ASI ( Air Susu Ibu )

– more fresh… HEALTHIER and free –

Daftar obat-obatan yang boleh untuk ibu menyusui dan ibu hamil

Kadang-kadang kondisi sedang menyusui membuat kita ragu-ragu untuk mengkonsumsi obat, takut obat bakal berpengaruh terhadap ASI dan atau bayi. Padahal banyak obat yang boleh dikonsumsi untuk ibu-ibu yang hamil dan menyusui mulai dari tingkat L1 (safest) sampai L4. Sebaiknya obat hanya dikonsumsi pada kondisi terpaksa, alias tidak ada pilihan lain, jika masih bisa home therapy, sebaiknya obat tidak dikonsumsi. Salah satu obat paling aman untuk ibu hamil dan atau menyusui adalah acetaminophen atau parasetamol.

Berikut ini linknya:

Generic name Trade Name AAP approved?* Pregnancy Risk Category** Lactation Risk Category**
Analgesics (Pain-killers) [more]
Acetaminophen Tylenol Approved B L1
Colchicine Colchicine Approved D L4
Nefopam Acupan Approved NR
Non-steroidal anti-inflammatory analgesics (NSAIDs) [more]
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.)
Indomethacin Indocin Approved B (1st, 2nd trim.)
D (3rd trim.)
Ketorolac Toradol, Acular Approved B (1st, 2nd trim.)
D (3rd trim.)
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
Narcotic analgesics [more]
Butorphanol Stadol Approved B (1st, 2nd trim.)
D (3rd trim.)
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
Anesthesia, Anesthetics [more] [contents]
Halothane Fluothane Approved C L2
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
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
Anticoagulants [contents]
Bishydroxycoumarin (dicumarol) Approved NR
Warfarin Coumadin, Panwarfin Approved 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 acid Depakene, Depakote Approved D L2
Antifungals [contents]
Fluconazole [more] Diflucan Approved C L2
Ketoconazole Nizoral Shampoo, Nizoral Approved 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
Triprolidine Actidil, Actifed Approved C L1
Antivirals [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
Asthma meds (see also: steroids) [contents]
Dyphylline Dilor, Lufyllin, Dyphylline Approved C L3
Terbutaline Bricanyl, Brethine Approved B L2
Theophylline Aminophylline, Quibron, Theo-Dur Approved C L3
Contraceptives, Hormones [more] [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
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, Actifed Approved C L3 (for acute use)
L4 (for chronic use)
Diabetes meds [contents]
Note: 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]
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
(Antiarrhythmics, Antihypertensives, Cardiac stimulants)
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
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.)
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
Laxatives [more] [contents]
Cascara/Cascara Sagrada Approved C L3
Danthron Approved NR
Magnesium sulfate Epsom salt Approved B L1
Senna Approved L3
Malaria meds [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
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
Bromide Approved D L5
Secobarbital Seconal Approved D L3
Sleep Aids [contents]
Zolpidem/Zolpidem Tartrate Ambien Approved B L3
Steroids [contents]
[PDF high dosage methylprednisolone]
Solu-Medrol, Depo-Medrol, Medrol Approved C L2
Prednisolone Approved C L2
Prednisone Deltasone, Meticorten, Orasone Approved 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
Tuberculosis meds [contents]
Cycloserine Seromycin Approved C L3
Ethambutol Ethambutol, Myambutol Approved 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.)
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
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).

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)
NR: Not Reviewed. This drug has not yet been reviewed by Hale

Sumber :


March 31, 2008 - Posted by | Article

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