DAN MENYUSUI
Pregnancy Risk Categories
L1 (safest)
L2 (safer)
L3 (moderately safe)
L4 (possibly hazardous)
L5 (contraindicated)
R.Hamil
C
C
D
D
B
D
C
C
B
D
D
R.Menyusui
L3
L3
NR
L5
L3
L3
NR
L2
L2
L4
L1
L2
L2
Risiko Kehamilan
Risiko Menyusui
C
B
C
C
L3
L2
L3
L2
C
C
C
D
L3
L2
L4
L2
Risiko Kehamilan**
C
RisikoMenyusui**
L2
Bendroflumethiazide
Chlorothiazide
Chlorthalidone
Hydrochlorothiazide (HCT)
Spironolactone
Disopyramide
Flecainide
Mexiletine
Procainamide
Quinidine
Captopril
Diltiazem/Diltiazem HCL
Enalapril/Enalapril Maleate
Hydralazine
Labetalol
Methyldopa
Metoprolol
Minoxidil
D
D
D
D
D
C
C
B
C
C
D
C
C (1st trim.)
D (2nd, 3rd trim.)
C
C
C
B
C
Nadolol
Nifedipine
Oxprenolol
Propranolol
Sotalol
Timolol
Verapamil
Digoxin
C
C
C
B
C
C
C
Approved: (Table 6) Maternal Medication Usually Compatible With Breastfeeding* Per the AAP Policy
Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001.
Anti Jamur dan Anti Virus
Nama Generik
Antijamur
Fluconazole
Ketoconazole
Antivirus
Acyclovir
Interferon-alpha
Risiko Kehamilan
RisikoMenyusui
C
C
L2
L2
C
C
L2
L2
Antibiotik
Nama Generik
Amoxicillin
Aztreonam
Cefadroxil
Cefazolin
Cefotaxime
Cefoxitin
Risiko Kehamilan
B
B
B
B
B
B
Risiko Menyusui
L1
L2
L1
L1
L2
L1
Cefprozil
Ceftazidime
Ceftriaxone
Ciprofloxacin
Clindamycin
Erythromycin
C
B
B
C
B
B
Fleroxacin
Gentamicin
Kanamycin
Moxalactam
Nitrofurantoin
Ofloxacin
Penicillin
Streptomycin
Sulbactam
Sulfisoxazole
Tetracycline
Ticarcillin
Trimethoprim/sulfamethoxazole
C
D
B
C
B
D
C
D
B
C
L1
L1
L2
L3
L3
L1
L3 early postnatal
NR
L2
L2
NR
L2
L2
L1
L3
NR
L2
L2
L1
L3
Risiko Kehamilan
Risiko Menyusui
B
C
-
L2
L2
L1
C
B
B
L3
NR
L1
L3
L2
Antihistamin
Nama Obat
Brompheniramine
Chlorpheniramine
(Chlor-Trimeton) CTM
Cetirizine (Zyrtec)
Dexbrompheniramine
maleate
with d-isoephedrine
Diphenhydramine
(Benadryl)
Doxylamine
Fexofenadine (Allegra)
AAP
approved?*
not
reviewed
not
reviewed
not
reviewed
yes
not
reviewed
not
reviewed
yes
Risiko Menyusui**
L3 (moderately safe)
L3 (moderately safe)
L2 (safer)
not reviewed
L2 (safer)
L4 (possibly hazardous)
L3 (moderately safe)
Loratadine (Claritin)
Terfenadine (Seldane)
Triprolidine (Actidil,
Actifed)
yes
yes
yes
L2 (safer)
not reviewed
L1 (safest)
Kategori Risiko
Kehamilan**
C
B
C
RisikoMenyusui**
L3
L2
L3
Risiko Menyusui**
L3 (moderately safe)
L1 (safest)
L2 (safer)
L3 (moderately safe)
L3 (moderately safe) for acute use
L4 (possibly hazardous) for chronic use due to potential for
decreasing milk supply
L2 (safer)
L1 (safest)
L3 (moderately safe)
L3 (moderately safe)
L3 (moderately safe)
L3 (moderately safe)
Mefenamic acid
Naproxen
Phenylbutazone
Piroxicam
Suprofen
Tolmetin
Methylprednisolone
Prednisolone
Prednisone
B
C
C
C
C
Indomethacin
Ketorolac
RisikoMenyusui**
L2
NR
NR
L1
L3
L2
NR
L3
L4
NR
L2
NR
L3
L2
L2
L2
ANALGETIK
Nama Obat
Acetaminophen (Tylenol)
Aspirin
Azapropazone (Rheumox)
Butalbital (Fioricet, Fiorinal, Bancap, Twodyne)
Butorphanol (Stadol)
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)
Ketorolac (Toradol, Acular)
Risiko Kehamilan
B
C (1st, 2nd trim.)
D (3rd trim.)
-
Risiko Menyusui
L1
L3
L3
L2
L3
L2
L3
L4
L2
L2
L2
L3
L3
L1
L3
L2
Meperidine (Demerol)
Methadone (Dolophine)
Morphine (Duramorph, Infumorph,
Epimorph, MS Contin)
Nalbuphine (Nubain)
Naproxen (Anaprox, Naprosyn, Naproxen,
Aleve)
Nefopam (Acupan)
Oxycodone (Tylox, Percodan,Oxycontin,
Roxicet, Endocet, Roxiprin, Percocet)
Pentosan polysulfate(Elmiron)
Piroxicam (Feldene)
Propoxyphene(Darvocet N, Propacet,
Darvon)
Secobarbital (Seconal)
Tolmetin (Tolectin)
Tramadol HCL(Ultram, Ultracet)
L2;
L3 early postpartum
L3
L3
L2
L3;
L4 for chronic use
NR
L3
B
B
L2
L2
L2
D
C
C
B (1st, 2nd trim.)
D (3rd trim.)
C
B
L3
L3
L3
Butorphanol
Codeine
Fentanyl
Meperidine
Methadone
L3
L3
L2
L2
L3 (if used early postpartum)
L3
Morphine
Propoxyphene
B
C
L3
L2