Daftar Pilihan Obat

Ibu Hamil dan Menyusui

(Selected List of Medications approved by the AAP for use in
breastfeeding mothers
(sumber: American Academy of Pediatrics)
Generic name Trade Name AAP
approved
?*
Pregnancy
Risk
Category**
Lactation Risk
Category**
Analgesics (Pain-killers) [more]
Acetaminopen Tylenol Approved B L1
Colcicine Colcicine Approved D L4
Ne!opam Ac"pan Approved - NR
Non-steroidal anti-inflammatory analgesics (NSAIDs) [more]
A#apropa#one (apa#one) Re"mo$ Approved - L2
%ipyrone (&anned in te '( )
'*)
- Approved - NR
+l"!enamic acid - Approved - NR
,&"pro!en Ad-il. N"prin. /otrin.
Pediapro!in
Approved B (0st. 1nd
trim2)
D (3rd trim2)
L1
,ndometacin ,ndocin Approved B (0st. 1nd
trim2)
D (3rd trim2)
L3
*etorolac Toradol. Ac"lar Approved B (0st. 1nd
trim2)
D (3rd trim2)
L2
/e!enamic acid Ponstan. Ponstel Approved - NR
Napro$en Anapro$. Naprosyn.
Napro$en. Ale-e
Approved B L3
L4 (!or cronic
"se)
Penyl&"ta#one 4"ta#olidine Approved - NR
Piro$icam +eldene Approved B L2
("pro!en Pro!enal Approved - NR
Tolmetin Tolectin Approved C L3
Narcotic analgesics [more]
4"torpanol (tadol Approved B (0st. 1nd
trim2)
D (3rd trim2)
L3
Codeine Tylenol 53. 56 Approved C L3
+entanyl ("&lima#e Approved B L2
/eperidine %emerol Approved B L2
L3 (i! "sed
early
postpart"m)
/etadone %olopine Approved B L3
/orpine /orpine Approved B L3
Propo$ypene %ar-ocet N.
Propacet. %ar-on
Approved C L2
Anestesia. Anestetics [more] [contents]
7alotane +l"otane Approved C L2
Lidocaine 8ylocaine Approved C L2
/etoe$ital 4re-ital Approved B L3
Tiopental Pentotal Approved C L3
Antacids. G, meds [contents]
Cimetidine (Antacid) Tagamet Approved B L2
Cisapride (G, tract stim"lant) Prop"lsid Approved C L2
%omperidone ("sed !or na"sea
) -omiting. stim"lates
/otil"m Approved - L1
lactation) [more]
Anti&iotics [contents]
Amo$icillin Larotid. Amo$il Approved B L1
A#treonam A#actam Approved B L2
Ce!adro$il 'ltrace!. %"rice! Approved B L1
Ce!a#olin Ance!. *e!#ol Approved B L1
Ce!ota$ime Cla!oran Approved B L2
Ce!o$itin /e!o$in Approved B L1
Ce!pro#il Ce!#il Approved C L1
Ce!ta#idime Ce!ta#idime. +orta#.
Ta$idime
Approved B L1
Ce!tria$one Rocepin Approved B L2
Cipro!lo$acin [more] Cipro Approved C L3
Clindamycin Cleocin Approved B L3
9rytromycin 9-/ycin. 9ry-ta&.
9R:C. ,losone
Approved B L1
L3 early
postnatal
+lero$acin - Approved - NR
Gentamicin Garamycin Approved C L2
*anamycin *e&ecil. *antre$ Approved D L2
/o$alactam /o$am Approved - NR
Nitro!"rantoin /acro&id Approved B L2
;!lo$acin +lo$in Approved C L2
Penicillin - Approved B L1
(treptomycin (treptomycin Approved D L3
("l&actam - Approved - NR
("l!iso$a#ole Gantrisin. A#o-
Gantrisin
Approved C L2
Tetracycline Acromycin.
("mycin. Terramycin
Approved D L2
Ticarcillin Ticarcillin. Ticar.
Timentin
Approved B L1
Trimetoprim<s"l!ameto$a#ol
e
Proloprim. Trimpe$ Approved C L3
Anticoag"lants [contents]
4isydro$yco"marin
(dic"marol)
- Approved - NR
=ar!arin Co"madin.
Pan>ar!in
Approved D L2
Anticon-"lsants [contents]
Car&ama#epine Tegretol. 9pitol Approved C L2
9tos"$imide ?arontin Approved C L4
/agnesi"m s"l!ate 9psom salt Approved B L1
Penytoin %ilantin Approved D L2
@alproic acid %epakene. %epakote Approved D L2
Anti!"ngals [contents]
+l"cona#ole [more] %i!l"can Approved C L2
*etocona#ole Ni#oral (ampoo.
Ni#oral
Approved C L2
Antiistamines [more] [contents]
%e$&rompeniramine maleate
>it d-isoepedrine
- Approved - NR
+e$o!enadine Allegra Approved C L2
Loratadine Claritin Approved B L1
Ter!enadine (eldane Approved - NR
Triprolidine Actidil. Acti!ed Approved C L1
Anti-irals [contents]
Acyclo-ir [more] ?o-ira$ Approved C L2
,nter!eron-alpa [more] Al!eron N. ,nter!eron
Alpa
Approved C L2
Artritis meds (see alsoA pain meds) [contents]
Gold salts Rida"ra.
/yocrysine.
(olganal
Approved C L5
Astma meds (see alsoA steroids) [contents]
%ypylline %ilor. L"!yllin.
%ypylline
Approved C L3
Ter&"taline 4ricanyl. 4retine Approved B L2
Teopylline Aminopylline.
B"i&ron. Teo-%"r
Approved C L3
Contracepti-es. 7ormones [more] [contents]
9stradiol 9strata&. Permarin.
/enest
Approved X L3 (may
inter!ere >it
milk
prod"ction)
Clogestone - Approved - NR
Contracepti-e pill >it
estrogen<progesterone
Pre-en. (easonale.
Norinyl. Norlestin.
;rto-No-"m. ;-ral.
L"nelle inCection.
;rto-9-ra patc.
etc2
Approved X L3 (may
inter!ere >it
milk
prod"ction)
Le-onorgestrel Norplant. /irena.
Plan 4
Approved X L2
/edro$yprogesterone Pro-era. %epo- Approved D L1
Pro-era. Cycrin L4 (i! "sed !irst
3 days
postpart"m)
Noretynodrel 9no-id Approved X L2
Progesterone Crinone. Prometri"m Approved - L3
Co"g meds [more] [contents]
Codeine Tylenol 53. 56 Approved C L3
Noscapine - Approved - NR
%econgestants [more] [contents]
Pse"doepedrine ("da!ed. 7alo!ed.
No-a!ed. Acti!ed
Approved C L3 (!or ac"te
"se)
L4 (!or cronic
"se)
%ia&etes meds [contents]
Note: Insulin has not been reviewed by the AAP Pregnancy ris! category " #$ %actation ris!
category " %&
Tol&"tamide ;ramide. ;rinase Approved D L3
%iarrea meds [contents]
Loperamide ,modi"m. Pepto
%iarrea Control.
/aalo$ Antidiarreal
Caplets. *aopectate
,, Caplets. ,mmodi"m
Ad-anced
Approved B L2
'' Note: Pe(to-#ismol ) *ao(ectate (bismuth subsalicylate is the active ingredient in both)
are not recommended for routine use by nursing moms+ due to the association of salicylates
with ,eyes syndrome in children [more]
%i"retics [contents]
Aceta#olamide %a#amide. %iamo$ Approved C L2
4endro!l"metia#ide Nat"retin Approved D L4 (may ini&it
lactation)
Clorotia#ide 7ydrodi"ril Approved D L3
Clortalidone 7ygroton Approved D L3
7ydroclorotia#ide 7ydrodi"ril. 9sidri$.
;retic
Approved D L2
(pironolactone Aldactone Approved D L2
Galactagog"es (milk s"pply) [more] [contents]
%omperidone /otil"m Approved - L1
7eart. 4lood Press"re meds
(Antiarrytmics. Antiypertensi-es. Cardiac stim"lants)
[contents]
Antiarrhythmics
%isopyramide Norpace. Napamide Approved C L2
+lecainide Tam&ocor Approved C L3
/e$iletine /e$itil Approved B L2
Procainamide Pronestyl. Procan Approved C L3
B"inidine B"inagl"te. B"inide$ Approved C L2
Antihy(ertensives
Captopril Capoten Approved D L3 (i! "sed a!ter
3D days)
%iltia#em<%iltia#em 7CL Cardi#em (r.
%ilacor-8R.
%iltia#em. Cardi#em
C%
Approved C L3
9nalapril<9nalapril /aleate @asotec Approved C (0st trim2)
D (1nd. 3rd
trim2)
L2
7ydrala#ine Apresoline Approved C L2
La&etalol Trandate.
Normodyne
Approved C L2
/etyldopa Aldomet Approved C L2
/etoprolol Toprol 8L. Lopressor Approved B L3
/ino$idil Loniten. /inodyl.
Rogaine
Approved C L2(topically)
L3 (orally)
Nadolol Corgard. Nadolol Approved C L4
Ni!edipine Adalat. Procardia Approved C L2
;$prenolol Apsolo$. (lo>-
Trasicor. Trasicor
Approved - NR
Propranolol ,nderol Approved C L2
(otalol 4etapace Approved B L3
Timolol 4locadren Approved C L2
@erapamil Calan. ,soptin.
Co-era-7(
Approved C L2
-ardiac stimulants
%igo$in Lano$in. Lano$icaps Approved C L2
La$ati-es [more] [contents]
Cascara<Cascara (agrada - Approved C L3
%antron - Approved - NR
/agnesi"m s"l!ate 9psom salt Approved B L1
(enna - Approved - L3
/alaria meds [contents]
CloroE"ine Aralen. No-o-
cloroE"ine
Approved C L3
7ydro$ycloroE"ine PlaE"enil Approved C L2
Pyrimetamine %araprim Approved C L4
B"inine B"inamm Approved D L2
/edical Testing [more] [contents]
%iatri#oate - Approved - NR
+l"orescein - Approved C L3
Gadopentetic (Gadolini"m) - Approved C L2
,oe$ol ;mnipaE"e Approved B L2
,opanoic acid TelepaE"e Approved D L2
/etri#amide AmipaE"e Approved B L2
/etri#oate ,sopaE"e Approved B L2
/igraine meds (see alsoA pain meds) [more] [contents]
("matriptan ,mitre$ Approved C L3
(edati-es [more] [contents]
Cloral ydrate AE"acloral. Noctec Approved C L3
/etyprylon (>itdra>n !rom
"se in '( ) Canada)
- Approved - NR
4romide - Approved D L5
(eco&ar&ital (econal Approved D L3
(leep Aids [contents]
?olpidem<?olpidem Tartrate Am&ien Approved B L3
(teroids [contents]
/etylprednisolone
[ ig dosage
metylprednisolone]
(ol"-/edrol. %epo-
/edrol. /edrol
Approved C L2
Prednisolone - Approved C L2
Prednisone %eltasone.
/eticorten. ;rasone
Approved C L2
Tyroid meds [more] [contents]
Car&ima#ole - Approved D L3
/etima#ole (acti-e meta&olite
o! car&ima#ole)
Tapa#ole Approved D L3
Propyltio"racil PT' Approved D L2
Tio"racil - Approved - NR
Le-otyro$ine (yntroid.
Le-otroid. Tyroid.
Le-o-T. Le-o$yl
Approved A L1
T"&erc"losis meds [contents]
Cycloserine (eromycin Approved C L3
9tam&"tol 9tam&"tol.
/yam&"tol
Approved B L2
,sonia#id ,N7. Lania#id Approved C L3
Ri!ampin Ri!adin. Rimactane Approved C L2
@itamins [more] [contents]
4-0 (tiamin) - Approved - NR
4-01 (Cyanoco&alamin) - Approved A L1
4-F (pyrido$ine) - Approved A L2G L4 in ig
doses (may
ini&it lactation)
%. -itamin Calci!erol. %elta-d Approved A L3 (do not
o-erdose)
+olic acid - Approved A (0st. 1nd
trim2)
C (3rd trim2)
L1
*-0. -itamin (Pytonadione) - Approved C L1
Ri&o!la-in<41 - Approved A L1
/iscellaneo"s [contents]
Acitretin (Anti-psoriasis) (oriatane Approved - NR
Alcool<9tanol [more] - Approved D L3
Allop"rinol ?yloprim. Lop"rin Approved C L2
Antimony - Approved - NR
Atropine (Anticolinergic.
drying agent)
4elladonna. Atropine Approved C L3
A#apropa#one<apa#one
(Antire"matic)
Re"mo$ Approved - L2
4aclo!en (m"scle rela$ant) Lioresal. Atro!en Approved C L2
4ar&it"rate - Approved - NR
Ca!!eine [more] @i-arin. No%o#.
Co!!ee
Approved B L2
Car&etocin (Antiemorragic) %"ratocin Approved - NR
Cloro!orm - Approved - NR
Cisplatin (Anti-cancer) Platinol Approved D L4
%apsone (Antileprosy) A-los"l!on. %%( Approved C L4
7ydro$ycloroE"ine
(Antire"matic. l"p"s)
PlaE"enil Approved C L2
,odides - Approved - NR
,odine - Approved - NR
,odine (po-idone-iodine. eg. in
a -aginal do"ce)
- Approved - NR
,-ermectin (Antiparasitic) /ecti#an Approved C L3
Nalidi$ic acid ('rinary Anti-
in!ecti-e)
NegGram Approved B L4
Norsteroids - Approved - NR
Pyridostigmine (/"scle
stim"lant)
/estinon. Regonol Approved C L2
(copolamine (/otion sickness) Transderm (cope Approved C L3
("l!apyridine %agenan Approved - NR
Timolol (gla"coma med) 4locadren Approved D L3
* Per te AAP Policy (tatement Te Trans!er o! %r"gs and ;ter Cemicals ,nto 7"man
/ilk. re-ised (eptem&er 1DD02
ApprovedA (Ta&le F) /aternal /edication 's"ally Compati&le =it 4reast!eeding
CautionA (Ta&le H) %r"gs Tat 7a-e 4een Associated =it (igni!icant 9!!ects on
(ome N"rsing ,n!ants and (o"ld 4e Gi-en to N"rsing /oters =it Ca"tion
NRA Not Re-ie>ed2 Tis dr"g as not yet &een re-ie>ed &y te AAP2
** Per .edications/ and .others/ .il! &y Tomas 7ale. P% (1DD6 edition)2
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 ale.

!eferences
02 0able 1: .aternal .edication 2sually -om(atible 3ith #reast-4eeding. !rom te AAP
Policy (tatement Te Trans!er o! %r"gs and ;ter Cemicals ,nto 7"man /ilk. re-ised
(eptem&er 1DD02
12 7ale. Tomas2 .edications and .others/ .il!. 01t 9dition2 7ale P"&lising. 1DDF2 %r2
7aleIs >e&site is located at ttpA<<neonatal2tt"sc2ed"<lact<inde$2tml2