Salah satu hal yang paling dikuatirkan saya sewaktu hamil dulu dan saat menyusui saat

ini adalah jika saya sakit yang sampai mengharuskan untuk mengkonsumsi obat-
obatan.
Obat apa yang aman ya? obat mana yang tidak akan masuk ke ASI ya?

so, let me share here some information about it, special for pregnant women &
nursing mommies.
data didapat dari www.kellymom.com

Pregnancy Lactation
AAP Risk Risk
Generic name Trade Name approved?* Category** Category**
Analgesics (Pain-killers) [more]
Acetaminophen Tylenol Approved 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 Approved L1
Motrin, Pediaprofin D (3rd
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
L3
Anaprox, Naprosyn,
Naproxen 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
Darvocet N,
Propoxyphene 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, Fortaz,
Ceftazidime Approved B L1
Taxidime
Ceftriaxone Rocephin Approved B L2
Ciprofloxacin [more] Cipro Approved C L3
Clindamycin Cleocin Approved B L3
E-Mycin, Ery-tab, L1
Erythromycin Approved B
ERYC, Ilosone 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
Gantrisin, Azo-
Sulfisoxazole Approved C L2
Gantrisin
Achromycin,
Tetracycline Sumycin, Approved D L2
Terramycin
Ticarcillin, Ticar,
Ticarcillin Approved B L1
Timentin
Trimethoprim/sulfamethoxazole Proloprim, Trimpex Approved C L3
Anticoagulants [contents]
Bishydroxycoumarin (dicumarol) - Approved - NR
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
Valproic acid Depakene, Depakote Approved D L2
Antifungals [contents]
Fluconazole [more] Diflucan Approved C L2
Nizoral Shampoo,
Ketoconazole 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
Interferon-alpha [more] Approved C L2
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
Terbutaline Bricanyl, Brethine Approved B L2
Aminophylline,
Theophylline Approved C L3
Quibron, Theo-Dur
Contraceptives, Hormones [more] [contents]
L3 (may
Estratab, Permarin, interfere with
Estradiol Approved X
Menest milk
production)
Clogestone - Approved - NR
Preven, Seasonale,
Norinyl, Norlestin, L3 (may
Contraceptive pill with Ortho-Novum, interfere with
Approved X
estrogen/progesterone Ovral, Lunelle milk
injection, Ortho-Evra production)
patch, etc.
Norplant, Mirena,
Levonorgestrel Approved X L2
Plan B
L1
Provera, Depo- L4 (if used
Medroxyprogesterone Approved D
Provera, Cycrin 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]
L3 (for acute
Sudafed, Halofed, use)
Pseudoephedrine Approved C
Novafed, Actifed 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]
Imodium, Pepto
Diarrhea Control,
Maalox Antidiarrheal
Loperamide Caplets, Kaopectate Approved B L2
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]
Acetazolamide Dazamide, Diamox Approved C L2
L4 (may
Bendroflumethiazide Naturetin Approved D inhibit
lactation)
Chlorothiazide Hydrodiuril Approved D L3
Chlorthalidone Hygroton Approved D L3
Hydrodiuril, Esidrix,
Hydrochlorothiazide Approved D L2
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
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
L3 (if used
Captopril Capoten Approved D
after 30 days)
Cardizem Sr,
Diltiazem/Diltiazem HCL Dilacor-XR, Approved C L3
Diltiazem, Cardizem
 CD
C (1st trim.)
Enalapril/Enalapril Maleate Vasotec Approved D (2nd, 3rd L2
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, Minodyl, L2 (topically)
Minoxidil Approved C
Rogaine L3 (orally)
Nadolol Corgard, Nadolol Approved C L4
Nifedipine Adalat, Procardia Approved C L2
Apsolox, Slow-
Oxprenolol Approved - NR
Trasicor, 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
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]
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]
Chloral hydrate Aquachloral, Noctec Approved C L3
Methyprylon (withdrawn from use
- Approved - NR
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, Depo-
[ high dosage Approved C L2
Medrol, Medrol
methylprednisolone]
Prednisolone - Approved C L2
Deltasone,
Prednisone Approved C L2
Meticorten, Orasone
Thyroid meds [more] [contents]
Carbimazole - Approved D L3
Methimazole (active metabolite of
Tapazole Approved D L3
carbimazole)
Propylthiouracil PTU Approved D L2
Thiouracil - Approved - NR
Synthroid,
Levothyroxine Levothroid, Thyroid, Approved A L1
Levo-T, Levoxyl
Tuberculosis meds [contents]
Cycloserine Seromycin Approved C L3
Ethambutol,
Ethambutol Approved B L2
Myambutol
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
L2; L4 in
B-6 (pyridoxine) - Approved A
high doses
 (may inhibit
lactation)
L3 (do not
D, vitamin Calciferol, Delta-d Approved A
overdose)
A (1st, 2nd
trim.)
Folic acid - Approved L1
C (3rd
trim.)
K-1, vitamin (Phytonadione) - Approved C L1
Riboflavin/B2 - Approved A L1
Miscellaneous [contents]
Acitretin (Anti-psoriasis) Soriatane Approved - NR
Alcohol/Ethanol [more] - Approved D L3
Allopurinol Zyloprim, Lopurin Approved C L2
Antimony - Approved - NR
Atropine (Anticholinergic, drying
Belladonna, Atropine Approved C L3
agent)
Azapropazone/apazone
Rheumox Approved - L2
(Antirheumatic)
Baclofen (muscle relaxant) Lioresal, Atrofen Approved C L2
Barbiturate - Approved - NR
Vivarin, NoDoz,
Caffeine [more] Approved B L2
Coffee
Carbetocin (Antihemorrhagic) Duratocin Approved - NR
Chloroform - Approved - NR
Cisplatin (Anti-cancer) Platinol Approved D L4
Dapsone (Antileprosy) Avlosulfon, DDS Approved C L4
Hydroxychloroquine
Plaquenil Approved C L2
(Antirheumatic, lupus)
Iodides - Approved - NR
Iodine - Approved - NR
Iodine (povidone-iodine, eg, in a
- Approved - NR
vaginal douche)
Ivermectin (Antiparasitic) Mectizan Approved C L3
Nalidixic acid (Urinary Anti-
NegGram Approved B L4
infective)
Norsteroids - Approved - NR
Pyridostigmine (Muscle
Mestinon, Regonol Approved C L2
stimulant)
Scopolamine (Motion sickness) Transderm Scope Approved C L3
Sulfapyridine Dagenan Approved - NR
Timolol (glaucoma med) Blocadren Approved 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 (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.

Jelas sekali yaaa, saya juga seneng waktu nemu informasi ini...hihihihi

Tapi ini bukan berarti ibu menyusui seenaknya mengkonsumsi obat-obat yang
tergolong aman lho ya.. pusing dikit, obat. panas dikit, obat.
Bukan berarti dilarang mengkonsumsi obat juga lho, tapi maksutnya dilihat dulu
kondisi sakitnya seperti apa. Kalau memang hanya pusing sedikit, bisa jadi karena
kurang gula (hipoglikemia), bisa karena stress, bisa karena minus kacamata yang
bertambah (untuk yang bermata minus), atau bisa jadi karena belum
gajian..hehehe... cicilan panci belum lunaaaas katanya.

Jadi intinya sih, harus dicari tau penyebab dan kondisinya seperti apa, kalau memang
agak serius lebih baik segera kunjungi dokter untuk didiagnosa terlebih dulu supaya
tidak salah pengobatan. Ok, thats it..hope it helps ^^