Daftar Obat Aman Dan Berbahaya Untuk Ibu Hamil Dan

DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU HAMIL DAN MENYUSUI ANALGETIK Nama Obat Acetaminophen (Tylenol) Aspirin Risiko Kehamilan B C (1st, 2nd trim.) D (3rd trim.) Azapropazone (Rheumox) Butalbital (Fioricet, Fiorinal, Bancap, Two-dyne) Butorphanol (Stadol) B (1st, 2nd trim.) D (3rd trim.) Celecoxib (Celebrex)) Codeine (in Tylenol #3, #4) Colchicine Diclofenac (Cataflam, Voltaren) Fentanyl (Sublimaze) Flurbiprofen (Ansaid, Froben, Ocufen) Hydrocodone (Lortab, Vicodin) Hydromorphone(Dilaudid) Ibuprofen (Advil, Nuprin, Motrin, Pediaprofen) Indomethacin (Indocin) C C D B B B (1st, 2nd trim.) C (3rd trim.) B C B (1st, 2nd trim.) D (3rd trim.) B (1st, 2nd trim.) D (3rd trim.) Ketorolac (Toradol, Acular) B (1st, 2nd trim.) D (3rd trim.) Meperidine (Demerol) B L2; L3 early postpartum Methadone (Dolophine) Morphine (Duramorph, Infumorph, B B L3 L3 L2 L3 L3 L3 L1 L2 L3 L4 L2 L2 L2 L3 D L3 L2 Risiko Menyusui L1 L3 Endocet.Oxycontin. Percodan. Naproxen. Roxiprin. L4 for chronic use Antibiotik Nama Generik Kategori Risiko Kehamilan Amoxicillin B L1 Risiko Menyusui . Propacet. Percocet) Pentosan polysulfate(Elmiron) Piroxicam (Feldene) Propoxyphene(Darvocet N.) D (3rd trim. Darvon) Secobarbital (Seconal) Tolmetin (Tolectin) Tramadol HCL(Ultram. Aleve) Nefopam (Acupan) Oxycodone (Tylox. 2nd trim. MS Contin) Nalbuphine (Nubain) Naproxen (Anaprox. Ultracet) Butorphanol D C C B (1st. Naprosyn.Epimorph. Roxicet.) Codeine Fentanyl Meperidine C B B L3 L2 L2 L3 (if used early postpartum) Methadone Morphine Propoxyphene B B C L3 L3 L2 L3 L3 L3 L3 B B C L2 L2 L2 B NR L3 B B L2 L3. Lactation Risk Categories Pregnancy Risk Categories .Aztreonam Cefadroxil Cefazolin Cefotaxime Cefoxitin Cefprozil Ceftazidime Ceftriaxone Ciprofloxacin Clindamycin Erythromycin B B B B B C B B C B B L2 L1 L1 L2 L1 L1 L1 L2 L3 L3 L1 L3 early postnatal Fleroxacin Gentamicin Kanamycin Moxalactam Nitrofurantoin Ofloxacin Penicillin Streptomycin Sulbactam Sulfisoxazole Tetracycline Ticarcillin Trimethoprim/sulfamethoxazole C D B C NR L2 L2 L1 L3 B C B D NR L2 L2 L1 L3 C D NR L2 L2 ** Per Medications’ and Mothers’ Milk by Thomas Hale. PhD (2004 edition). . This drug has not yet been reviewed by the AAP. ** Per Medications’ and Mothers’ Milk by Thomas Hale. revised September 2001. PhD (2004 edition).          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. * Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk.   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 on Some Nursing Infants and Should Be Given to Nursing Mothers With Caution  NR: Not Reviewed. This drug has not yet been reviewed by Hale.