Obat Aman Untuk ibu hamil
Transcript of Obat Aman Untuk ibu hamil
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Antibiotika Keterangan
Amoxicillin Larotid, AmoxilApproved 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
CeftazidimeCeftazidime, Fortaz,
TaxidimeApproved B L1
Ceftriaxone Rocephin Approved B L2
Ciprofloxacin [more]
Cipro Approved C L3
Clindamycin Cleocin Approved B L3
ErythromycinE-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
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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)
Generic name Trade Name
AAP
approved?*
Pregnancy
Risk
Category**
Lactation Risk Category**
Analgesics (Pain-killers) [more]
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
TetracyclineAchromycin, Sumycin,
TerramycinApproved D L2
Ticarcillin Ticarcillin, Ticar, Timentin Approved B L1
Trimethoprim/sulfamethoxazole Proloprim, Trimpex Approved C L3
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Acetaminophen Tylenol Approved B L1
Colchicine Colchicine Approved D L4
Nefopam Acupan Approved - NR
on-steroidal anti-inflammatory analgesics (NSAIDs) [more]
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
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NaproxenAnaprox, Naprosyn,
Naproxen, AleveApproved B
L3
L4 (for chronic use)
Phenylbutazone Butazolidine Approved - NR
Piroxicam Feldene Approved B L2
Suprofen Profenal Approved - NR
Tolmetin Tolectin Approved C L3
arcotic analgesics [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
Anesthesia, Anesthetics [more] [contents]
Halothane Fluothane Approved C L2
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Lidocaine Xylocaine Approved C L2
Methohexital Brevital Approved B L3
Thiopental Pentothal Approved C L3
Antacids, GI meds [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
Antibiotics [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
CeftazidimeCeftazidime, Fortaz,
TaxidimeApproved B L1
Ceftriaxone Rocephin Approved B L2
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Ciprofloxacin [more]
Cipro Approved C L3
Clindamycin Cleocin Approved B L3
ErythromycinE-Mycin, Ery-tab,
ERYC, IlosoneApproved 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
SulfisoxazoleGantrisin, Azo-
GantrisinApproved C L2
Tetracycline
Achromycin,
Sumycin,
Terramycin
Approved D L2
TicarcillinTicarcillin, Ticar,
TimentinApproved B L1
Trimethoprim/sulfamethoxazole Proloprim, Trimpex Approved C L3
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Anticoagulants [contents]
Bishydroxycoumarin (dicumarol) - Approved - NR
WarfarinCoumadin,
PanwarfinApproved D L2
Anticonvulsants [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,
DepakoteApproved D L2
Antifungals [contents]
Fluconazole [more] Diflucan Approved C L2
Ketoconazole Nizoral Shampoo,
NizoralApproved C L2
Antihistamines [more] [contents]
Dexbrompheniramine maleate
with d-isoephedrine- Approved - NR
Fexofenadine Allegra Approved C L2
Loratadine Claritin Approved B L1
Terfenadine Seldane Approved - NR
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Triprolidine Actidil, Actifed Approved C L1
Antivirals [contents]
Acyclovir [more] Zovirax Approved C L2
Interferon-alpha [more] Alferon N,
Interferon AlphaApproved C L2
Arthritis meds (see also: pain meds) [contents]
Gold salts
Ridaura,
Myochrysine,
Solganal
Approved C L5
Asthma meds (see also: steroids) [contents]
DyphyllineDilor, Lufyllin,
DyphyllineApproved C L3
Terbutaline Bricanyl, Brethine Approved B L2
TheophyllineAminophylline,
Quibron, Theo-DurApproved C L3
Contraceptives, Hormones [more] [contents]
EstradiolEstratab, Permarin,
MenestApproved X L3 (may interfere with milk production)
Clogestone - Approved - NR
Contraceptive pill with
estrogen/progesterone
Preven, Seasonale,
Norinyl, Norlestin,Approved X L3 (may interfere with milk production)
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Ortho-Novum,
Ovral, Lunelle
injection, Ortho-
Evra patch, etc.
Levonorgestrel Norplant, Mirena,
Plan BApproved X L2
MedroxyprogesteroneProvera, Depo-
Provera, CycrinApproved D
L1
L4 (if used first 3 days postpartum)
Norethynodrel Enovid Approved X L2
Progesterone Crinone,Prometrium
Approved - L3
Cough meds [more] [contents]
Codeine Tylenol #3, #4 Approved C L3
Noscapine - Approved - NR
Decongestants [more] [contents]
Pseudoephedrine
Sudafed, Halofed,
Novafed, ActifedApproved C
L3 (for acute use)
L4 (for chronic use)
Diabetes meds [contents]
ote: Insulin has not been reviewed by the AAP. Pregnancy risk category = B; Lactation risk category = L1.
Tolbutamide Oramide, Orinase Approved D L3
Diarrhea meds [contents]
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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]
Diuretics [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
Hydrodiuril,
Esidrix, Oretic Approved D L2
Spironolactone Aldactone Approved D L2
Galactagogues (milk supply) [more] [contents]
Domperidone Motilum Approved - L1
Heart, Blood Pressure meds [contents]
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(Antiarrhythmics, Antihypertensives, Cardiac stimulants)
ntiarrhythmics
Disopyramide Norpace, Napamide Approved C L2
Flecainide Tambocor Approved C L3
Mexiletine Mexitil Approved B L2
Procainamide Pronestyl, Procan Approved C L3
QuinidineQuinaglute,
QuinidexApproved C L2
ntihypertensives
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
LabetalolTrandate,
NormodyneApproved C L2
Methyldopa Aldomet Approved C L2
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MetoprololToprol XL,
LopressorApproved B L3
Minoxidil
Loniten, Minodyl,
Rogaine Approved C
L2(topically)
L3 (orally)
Nadolol Corgard, Nadolol Approved C L4
Nifedipine Adalat, Procardia Approved C L2
OxprenololApsolox, Slow-
Trasicor, TrasicorApproved - NR
Propranolol Inderol Approved C L2
Sotalol Betapace Approved B L3
Timolol Blocadren Approved C L2
VerapamilCalan, Isoptin,
Covera-HSApproved C L2
Cardiac stimulants
DigoxinLanoxin,
LanoxicapsApproved C L2
Laxatives [more] [contents]
Cascara/Cascara Sagrada - Approved C L3
Danthron - Approved - NR
Magnesium sulfate Epsom salt Approved B L1
Senna - Approved - L3
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Malaria meds [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]
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
Migraine meds (see also: pain meds) [more] [contents]
Sumatriptan Imitrex Approved C L3
Sedatives [more] [contents]
Chloral hydrate Aquachloral, Noctec Approved C L3
Methyprylon (withdrawn from
use in US & Canada)- Approved - NR
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Bromide - Approved D L5
Secobarbital Seconal Approved D L3
Sleep Aids [contents]
Zolpidem/Zolpidem Tartrate Ambien Approved B L3
Steroids [contents]
Methylprednisolone
[ high dosage
methylprednisolone]
Solu-Medrol, Depo-
Medrol, MedrolApproved C L2
Prednisolone - Approved C L2
PrednisoneDeltasone,
Meticorten, OrasoneApproved C L2
Thyroid meds [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
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Tuberculosis meds [contents]
Cycloserine Seromycin Approved C L3
EthambutolEthambutol,
MyambutolApproved B L2
Isoniazid INH, Laniazid Approved C L3
Rifampin Rifadin, Rimactane Approved C L2
Vitamins [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.)
C (3rd
trim.)
L1
K-1, vitamin (Phytonadione) - Approved C L1 Riboflavin/B2 - Approved A L1
Miscellaneous [contents]
Acitretin (Anti-psoriasis) Soriatane Approved - NR
Alcohol/Ethanol [more] - Approved D L3
Allopurinol Zyloprim, Lopurin Approved C L2
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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, DDS Approved C L4
Hydroxychloroquine
(Antirheumatic, lupus)Plaquenil Approved C L2
Iodides - Approved - NRIodine - Approved - NR
Iodine (povidone-iodine, eg, in a
vaginal douche)- Approved - NR
Ivermectin (Antiparasitic) Mectizan Approved C L3
Nalidixic acid (Urinary Anti- NegGram Approved B L4
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infective)
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
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