Obat-Obat Yang Dibolehkan Untuk Ibu Hamil Dan Menyusui

Waspada mengkonsumsi obat dalam masa kehamilan itu sangatlah penting. Seorang ibu hamil tidak diperkenankan mengkonsumsi obat secara sembarangan karena selain bisa memberi dampak baik maupun buruk bagi ibu itu sendiri juga bagi janin yang dikandungnya. Kadang-kadang kondisi sedang menyusui pun 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.

Lactation Risk Categories	Pregnancy Risk Categories
L1 (Paling Aman) L2 (Aman) L3 (Cukup Aman) L4 (Kemungkinan Barbahaya) L5 (Kontra Indikasi)	A (studi terkontrol menunjukkan tanpa resiko) B (tidak ada bukti risiko pada manusia) C (risiko tidak dapat dikesampingkan) D (bukti positif resiko) X (dikontraindikasikan untuk Ibu Hamil)

Generic name	Trade Name	AAP approved?*	Pregnancy Risk Category**	Lactation Risk Category**
Analgesics (Pain-killers) [more]
Acetaminophen	Tylenol	Approved/disetujui	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.)	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
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.)	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
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)				[contents]
Antiarrhythmics
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
Antihypertensives
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
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]
Methylprednisolone [ 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.)	L1
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
Allopurinol	Zyloprim, Lopurin	Disetujui	C	L2
Antimony	-	Disetujui	-	NR
Atropine (Anticholinergic, drying agent)	Belladonna, Atropine	Disetujui	C	L3
Azapropazone/apazone (Antirheumatic)	Rheumox	Disetujui	-	L2
Baclofen (muscle relaxant)	Lioresal, Atrofen	Disetujui	C	L2
Barbiturate	-	Disetujui	-	NR
Caffeine [more]	Vivarin, NoDoz, Coffee	Disetujui	B	L2
Carbetocin (Antihemorrhagic)	Duratocin	Disetujui	-	NR
Chloroform	-	Disetujui	-	NR
Cisplatin (Anti-cancer)	Platinol	Disetujui	D	L4
Dapsone (Antileprosy)	Avlosulfon, DDS	Disetujui	C	L4
Hydroxychloroquine (Antirheumatic, lupus)	Plaquenil	Disetujui	C	L2
Iodides	-	Disetujui	-	NR
Iodine	-	Disetujui	-	NR
Iodine (povidone-iodine, eg, in a vaginal douche)	-	Disetujui	-	NR
Ivermectin (Antiparasitic)	Mectizan	Disetujui	C	L3
Nalidixic acid (Urinary Anti-infective)	NegGram	Disetujui	B	L4
Norsteroids	-	Disetujui	-	NR
Pyridostigmine (Muscle stimulant)	Mestinon, Regonol	Disetujui	C	L2
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) L2 (Aman) L3 (Cukup Aman) L4 (Kemungkinan Barbahaya) L5 (Kontra Indikasi) A (studi terkontrol menunjukkan tanpa resiko) B (tidak ada bukti risiko pada manusia) C (risiko tidak dapat dikesampingkan) D (bukti positif resiko) X (dikontraindikasikan untuk Ibu Hamil) NR: Not Reviewed. This drug has