Ilmu Meracik Obat

Daftar obat-obatan yang boleh untuk ibu menyusui dan ibu hamil
Deni Hendra Alamsyah 1 comment No backlink
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Mar 31, '08 3:40 AM
for everyone
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: http://www.kellymom.com/health/meds/aap-approved-meds.html

Lactation Risk Categories Pregnancy Risk Categories

 L1 (Paling Aman)  A (studi terkontrol menunjukkan tanpa resiko)

 L2 (Aman)  B (tidak ada bukti risiko pada manusia)

 L3 (Cukup Aman)  C (risiko tidak dapat dikesampingkan)

 L4 (Kemungkinan Barbahaya)  D (bukti positif resiko)

 L5 (Kontra Indikasi)  X (dikontraindikasikan untuk Ibu Hamil)

Pregnancy Lactation
Risk Risk
Generic name Trade Name AAP approved?* Category** Category**
Analgesics (Pain-killers) [more]
Acetaminophen Tylenol Approved/diseujui 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 &
- Approved - NR
UK)
Flufenamic acid - Approved - NR
B (1st, 2nd
Advil, Nuprin,
trim.)
Ibuprofen Motrin, Approved L1
D (3rd
Pediaprofin
trim.)
B (1st, 2nd
trim.)
Indomethacin Indocin Approved L3
D (3rd
trim.)
B (1st, 2nd
trim.)
Ketorolac Toradol, Acular Approved L2
D (3rd
trim.)
Mefenamic acid Ponstan, Ponstel Approved - NR
Anaprox, L3
Naproxen Naprosyn, Approved B L4 (for
Naproxen, Aleve chronic use)
Phenylbutazone Butazolidine Approved - NR
Piroxicam Feldene Approved B L2
Suprofen Profenal Approved - NR
Tolmetin Tolectin Approved C L3
Narcotic analgesics [more]
B (1st, 2nd
trim.)
Butorphanol Stadol Approved L3
D (3rd
trim.)
Codeine Tylenol #3, #4 Approved C L3
Fentanyl Sublimaze Approved B L2
L2
L3 (if used
Meperidine Demerol Approved B
early
postpartum)
Methadone Dolophine Approved B L3
Morphine Morphine Approved B L3
Propoxyphene Darvocet N, Approved C L2
 Propacet, Darvon
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) Motilum Approved - L1
[more]
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 Approved B L1
Fortaz, Taxidime
Ceftriaxone Rocephin Approved B L2
Ciprofloxacin [more] Cipro Approved C L3
Clindamycin Cleocin Approved B L3
E-Mycin, Ery- L1
Erythromycin tab, ERYC, Approved B L3 early
Ilosone 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
Gantrisin, Azo-
Sulfisoxazole Approved C L2
Gantrisin
 Achromycin,
Tetracycline Sumycin, Approved D L2
Terramycin
Ticarcillin, Ticar,
Ticarcillin Approved B L1
Timentin
Proloprim,
Trimethoprim/sulfamethoxazole Approved C L3
Trimpex
Anticoagulants [contents]
Bishydroxycoumarin
- Approved - NR
(dicumarol)
Coumadin,
Warfarin Approved D L2
Panwarfin
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
Depakene,
Valproic acid Approved D L2
Depakote
Antifungals [contents]
Fluconazole [more] Diflucan Approved C L2
Nizoral
Ketoconazole Shampoo, Approved C L2
Nizoral
Antihistamines [more] [contents]
Dexbrompheniramine maleate
- Approved - NR
with d-isoephedrine
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
Alferon N,
Interferon-alpha [more] Approved C L2
Interferon Alpha
Arthritis meds (see also: pain meds) [contents]
Ridaura,
Gold salts Myochrysine, Approved C L5
Solganal
Asthma meds (see also: steroids) [contents]
 Dilor, Lufyllin,
Dyphylline Approved C L3
Dyphylline
Bricanyl,
Terbutaline Approved B L2
Brethine
Aminophylline,
Theophylline Quibron, Theo- Approved C L3
Dur
Contraceptives, Hormones [more] [contents]
L3 (may
Estratab,
interfere
Estradiol Permarin, Approved X
with milk
Menest
production)
Clogestone - Approved - NR
Preven,
Seasonale,
Norinyl, L3 (may
Contraceptive pill with Norlestin, Ortho- interfere
Approved X
estrogen/progesterone Novum, Ovral, with milk
Lunelle production)
injection, Ortho-
Evra patch, etc.
Norplant,
Levonorgestrel Approved X L2
Mirena, Plan B
L1
Provera, Depo- L4 (if used
Medroxyprogesterone Approved D
Provera, Cycrin first 3 days
postpartum)
Norethynodrel Enovid Approved X L2
Crinone,
Progesterone Approved - L3
Prometrium
Cough meds [more] [contents]
Codeine Tylenol #3, #4 Approved C L3
Noscapine - Approved - NR
Decongestants [more] [contents]
L3 (for
Sudafed,
acute use)
Pseudoephedrine Halofed, Approved C
L4 (for
Novafed, Actifed
chronic use)
Diabetes meds [contents]
Note: Insulin has not been reviewed by the AAP. Pregnancy risk category = B; Lactation risk
category = L1.
Tolbutamide Oramide, Approved D L3
 Orinase
Diarrhea meds [contents]
Imodium, Pepto
Diarrhea
Control, Maalox
Antidiarrheal
Loperamide Caplets, Approved B L2
Kaopectate II
Caplets,
Immodium
Advanced
** 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]
Dazamide,
Acetazolamide Approved C L2
Diamox
L4 (may
Bendroflumethiazide Naturetin Approved D inhibit
lactation)
Chlorothiazide Hydrodiuril Approved D L3
Chlorthalidone Hygroton Approved D L3
Hydrodiuril,
Hydrochlorothiazide Approved D L2
Esidrix, Oretic
Spironolactone Aldactone Approved D L2
Galactagogues (milk supply) [more] [contents]
Domperidone Motilum Approved - L1
Heart, Blood Pressure meds
[contents]
(Antiarrhythmics, Antihypertensives, Cardiac stimulants)
Antiarrhythmics
Norpace,
Disopyramide Approved C L2
Napamide
Flecainide Tambocor Approved C L3
Mexiletine Mexitil Approved B L2
Pronestyl,
Procainamide Approved C L3
Procan
Quinaglute,
Quinidine Approved C L2
Quinidex
Antihypertensives
Captopril Capoten Approved D L3 (if used
after 30
 days)
Cardizem Sr,
Dilacor-XR,
Diltiazem/Diltiazem HCL Approved C L3
Diltiazem,
Cardizem CD
C (1st
trim.)
Enalapril/Enalapril Maleate Vasotec Approved L2
D (2nd, 3rd
trim.)
Hydralazine Apresoline Approved C L2
Trandate,
Labetalol Approved C L2
Normodyne
Methyldopa Aldomet Approved C L2
Toprol XL,
Metoprolol Approved B L3
Lopressor
Loniten, L2
Minoxidil Minodyl, Approved C (topically)
Rogaine L3 (orally)
Nadolol Corgard, Nadolol Approved C L4
Nifedipine Adalat, Procardia Approved C L2
Apsolox, Slow-
Oxprenolol Trasicor, Approved - NR
Trasicor
Propranolol Inderol Approved C L2
Sotalol Betapace Approved B L3
Timolol Blocadren Approved C L2
Calan, Isoptin,
Verapamil Approved C L2
Covera-HS
Cardiac stimulants
Lanoxin,
Digoxin Approved C L2
Lanoxicaps
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]
Aralen, Novo-
Chloroquine Approved C L3
chloroquine
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]
Aquachloral,
Chloral hydrate Approved C L3
Noctec
Methyprylon (withdrawn from
- Approved - NR
use in US & Canada)
Bromide - Approved D L5
Secobarbital Seconal Approved D L3
Sleep Aids [contents]
Zolpidem/Zolpidem Tartrate Ambien Approved B L3
Steroids [contents]
Methylprednisolone Solu-Medrol,
[ high dosage Depo-Medrol, Approved C L2
methylprednisolone] Medrol
Prednisolone - Approved C L2
Deltasone,
Prednisone Meticorten, Approved C L2
Orasone
Thyroid meds [more] [contents]
Carbimazole - Approved D L3
Methimazole (active metabolite
Tapazole Approved D L3
of carbimazole)
Propylthiouracil PTU Approved D L2
Thiouracil - Approved - NR
Synthroid,
Levothroid,
Levothyroxine Approved A L1
Thyroid, Levo-T,
Levoxyl
Tuberculosis meds [contents]
Cycloserine Seromycin Approved C L3
 Ethambutol,
Ethambutol Approved B L2
Myambutol
Isoniazid INH, Laniazid Approved C L3
Rifadin,
Rifampin Approved C L2
Rimactane
Vitamins [more] [contents]
B-1 (thiamin) - Approved - NR
B-12 (Cyanocobalamin) - Approved A L1
L2; L4 in
high doses
B-6 (pyridoxine) - Approved A
(may inhibit
lactation)
Calciferol, Delta- L3 (do not
D, vitamin Approved A
d overdose)
A (1st, 2nd
trim.)
Folic acid - Approved L1
C (3rd
trim.)
K-1, vitamin (Phytonadione) - Approved C L1
Riboflavin/B2 - Disetujui A L1
Miscellaneous [contents]
Acitretin (Anti-psoriasis) Soriatane Disetujui - NR
Alcohol/Ethanol [more] - Disetujui D L3
Zyloprim,
Allopurinol Disetujui C L2
Lopurin
Antimony - Disetujui - NR
Atropine (Anticholinergic, Belladonna,
Disetujui C L3
drying agent) Atropine
Azapropazone/apazone
Rheumox Disetujui - L2
(Antirheumatic)
Baclofen (muscle relaxant) Lioresal, Atrofen Disetujui C L2
Barbiturate - Disetujui - NR
Vivarin, NoDoz,
Caffeine [more] Disetujui B L2
Coffee
Carbetocin (Antihemorrhagic) Duratocin Disetujui - NR
Chloroform - Disetujui - NR
Cisplatin (Anti-cancer) Platinol Disetujui D L4
Dapsone (Antileprosy) Avlosulfon, DDS Disetujui C L4
Hydroxychloroquine
Plaquenil Disetujui C L2
(Antirheumatic, lupus)
Iodides - Disetujui - NR
Iodine - Disetujui - NR
Iodine (povidone-iodine, eg, in a
- Disetujui - NR
vaginal douche)
Ivermectin (Antiparasitic) Mectizan Disetujui C L3
Nalidixic acid (Urinary Anti-
NegGram Disetujui B L4
infective)
Norsteroids - Disetujui - NR
Pyridostigmine (Muscle Mestinon,
Disetujui C L2
stimulant) Regonol
Scopolamine (Motion sickness) Transderm Scope Disetujui C L3
Sulfapyridine Dagenan Disetujui - NR
Timolol (glaucoma med) Blocadren Disetujui D L3

* Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk,
revised September 2001.

 Approved: (Table 6) Maternal Medication Usually Compatible With Breastfeeding

 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 the AAP.

** Per Medications' and Mothers' Milk by Thomas Hale, PhD (2004 edition).
Lactation Risk Categories Pregnancy Risk Categories

 L1 (Paling Aman)  A (studi terkontrol menunjukkan tanpa resiko)

 L2 (Aman)  B (tidak ada bukti risiko pada manusia)

 L3 (Cukup Aman)  C (risiko tidak dapat dikesampingkan)

 L4 (Kemungkinan Barbahaya)  D (bukti positif resiko)

 L5 (Kontra Indikasi)  X (dikontraindikasikan untuk Ibu Hamil)

 NR: Not Reviewed. This drug has
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1 comment
Daftar obat-obatan yang boleh untuk ibu menyusui dan ibu hamil
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Mynix Blue
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1

Thank you for posting such a useful list on handy medications.

Brethine and Beclovent are also one of the good medications in hand for asthma
8 Agustus 2012 01.35

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