DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU HAMIL

DAN MENYUSUI
Antikonvulsan, Obat Tidur, Sedatif, dan Migren
R.Hamil
Nama Obat

R.Menyusui
C

L3

D
D
B

D
C
C
B
D

L3
NR
L5
L3
L3
NR
L2
L2
L4
L1

Sumatriptan
Chloral hydrate
Methyprylon
Bromide
Secobarbital
Zolpidem
Bishydroxycoumarin
Warfarin
Carbamazepine
Ethosuximide
Magnesium sulfate
Phenytoin

L2
D
Valproic acid

Lactation Risk Categories

L1 (safest)

L2 (safer)

L3 (moderately safe)

L4 (possibly hazardous)

L5 (contraindicated)

Pregnancy Risk Categories

A (controlled studies show no risk)

L2

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 Hale.

DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU HAMIL

DAN MENYUSUI
Obat TBC dan Malaria

Nama Obat

Risiko Kehamilan

Risiko Menyusui

Cycloserine

L3

Ethambutol

L2

Isoniazid

L3

Rifampin

L2

Chloroquine

L3

Hydroxychloroquine

L2

Pyrimethamine

L4

Quinine

L2

Obat TB

Obat malaria

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

Pregnancy Risk Categories

L1 (safest)

A (controlled studies show no risk)

L2 (safer)

B (no evidence of risk in humans)

L3 (moderately safe)

C (risk cannot be ruled out)

L4 (possibly hazardous)

D (positive evidence of risk)

L5 (contraindicated)

X (contraindicated in pregnancy)

NR: Not Reviewed. This drug has not yet been reviewed by Hale.

DAFTAR OBAT AMAN DAN BERBAHAYA UNTUK IBU HAMIL

DAN MENYUSUI
Anti Hipertensi, Anti Aritmia, dan Diuretik

Kategori Risiko
Kehamilan**

RisikoMenyusui**

Acetazolamide

L2

Bendroflumethiazide

L4 (may inhibit lactation)

Chlorothiazide

L3

Chlorthalidone

L3

Hydrochlorothiazide (HCT)

L2

Spironolactone

L2

Nama Generik

Disopyramide

L2

Flecainide

L3

Mexiletine

L2

Procainamide

L3

Quinidine

L2

Captopril

L3 (if used after 30 days)

Diltiazem/Diltiazem HCL

L3

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

L2

Hydralazine

L2

Labetalol

L2

Methyldopa

L2

Metoprolol

L3

Minoxidil

L2(topically)
L3 (orally)

Nadolol

L4

L2

Enalapril/Enalapril Maleate

Nifedipine

Oxprenolol

NR

Propranolol

L2

Sotalol

L3

Timolol

L2

Verapamil

L2

Digoxin

L2

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.

Concern: (Table 4) Drugs for Which the Effect on Nursing Infants Is

Unknown but May Be of Concern

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 (safest)

A (controlled studies show no risk)

L2 (safer)

B (no evidence of risk in humans)

L3 (moderately safe)

C (risk cannot be ruled out)

L4 (possibly hazardous)

D (positive evidence of risk)

L5 (contraindicated)

X (contraindicated in pregnancy)

NR: Not Reviewed. This drug has not yet been reviewed by Hale.
Ref : http://bukusakudokter.org/tag/obat-yang-aman-untuk-ibu-hamil-menyusui/
tanggal 9/8/2015