2

    Anti Hipertensi

    Captopril Capoten Approved D

    L3 (if used

    after 30days)

    http://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://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/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#tochttp://www.parentsplace.com/expert/lactation/qas/0,10338,239838_106222,00.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#toc
  • 7/31/2019 Daftar Obat Yang Aman Bagi Ibu Hamil

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    Diltiazem/Diltiazem HCL

    Cardizem Sr,Dilacor-XR,

    Diltiazem,

    Cardizem CD

    Approved C L3

    Enalapril/Enalapril Maleate Vasotec Approved

    C (1st trim.)

    D (2nd, 3rdtrim.)

    L2

    Hydralazine Apresoline Approved C L2

    LabetalolTrandate,Normodyne

    Approved C L2

    Methyldopa Aldomet Approved C L2

    MetoprololToprol XL,

    LopressorApproved B L3

    Minoxidil

    Loniten,

    Minodyl,

    RogaineApproved C

    L2(topically)

    L3 (orally)

    NadololCorgard,Nadolol

    Approved C L4

    NifedipineAdalat,Procardia

    Approved C L2

    OxprenololApsolox, Slow-Trasicor,

    TrasicorApproved - NR

    Propranolol Inderol Approved C L2

    Sotalol Betapace Approved B L3

    Timolol Blocadren Approved C L2

    Verapamil Calan, Isoptin,Covera-HS

    Approved C L2

    Cardiac stimulants

    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]

    ChloroquineAralen, Novo-

    chloroquineApproved C L3

    Hydroxychloroquine Plaquenil Approved C L2

    Pyrimethamine Daraprim Approved C L4

    Quinine Quinamm Approved D L2

    Medical Testing [more] [contents]

    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/radioisotopes.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/radioisotopes.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/laxatives.html
  • 7/31/2019 Daftar Obat Yang Aman Bagi Ibu Hamil

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    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 L3Obat Tidur [contents]

    Zolpidem/Zolpidem Tartrate Ambien Approved B L3

    Obat Anti Tiroid [more] [contents]

    Carbimazole - Approved D L3

    Methimazole (active metaboliteof carbimazole)

    Tapazole Approved D L3

    Propylthiouracil PTU Approved D L2

    Thiouracil - Approved - NR

    Levothyroxine

    Synthroid,

    Levothroid,Thyroid, Levo-T, Levoxyl

    Approved A L1

    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 inhibitlactation)

    D, vitamin Calciferol, Approved A L3 (do not

    http://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/nutrition/vitamins/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/nutrition/vitamins/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.html
  • 7/31/2019 Daftar Obat Yang Aman Bagi Ibu Hamil

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    Delta-d overdose)

    Folic acid - Approved

    A (1st, 2ndtrim.)

    C (3rd trim.)L1

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

    Riboflavin/B2 - Approved A L1Lain-lain [contents]

    Acitretin (Anti-psoriasis) Soriatane Approved - NR

    Alcohol/Ethanol [more] - Approved D L3

    AllopurinolZyloprim,Lopurin

    Approved 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,

    CoffeeApproved B L2

    Carbetocin (Antihemorrhagic) Duratocin Approved - NR

    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, ina 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 HumanMilk, revised September 2001.

    http://www.kellymom.com/health/meds/aap-approved-meds.html#tochttp://www.kellymom.com/health/lifestyle/alcohol.htmlhttp://www.kellymom.com/health/lifestyle/caffeine.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/lifestyle/caffeine.htmlhttp://www.kellymom.com/health/lifestyle/alcohol.htmlhttp://www.kellymom.com/health/meds/aap-approved-meds.html#toc
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    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

    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://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/T6