Generic name

Trade Name

AAP approved?*

Pregnancy Risk Category** B D

Analgesics (Pain-killers) [more] Acetaminophen Tylenol, pct Colchicine Colchicine Non-steroidal anti-inflammatory analgesics (NSAIDs) [more] Ibuprofen Indomethacin Ketorolac bufect Indocin Trolac

Approved Approved

Approved Approved Approved

B (1st, 2nd trim.) D (3rd trim.) B (1st, 2nd trim.) D (3rd trim.) B (1st, 2nd trim.) D (3rd trim.)

Mefenamic acid Piroxicam Na diclofenac Narcotic analgesics [more] Codeine Fentanyl Methadone Morphine Anesthesia, Anesthetics [more] Halothane Lidocaine Thiopental Antacids, GI meds Cimetidine (Antacid) Cisapride (GI tract stimulant) Metoclopramide (Reglan)

Ponstan, Ponstel Feldene flamar codipront Sublimaze Dolophine Morphine Fluothane Xylocaine Pentothal Tagamet Propulsid

Approved Approved

B; D (in 3rd trimester or near delivery

Approved Approved Approved Approved Approved Approved Approved Approved Approved

C B B B C C C B C

Domperidone (used for nausea Motilum & vomiting, stimulates lactation) Antibiotics Amoxicillin Cefadroxil cefixime Cefotaxime Ceftazidime Ceftriaxone amoxsan alxil tocef taxegram Ceftazidime, Fortaz, Taxidime Rocephin

Approved

Approved Approved Approved Approved Approved

B B B B B

Ciprofloxacin [more] Clindamycin Erythromycin Gentamicin Kanamycin Nitrofurantoin Ofloxacin Penicillin Streptomycin Sulbactam Tetracycline

Cipro Cleocin E-Mycin, Ery-tab, ERYC, Ilosone Garamycin Kebecil, Kantrex Macrobid Floxin Streptomycin

Approved Approved Approved Approved Approved Approved Approved Approved Approved Approved Approved Approved

C B B C D B C B D D C

Achromycin, Sumycin, Trimethoprim/sulfamethoxazol Terramycin Proloprim, Trimpex e Anticoagulants Warfarin Coumadin, Panwarfin Anticonvulsants Carbamazepine Tegretol, Epitol diazepam valisanbe Magnesium sulfate Epsom salt Phenytoin Dilantin Valproic acid Antifungals Fluconazole [more] Ketoconazole Antihistamines [more] Fexofenadine CTM Cetirizine Loratadine Terfenadine Triprolidine Antivirals Acyclovir [more] Depakene, Depakote Diflucan Nizoral Shampoo, Nizoral Allegra cerini Claritin Seldane Actidil, Actifed Zovirax

Approved Approved Approved Approved Approved Approved Approved Approved

D C B D D C C C

Approved Approved Approved Approved Approved

B C C C

Arthritis meds (see also: pain meds) Gold salts Ridaura, Myochrysine, Solganal Asthma meds (see also: steroids) Terbutaline Theophylline Bricanyl, Brethine Aminophylline, Quibron, Theo-Dur

Approved Approved

B C

Contraceptives, Hormones [more]

Estradiol Clogestone Contraceptive pill with estrogen/progesterone

Estratab, Permarin, Menest Preven, Seasonale, Norinyl, Norlestin, Ortho-Novum, Ovral, Lunelle injection, Ortho-Evra patch, etc. Norplant, Mirena, Plan B Provera, Depo-Provera, Cycrin Enovid Crinone, Prometrium Tylenol #3, #4 Sudafed, Halofed, Novafed, Actifed

Approved Approved Approved

X X

Levonorgestrel Medroxyprogesterone

Approved Approved

X D

Norethynodrel Progesterone Cough meds [more] Codeine Noscapine Decongestants [more] Pseudoephedrine

Approved Approved Approved Approved Approved

X C C

Diabetes meds Note: Insulin has not been reviewed by the AAP. Pregnancy risk category = B; Lactation risk category = L1. Tolbutamide Diarrhea meds Loperamide Imodium, Pepto Diarrhea Control, Maalox Antidiarrheal Caplets, Kaopectate II Caplets, Immodium Advanced Approved B Oramide, Orinase Approved D

** Note: Pepto-Bismol & Kaopectate (bismuth subsalicylate is the active ingredient in both) are not recommended by nursing moms, due to the association of salicylates with Reyes syndrome in children. [more] Diuretics Acetazolamide Chlorthalidone Hydrochlorothiazide Dazamide, Diamox Hygroton Hydrodiuril, Esidrix, Oretic Approved Approved Approved Approved Approved C D D D -

Spironolactone Aldactone Galactagogues (milk supply) [more] Domperidone Motilum Heart, Blood Pressure meds (Antiarrhythmics, Antihypertensives, Cardiac stimulants) Antiarrhythmics

Procainamide Quinidine Antihypertensives Captopril Diltiazem/Diltiazem HCL Enalapril/Enalapril Maleate Hydralazine Labetalol Methyldopa Metoprolol Minoxidil Nifedipine Oxprenolol Propranolol

Pronestyl, Procan Quinaglute, Quinidex Capoten Cardizem Sr, Dilacor-XR, Diltiazem, Cardizem CD Vasotec Apresoline Trandate, Normodyne Aldomet Toprol XL, Lopressor Loniten, Minodyl, Rogaine Adalat, Procardia Apsolox, Slow-Trasicor, Trasicor

Approved Approved Approved Approved Approved Approved Approved Approved Approved Approved Approved Approved

C C D C C (1st trim.) D (2nd, 3rd trim.) C C C B C C -

Lactation Risk Category**

L1 L4

L1 L3 L2

NR L2

3rd trimester or near delivery)

L3 L2 L3 L3 [contents] L2 L2 L3 [contents] L2 L2 L2 (safer) L1

[contents] L1 L1 L2 L1 L2

L3 L3 L1 L3 early postnatal L2 L2 L2 L2 L1 L3 NR L2 L3 [contents] L2 [contents] L2 L1 L2 L2 [contents] L2 L2 [contents] L2

L1 NR L1 [contents] L2 [contents] L5 [contents] L2 L3 [contents]

L3 (may interfere with milk production) NR L3 (may interfere with milk production)

L2 L1 L4 (if used first 3 days postpartum) L2 L3 [contents] L3 NR [contents] L3 (for acute use) L4 (for chronic use) [contents] L3 [contents] L2

k category = L1.

th) are not recommended for routine use more] [contents] L2 L3 L2 L2 [contents] L1 [contents]

L3 L2 L3 (if used after 30 days) L3 L2 L2 L2 L2 L3 L2(topically) L3 (orally) L2 NR