DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU HAMIL DAN MENYUSUI
Posted 23 May, 2009 by dr.Abu Hana | أبو هـنـاء ألفردان | in Dokter Muslim (طبيب المسلم). Tagged: antibiotik ibu hamil, daftar obat aman, daftar obat berbahaya, kehamilan, menyusui, obat ibu hamil, obat menyusui. 13 Comments
DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU HAMIL DAN MENYUSUI
Disusun kembali oleh dr.Abu Hana
dari sumber URL : http://www.kellymom.com/health/meds/aap-approved-meds.html
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** | Notes | ||||||
| Acetaminophen (Tylenol) | Approved | B | L1 |
| ||||||
| Aspirin | Caution | C (1st, 2nd trim.) | L3 | |||||||
| Azapropazone (Rheumox) | Approved
| - | L2 |
| ||||||
| Butalbital (Fioricet, Fiorinal, Bancap, Two-dyne) | NR | D | L3 | |||||||
| Butorphanol (Stadol) | Approved | B (1st, 2nd trim.) | L3 |
| ||||||
| Celecoxib (Celebrex)) | NR | C | L2 |
| ||||||
| Codeine (in Tylenol #3, #4) | Approved | C | L3 | |||||||
| Colchicine | Approved | D | L4 |
| ||||||
| Diclofenac (Cataflam, Voltaren) | NR | B | L2 |
| ||||||
| Fentanyl (Sublimaze) | Approved | B | L2 |
| ||||||
| Flurbiprofen (Ansaid, Froben, Ocufen) | NR | B (1st, 2nd trim.) | L2 |
| ||||||
| Hydrocodone (Lortab, Vicodin) | NR | B | L3 | |||||||
| Hydromorphone(Dilaudid) | NR | C | L3 | |||||||
| Ibuprofen (Advil, Nuprin, Motrin, Pediaprofen) | Approved | B (1st, 2nd trim.) | L1 |
| ||||||
| Indomethacin(Indocin) | Approved | B (1st, 2nd trim.) | L3 |
| ||||||
| Ketorolac (Toradol, Acular) | Approved | B (1st, 2nd trim.) | L2 |
| ||||||
| Meperidine (Demerol) | Approved | B | L2; | |||||||
| Methadone (Dolophine) | Approved | B | L3 | |||||||
| Morphine (Duramorph, Infumorph, Epimorph, MS Contin) | Approved | B | L3 | |||||||
| Nalbuphine (Nubain) | NR | B | L2 |
| ||||||
| Naproxen (Anaprox, Naprosyn, Naproxen, Aleve) | Approved | B | L3; | |||||||
| Nefopam (Acupan) | Approved | - | NR |
| ||||||
| Oxycodone (Tylox, Percodan,Oxycontin, Roxicet, Endocet, Roxiprin, Percocet) | NR | B | L3 | |||||||
| Pentosan polysulfate(Elmiron) | NR | B | L2 |
| ||||||
| Piroxicam (Feldene) | Approved | B | L2 |
| ||||||
| Propoxyphene(Darvocet N, Propacet, Darvon) | Approved | C | L2 | |||||||
| Rofecoxib (Vioxx) | ||||||||||
| Secobarbital (Seconal) | Approved | D | L3 | |||||||
| Tolmetin (Tolectin) | Approved | C | L3 |
| ||||||
| Tramadol HCL (Ultram, Ultracet) | NR | C | L3 | |||||||
| Valdecoxib (Bextra) | ||||||||||
* Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001.
** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2004 edition).
| ||||||||||
- Aspirin use is discouraged in children and nursing mothers due to the risk of Reye’s syndrome and internal bleeding.
- Fioricet (Fiorinal, Bancap, Two-dyne) contains acetaminaphen or asprin, caffeine, and butalbital. Per Hale, baby should be observed for sedation.
- Hale suggests weakened or premature infants be observed for sedation and apnea.
- Hale suggests newborns be observed for sedation, apnea, constipation.
- Per Hale, use of frequent, higher dose may result in infant sedation.
- Per Hale, Meperidine use during labor or early postpartum has been associated with sedation, poor sucking reflex, and neurobehavioral delay in infants.
- Per Hale, observe infant for sedation, respiratory depression, addiction, withdrawal syndrome.
- Per Hale, higher doses may result in infant sedation.
- Per Hale, should be used with caution due to its long half-life and its effect on baby’s cardiovascular system, kidneys and GI tract; short-term, infrequent or occasional use is not necessarily incompatible with breastfeeding.
- Roxicet, Endocet, Roxiprin, Percocet also contain acetaminophen. Per Hale, observe infant for sedation.
- Per Hale, observe infant for sedation.
- Per Hale, observe infant for GI cramping, distress, diarrhea.
- Per Hale, observe infant for sedation.
- Per Hale, observe infant for sedation.
| Non-steroidal anti-inflammatory analgesics (NSAIDs) [more] | ||||
Nama Generik | Nama Dagang | AAP approved?* | RisikoMenyusui** | |
| 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.) | L1 |
| Indomethacin | Indocin | Approved | B (1st, 2nd trim.) | L3 |
| Ketorolac | Toradol, Acular | Approved | B (1st, 2nd trim.) | L2 |
| Mefenamic acid | Ponstan, Ponstel | Approved | - | NR |
| Naproxen | Anaprox, Naprosyn, Naproxen, Aleve | Approved | B | L3 |
| Phenylbutazone | Butazolidine | Approved | - | NR |
| Piroxicam | Feldene | Approved | B | L2 |
| Suprofen | Profenal | Approved | - | NR |
| Tolmetin | Tolectin | Approved | C | L3 |
| Steroid | [contents] | |||
| Methylprednisolone [ high dosage methylprednisolone] | Solu-Medrol, Depo-Medrol, Medrol | Approved | C | L2 |
| Prednisolone | - | Approved | C | L2 |
| Prednisone | Deltasone, Meticorten, Orasone | Approved | C | L2 |
| Obat Asma | [contents] | |||
| Dyphylline | Dilor, Lufyllin, Dyphylline | Approved | C | L3 |
| Terbutaline | Bricanyl, Brethine | Approved | B | L2 |
| Theophylline | Aminophylline, Quibron, Theo-Dur | Approved | C | L3 |
| Analgetik Narkotik [more] | ||||
| Butorphanol | Stadol | Approved | B (1st, 2nd trim.) | L3 |
| Codeine | Tylenol #3, #4 | Approved | C | L3 |
| Fentanyl | Sublimaze | Approved | B | L2 |
| Meperidine | Demerol | Approved | B | L2 |
| Methadone | Dolophine | Approved | B | L3 |
| Morphine | Morphine | Approved | B | L3 |
| Propoxyphene | Darvocet N, Propacet, Darvon | Approved | 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 Obat | AAP approved?* | Risiko Menyusui** | |
| Phenylephrine | not reviewed | L3 (moderately safe) | |
| Pseudoephedrine (Sudafed, Actifed) | yes | L3 (moderately safe) for acute use | |
| * Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. ** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2006 edition) | |||
| Nasal Sprays (Spray Hidung) | |||
| Nama Obat | AAP | 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 Obat | AAP | 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. ** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2002 edition) | |||
| Obat Anestesi | ||||||||||
| Nama Obat | AAP approved?* | Kategori Risiko Kehamilan** | RisikoMenyusui** | Notes | ||||||
| Local anesthetics | ||||||||||
| Articaine (Septocaine) | NR | - | NR | |||||||
| Bupivacaine (Marcaine) | NR | C | L2 |
| ||||||
| Lidocaine (Xylocaine) | Approved | C | L2 |
| ||||||
| Mepivacaine (Carbocaine, Polocaine) | NR | C | L3 | |||||||
| Procaine HCL (Novocaine) | NR | C | L3 |
| ||||||
| General anesthetics | ||||||||||
| Halothane (Fluothane) | Approved | C | L2 | |||||||
| Isoflurane (Forane) | NR | - | NR | |||||||
| Ketamine | NR | - | NR | |||||||
| 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 for chronic use |
| ||||||
| Midazolam (Versed) | Concern | D | L3 |
| ||||||
| Propofol (Diprivan) | NR | B | L2 | |||||||
| 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 | |||||||
| Naloxone (Narcan) | NR | C | NR | |||||||
| Steroids | ||||||||||
| Decadron (Dexamethasone) | NR | C | NR | |||||||
| 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.
** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2004 edition).
| ||||||||||
- 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.
- Flumazenil (Romazicon) is used directly in children aged 12 months and up.
- Naloxone (Narcan) is used directly in newborns and children.
- 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?* | 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 | ||||||
| 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 | ||||||
| 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 | ||||||
| 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 | ||||||
| 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 salts | Ridaura, 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 injection, Ortho-Evra patch, etc. | Approved | X | L3 (may interfere with milk production) | ||||||
| Levonorgestrel | Norplant, Mirena, Plan B | Approved | X | L2 | ||||||
| Medroxyprogesterone | Provera, Depo-Provera, Cycrin | Approved | D | L1 | ||||||
| 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, Pepto Diarrhea 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 in children. [more] | ||||||||||
| Diuretik (Peluruh Kencing) | [contents] | |||||||||
| Acetazolamide | Dazamide, Diamox | Approved | C | L2 | ||||||
| Bendroflumethiazide | Naturetin | Approved | D | L4 (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 | ||||||||||
| 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 | D | L3 (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.) | L2 | ||||||
| Hydralazine | Apresoline | Approved | C | L2 | ||||||
| Labetalol | Trandate, Normodyne | Approved | C | L2 | ||||||
| Methyldopa | Aldomet | Approved | C | L2 | ||||||
| Metoprolol | Toprol XL, Lopressor | Approved | B | L3 | ||||||
| Minoxidil | Loniten, Minodyl, Rogaine | Approved | C | L2 (topically) | ||||||
| Nadolol | Corgard, Nadolol | Approved | C | L4 | ||||||
| Nifedipine | Adalat, Procardia | Approved | C | L2 | ||||||
| Oxprenolol | Apsolox, Slow-Trasicor, Trasicor | Approved | - | 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 | ||||||||||
| Digoxin | Lanoxin, Lanoxicaps | Approved | 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 | ||||||
| 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 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 | ||||||
| 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 (may inhibit lactation) | ||||||
| D, vitamin | Calciferol, Delta-d | Approved | A | L3 (do not overdose) | ||||||
| Folic acid | - | Approved | A (1st, 2nd 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 | L2 | ||||||
| Barbiturate | - | 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, 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 Scope | Approved | 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.
** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2004 edition).
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