DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU HAMILDAN
MENYUSUILactation Risk CategoriesPregnancy Risk CategoriesL1
(safest)A (controlled studies show no risk)L2 (safer)B (no evidence
of risk in humans)L3 (moderately safe)C (risk cannot be ruled
out)L4 (possibly hazardous)D (positive evidence of risk)L5
(contraindicated)X (contraindicated in pregnancy)NR: Not Reviewed.
This drug has not yetbeen reviewed by Hale.Antikonvulsan, Obat
Tidur, Sedatif, dan MigrenNama
ObatR.HamilR.MenyusuiSumatriptanCL3Chloral
hydrateCL3Methyprylon-NRBromideDL5SecobarbitalDL3ZolpidemBL3Bishydroxycoumarin-NRWarfarinDL2CarbamazepineCL2EthosuximideCL4Magnesium
sulfateBL1PhenytoinDL2Valproic acidDL2Obat TBC dan MalariaNama
ObatRisiko KehamilanRisiko MenyusuiObat
TBCycloserineCL3EthambutolBL2IsoniazidCL3RifampinCL2Obat
malariaChloroquineCL3HydroxychloroquineCL2PyrimethamineCL4QuinineDL2Anti
Hipertensi, Anti Aritmia, dan DiuretikNama GenerikRisiko
Kehamilan**RisikoMenyusui**AcetazolamideCL2BendroflumethiazideDL4
(may inhibit
lactation)ChlorothiazideDL3ChlorthalidoneDL3Hydrochlorothiazide
(HCT)DL2SpironolactoneDL2DisopyramideCL2FlecainideCL3MexiletineBL2ProcainamideCL3QuinidineCL2CaptoprilDL3
(if used after 30 days)Diltiazem/Diltiazem
HCLCL3Enalapril/Enalapril MaleateC (1st trim.)L2D (2nd, 3rd
trim.)HydralazineCL2LabetalolCL2MethyldopaCL2MetoprololBL3MinoxidilCL2(topically)L3
(orally)NadololCL4NifedipineCL2Oxprenolol-NRPropranololCL2SotalolBL3TimololCL2VerapamilCL2DigoxinCL2Approved:
(Table 6) Maternal Medication Usually Compatible With
Breastfeeding* Per the AAP PolicyStatement The Transfer of Drugs
and Other Chemicals Into Human Milk, revised September 2001.Anti
Jamur dan Anti VirusNama GenerikRisiko
KehamilanRisikoMenyusuiAntijamurFluconazoleCL2KetoconazoleCL2AntivirusAcyclovirCL2Interferon-alphaCL2AntibiotikNama
GenerikRisiko KehamilanRisiko
MenyusuiAmoxicillinBL1AztreonamBL2CefadroxilBL1CefazolinBL1CefotaximeBL2CefoxitinBL1CefprozilCL1CeftazidimeBL1CeftriaxoneBL2CiprofloxacinCL3ClindamycinBL3ErythromycinBL1L3
early
postnatalFleroxacin-NRGentamicinCL2KanamycinDL2Moxalactam-NRNitrofurantoinBL2OfloxacinCL2PenicillinBL1StreptomycinDL3Sulbactam-NRSulfisoxazoleCL2TetracyclineDL2TicarcillinBL1Trimethoprim/sulfamethoxazoleCL3Antasida,
Laksan (Pelancar BAB) dan Obat DiareNama GenerikRisiko
KehamilanRisiko MenyusuiCimetidine (Antacid)BL2Cisapride (GI tract
stimulant)CL2Domperidone (used for nausea &L1-vomiting,
stimulates lactation)Cascara/Cascara SagradaCL3Danthron-NRMagnesium
sulfateBL1SennaL3-LoperamideBL2AntihistaminNama ObatAAPRisiko
Menyusui**approved?*BrompheniraminenotL3 (moderately
safe)reviewedChlorpheniraminenotL3 (moderately
safe)(Chlor-Trimeton) CTMreviewedCetirizine (Zyrtec)notL2
(safer)reviewedDexbrompheniramineyesnot reviewedmaleatewith
d-isoephedrineDiphenhydraminenotL2
(safer)(Benadryl)reviewedDoxylaminenotL4 (possibly
hazardous)reviewedFexofenadine (Allegra)yesL3 (moderately
safe)Loratadine (Claritin)yesL2 (safer)Terfenadine (Seldane)yesnot
reviewedTriprolidine (Actidil,yesL1 (safest)Actifed)Obat Asma, Obat
Batuk, dan Spray HidungNama GenerikKategori
RisikoRisikoMenyusui**Kehamilan**DyphyllineCL3TerbutalineBL2TheophyllineCL3Risiko
Menyusui**Nama ObatCodeineL3 (moderately safe)DextromethorphanL1
(safest)GuaifenesinL2 (safer)PhenylephrineL3 (moderately
safe)Pseudoephedrine (Sudafed,L3 (moderately safe) for acute
useActifed)L4 (possibly hazardous) for chronic use due to potential
fordecreasing milk supplyBeclomethasone (Vanceril,L2
(safer)Beclovent, Beconase, Vancenase)Cromlyn sodium (Nasalcrom)L1
(safest)Fluticasone (Flonase)L3 (moderately safe)Mometasone
(Nasonex)L3 (moderately safe)Phenylephrine (in some forms ofL3
(moderately safe)Sinex and Neo-Synephrine)Triamcinolone AcetonideL3
(moderately safe)(Nasacort)NSAIDs dan SteroidNama GenerikKategori
Risiko Kehamilan**RisikoMenyusui**Azapropazone
(apazone)L2-Dipyrone-NRFlufenamic acid-NRIbuprofenB (1st, 2nd
trim.)L1D (3rd trim.)IndomethacinB (1st, 2nd trim.)L3D (3rd
trim.)KetorolacB (1st, 2nd trim.)L2D (3rd trim.)Mefenamic
acid-NRNaproxenBL3L4Phenylbutazone-NRPiroxicamBL2Suprofen-NRTolmetinCL3MethylprednisoloneCL2PrednisoloneCL2PrednisoneCL2ANALGETIKNama
ObatRisiko KehamilanRisiko MenyusuiAcetaminophen (Tylenol)BL1C
(1st, 2nd trim.)AspirinL3D (3rd trim.)Azapropazone
(Rheumox)L2-Butalbital (Fioricet, Fiorinal, Bancap, Two-DL3dyne)B
(1st, 2nd trim.)Butorphanol (Stadol)L3D (3rd trim.)Celecoxib
(Celebrex))CL2Codeine (in Tylenol #3, #4)CL3ColchicineDL4Diclofenac
(Cataflam, Voltaren)BL2Fentanyl (Sublimaze)BL2B (1st, 2nd
trim.)Flurbiprofen (Ansaid, Froben, Ocufen)L2C (3rd
trim.)Hydrocodone (Lortab,
Vicodin)BL3Hydromorphone(Dilaudid)CL3Ibuprofen (Advil, Nuprin,
Motrin,B (1st, 2nd trim.)L1D (3rd trim.)Pediaprofen)B (1st, 2nd
trim.)Indomethacin (Indocin)L3D (3rd trim.)B (1st, 2nd
trim.)Ketorolac (Toradol, Acular)L2D (3rd trim.)L2;Meperidine
(Demerol)BL3 early postpartumMethadone (Dolophine)BL3Morphine
(Duramorph, Infumorph,BL3Epimorph, MS Contin)Nalbuphine
(Nubain)BL2Naproxen (Anaprox, Naprosyn, Naproxen,L3;BL4 for chronic
useAleve)Nefopam (Acupan)-NROxycodone (Tylox,
Percodan,Oxycontin,BL3Roxicet, Endocet, Roxiprin, Percocet)Pentosan
polysulfate(Elmiron)BL2Piroxicam (Feldene)BL2Propoxyphene(Darvocet
N, Propacet,CL2Darvon)Secobarbital (Seconal)DL3Tolmetin
(Tolectin)CL3Tramadol HCL(Ultram, Ultracet)CL3B (1st, 2nd
trim.)L3ButorphanolD (3rd
trim.)CL3CodeineBL2FentanylL2BMeperidineL3 (if used early
postpartum)BL3MethadoneBL3MorphineCL2Propoxyphene
