Daftar Obat Untuk Ibu Hamil & Menyusui

Kelompok Analgetik, NSAIDS, Obat Batuk dan Pilek, Anti Alergi dan Asma, Anestesi

Ini merupakan referensi dari daftar obat yang direkomendasi untuk dikonsumsi atau berbahaya oleh ibu hamil dan menyusui, mudah-mudahan bermanfaat.

Obat untuk Penghilang Rasa Sakit (Pain Killer)
Nama Obat AAP approved?* Kategori Notes
Risiko Kehamilan** Risiko Menyusui**
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) Approved B (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) Approved B (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, 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Rofecoxib (Vioxx) Withdrawn from the market 12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Valdecoxib (Bextra) Withdrawn from the market more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 Human Milk, revised September 2001.

** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2004 edition).

Kategori Risiko Kehamilan Kategori Risiko Menyusui
  • 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)
NOTES
  1. Aspirin use is discouraged in children and nursing mothers due to the risk of Reye’s 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 baby’s 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 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 Dagang AAP approved?* Kategori Risiko Kehamilan** Risiko Menyusui**
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.), 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
Naproxen Anaprox, Naprosyn, Naproxen, Aleve Approved 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
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
Dyphylline Dilor, Lufyllin, Dyphylline Approved C L3
Terbutaline Bricanyl, Brethine Approved B L2
Theophylline Aminophylline, Quibron, Theo-Dur Approved C L3
Analgetik Narkotik
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
Propoxyphene Darvocet N, Propacet, Darvon Approved C L2
Nama Obat AAP approved?* Risiko Menyusui**
Obat Batuk
Codeine yes L3 (moderately safe)
Dextromethorphan not reviewed L1 (safest)
Guaifenesin not reviewed L2 (safer)
Dekongestan (Obat Pilek)
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.
** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2006 edition)
Nasal Sprays (Spray Hidung)
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)
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 Notes
Risiko Kehamilan** Risiko Menyusui**
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 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 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 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.

** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2004 edition).

Kategori Risiko Kehamilan Kategori Risiko Menyusui
  • 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)
NOTES
  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.

Ini merupakan referensi dari daftar obat yang direkomendasi untuk dikonsumsi atau berbahaya oleh ibu hamil dan menyusui, mudah-mudahan bermanfaat.

Nama Generik Nama Dagang AAP approved?* Kategori
Risiko Kehamilan** Risiko Menyusui**
Antasida
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
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, L3 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 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
Bishydroxycoumarin (dicumarol) - Approved - NR
Warfarin Coumadin, Panwarfin Approved D L2
Antikonvulsan (Anti kejang)
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
Fluconazole [more] Diflucan Approved C L2
Ketoconazole Nizoral Shampoo, Nizoral Approved C L2
Antivirus
Acyclovir [more] Zovirax Approved C L2
Interferon-alpha [more] Alferon N, Interferon Alpha Approved C L2
Arthritis meds (see also: pain meds)
Gold salts Ridaura, Myochrysine, Solganal Approved C L5
Kontrasepsi, Hormon
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, L4 (if used first 3 days postpartum)
Norethynodrel Enovid Approved X L2
Progesterone Crinone, Prometrium Approved - L3
Obat Diabetes
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
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)
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]
Domperidone Motilum Approved - L1
Anti Hipertensi, Obat Jantung
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.)
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
Minoxidil Loniten, Minodyl, Rogaine Approved C L2 (topically), L3 (orally)
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]
Cascara/Cascara Sagrada - Approved C L3
Danthron - Approved - NR
Magnesium sulfate Epsom salt Approved B L1
Senna - Approved - L3
Obat malaria
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]
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]
Sumatriptan Imitrex Approved C L3
Obat Sedativ [more]
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
Zolpidem/Zolpidem Tartrate Ambien Approved B L3
Obat Anti Tiroid  [more]
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
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]
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.)
C (3rd trim.)
L1
K-1, vitamin (Phytonadione) - Approved C L1
Riboflavin/B2 - Approved A L1
Lain-lain
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).

Kategori Risiko Kehamilan Kategori Risiko Menyusui
  • 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)

Sumber:

  1. Dr Abu Hana di http://kaahil.wordpress.com/2009/05/23/daftar-obat-aman-dan-berbahaya-untuk-ibu-hamil-dan-menyusui/
  2. Artikel asli http://www.kellymom.com/health/meds/aap-approved-meds.html

Kata Pencarian:

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