Professional Documents
Culture Documents
Trade Name
Analgesics (Pain-killers) [more] Acetaminophen Colchicine Nefopam Tylenol Colchicine Acupan Approved Approved Approved B D L1 L4 NR
Non-steroidal anti-inflammatory analgesics (NSAIDs) [more] Azapropazone (apazone) Dipyrone (banned in the US & UK) Flufenamic acid Ibuprofen Rheumox Approved Approved L2 NR
Approved Approved
B (1st, 2nd trim.) D (3rd trim.) B (1st, 2nd trim.) D (3rd trim.) B (1st, 2nd trim.) D (3rd trim.) B
NR L1
Indomethacin
Indocin
Approved
L3
Ketorolac
Toradol, Acular
Approved
L2
Approved Approved
References Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
B C
NR L2 NR L3
Stadol
Approved
L3
B B C
Anesthesia, Anesthetics [more] Halothane Lidocaine Methohexital Thiopental Antacids, GI meds Cimetidine (Antacid)
References
[contents] Fluothane Xylocaine Brevital Pentothal Approved Approved Approved Approved C C B C L2 L2 L3 L3 [contents] Tagamet Approved B L2
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Propulsid
Approved Approved
C -
L2 L1
Domperidone (used for nausea Motilum & vomiting, stimulates lactation) [more] Antibiotics Amoxicillin Aztreonam Cefadroxil Cefazolin Cefotaxime Cefoxitin Cefprozil Ceftazidime Larotid, Amoxil Azactam Ultracef, Duricef Ancef, Kefzol Claforan Mefoxin Cefzil Ceftazidime, Fortaz, Taxidime Rocephin Cipro Cleocin E-Mycin, Erytab, ERYC, Ilosone Garamycin Kebecil, Kantrex Moxam Macrobid
B C B B
L2 L3 L3 L1 L3 early postnatal NR L2 L2 NR L2
C D B
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Floxin Streptomycin Gantrisin, AzoGantrisin Achromycin, Sumycin, Terramycin Ticarcillin, Ticar, Timentin
C B D C
L2 L1 L3 NR L2
Tetracycline
Approved
L2
Ticarcillin
Approved
L1
Approved
L3
[contents] Approved NR
Coumadin, Panwarfin
Approved
L2
Anticonvulsants Carbamazepine Ethosuximide Magnesium sulfate Phenytoin Valproic acid Tegretol, Epitol Zarontin Epsom salt Dilantin Depakene, Depakote Approved Approved Approved Approved Approved C C B D D
[contents] L2 L4 L1 L2 L2
Antifungals
References
[contents]
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Approved Approved
C C
L2 L2
Antihistamines [more] Dexbrompheniramine maleate with d-isoephedrine Fexofenadine Loratadine Terfenadine Triprolidine Antivirals Acyclovir [more] Interferon-alpha [more] Zovirax Alferon N, Interferon Alpha Approved Approved C C Approved -
[contents] NR
C B C
L2 L1 NR L1 [contents] L2 L2
Arthritis meds (see also: pain meds) Gold salts Ridaura, Myochrysine, Solganal Approved C
[contents] L5
Asthma meds (see also: steroids) Dyphylline Dilor, Lufyllin, Dyphylline Bricanyl, Brethine Aminophylline, Quibron, TheoDur Approved C
[contents] L3
Terbutaline
Approved
L2
Theophylline
Approved
L3
References Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
[contents] L3 (may interfere with milk production) NR L3 (may interfere with milk production)
Preven, Seasonale, Norinyl, Norlestin, OrthoNovum, Ovral, Lunelle injection, OrthoEvra patch, etc. Norplant, Mirena, Plan B Provera, DepoProvera, Cycrin
Approved Approved
Levonorgestrel
Approved
L2
Medroxyprogesterone
Approved
Norethynodrel Progesterone
Approved Approved
X -
Cough meds [more] Codeine Noscapine Decongestants [more] Pseudoephedrine Sudafed, Halofed, Approved C Tylenol #3, #4 Approved Approved C -
References Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Novafed, Actifed
Diabetes meds
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 Loperamide Imodium, Pepto Diarrhea Control, Maalox Antidiarrheal Caplets, Kaopectate II Caplets, Immodium Advanced Approved B
[contents] 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 Acetazolamide Dazamide, Diamox Naturetin Approved C [contents] L2
Bendroflumethiazide
Approved
D D D
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Heart, Blood Pressure meds (Antiarrhythmics, Antihypertensives, Cardiac stimulants) Antiarrhythmics Disopyramide Norpace, Napamide Tambocor Mexitil Pronestyl, Procan Quinaglute, Quinidex Approved C
L2
C B C
L3 L2 L3
Quinidine
Approved
L2
Diltiazem/Diltiazem HCL
Approved
Enalapril/Enalapril Maleate
Approved
L2
Hydralazine
References
Apresoline
Approved
L2
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Labetalol
Trandate, Normodyne Aldomet Toprol XL, Lopressor Loniten, Minodyl, Rogaine Corgard, Nadolol Adalat, Procardia Apsolox, SlowTrasicor, Trasicor Inderol Betapace Blocadren Calan, Isoptin, Covera-HS
Approved
L2
Methyldopa Metoprolol
Approved Approved
C B
L2 L3
Minoxidil
Approved
L2(topically) L3 (orally)
C C -
L4 L2 NR
C B C C
L2 L3 L2 L2
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
[contents] L3
Hydroxychloroquine Pyrimethamine Quinine Medical Testing [more] Diatrizoate Fluorescein Gadopentetic (Gadolinium) Iohexol Iopanoic acid Metrizamide Metrizoate
C C D
L2 L4 L2 [contents]
C C B D B B
NR L3 L2 L2 L2 L2 L2 [contents]
Migraine meds (see also: pain meds) [more] Sumatriptan Sedatives [more] Chloral hydrate Aquachloral, Noctec Approved C Imitrex Approved C
L3 [contents] L3
Methyprylon (withdrawn from use in US & Canada) Bromide Secobarbital Sleep Aids Zolpidem/Zolpidem Tartrate
References
Approved
NR
Seconal
Approved Approved
D D
L5 L3 [contents]
Ambien
Approved
L3
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Steroids Methylprednisolone [ high dosage methylprednisolone] Prednisolone Prednisone Solu-Medrol, Depo-Medrol, Medrol Deltasone, Meticorten, Orasone Approved C
[contents] L2
Approved Approved
C C
L2 L2
Thyroid meds [more] Carbimazole Methimazole (active metabolite of carbimazole) Propylthiouracil Thiouracil Levothyroxine Tapazole Approved Approved D D
[contents] L3 L3
D A
L2 NR L1
Tuberculosis meds Cycloserine Ethambutol Seromycin Ethambutol, Myambutol INH, Laniazid Rifadin, Rimactane Approved Approved C B
[contents] L3 L2
Isoniazid Rifampin
Approved Approved
C C
L3 L2
[contents] Approved NR
Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Approved Approved
A A
D, vitamin
Calciferol, Deltad -
Approved
Folic acid
Approved
K-1, vitamin (Phytonadione) Riboflavin/B2 Miscellaneous Acitretin (Anti-psoriasis) Alcohol/Ethanol [more] Allopurinol
Approved Approved
L1 L1 [contents]
D C
NR L3 L2
Antimony Atropine (Anticholinergic, drying agent) Azapropazone/apazone (Antirheumatic) Baclofen (muscle relaxant) Barbiturate Caffeine [more]
Approved Approved
NR L3
Approved
L2
C B
L2 NR L2
References Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
Carbetocin (Antihemorrhagic) Chloroform Cisplatin (Anti-cancer) Dapsone (Antileprosy) Hydroxychloroquine (Antirheumatic, lupus) Iodides Iodine
D C C
NR NR L4 L4 L2
NR NR NR
Iodine (povidone-iodine, eg, in a vaginal douche) Ivermectin (Antiparasitic) Nalidixic acid (Urinary Antiinfective) Norsteroids Pyridostigmine (Muscle stimulant) Scopolamine (Motion sickness) Mectizan NegGram
Approved Approved
C B
L3 L4
Approved Approved
NR L2
Approved
L3
Approved Approved
NR 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).
References Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.
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 Hale.
References Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001. Hale, Thomas. Medications and Mothers Milk , 12th Edition. Hale Publishing, 2006. Dr. Hales website is located at http://neonatal.ttuhsc.edu/lact/index.html.