Problem | !!!!!!!!!!!!!!!!Safe to take while pregnant!!!!!!!!!!!!!!!!!
|
| heartburn, gas and bloating, upset stomach | Antacids for heartburn (Maalox, Mylanta, Rolaids, Tums)
Simethicone for gas pains (Gas-X, Maalox Anti-Gas, Mylanta Gas, Mylicon) |
| Cough or cold | Guaifenesin, an expectorant (Hytuss, Mucinex, Naldecon Senior EX, Robitussin)
Dextromethorphan, a cough suppressant (Benylin Adult, Robitussin Maximum Strength Cough, Scot-Tussin DM, Vicks 44 Cough Relief)
Guaifenesin plus dextromethorphan (Benylin Expectorant, Robitussin DM, Vicks 44E)
Cough drops
Vicks VapoRub
Not safe to take:
Cold remedies that contain alcohol
The decongestants pseudoephedrine and phenylephrine, which can affect blood flow to the placenta |
| Pain relief, headache, and fever | Acetaminophen (Anacin Aspirin-Free, Tylenol) |
| Allergy relief | Chlorpheniramine, an antihistamine (Chlor-Trimeton allergy tablets)
Loratadine, an antihistamine (Alavert, Claritin, Tavist ND, Triaminic Allerchews)
Diphenhydramine, an antihistamine (Banophen, Benadryl, Diphenhist, Genahist) |
| Constipation, hemorrhoids, and diarrhea | Psyllium (Konsyl-D, Metamucil, Modane Bulk, Perdiem)
Polycarbophil (Equalactin, Fiber-Lax, FiberNorm, Konsyl-Fiber, Mitrolan)
Methylcellulose (Citrucel, Unifiber)
Other laxatives and stool softeners (Colace, Dulcolax, Maltsupex, milk of magnesia)
Hemorrhoid creams (Anusol, Preparation H, Tucks)
Loperamide, anti-diarrhea medication (Imodium, Kaopectate II, Maalox Anti-Diarrheal, Pepto Diarrhea Control) |
| Yeast infections and other fungal infections such as athlete's foot | Clotrimazole (Cruex, Gyne-Lotrimin 3, Lotrimin AF, Mycelex 7)
Miconazole (Desenex, Femizol-M, Micatin, Monistat 3)
Terbinafine (Lamisil AT)
Tioconazole (Monistat 1, Vagistat 1)
Butoconazole (Femstat 3, Mycelex 3)
Butenafine (Lotrimin Ultra)
Tolnaftate (Absorbine Athlete's Foot Cream, Absorbine Footcare, Genaspor, Tinactin)
Undecylenic Acid and derivatives (Cruex, Desenex, Fungi Cure, Tinacide)
!!!!!!!!!!!!!!!!!!Not safe to take!!!!!!!!!!!!!!!!!!!!
Certain antifungal products not listed here
(Certain Cruex, Desenex, and Fungi Cure products may contain other antifungal agents not listed here that should not be used during pregnancy. Check labels carefully.) |
| Insomnia | Diphenhydramine (Benadryl, Maximum Strength Unisom SleepGels, Nytol, Sominex)
Doxylamine succinate (Unisom Nighttime Sleep-Aid) |
| Itching | Hydrocortisone (Cortaid, Lanacort) |
| Polysporin
Cuts and scrapes
!!!!!!!!!!!!!!Safe to take while breastfeeding!!!!!!!!!!!!!!!
Usually Safe to Take in Usual Doses
| Name of Drug | Brand Name | Use |
| Acetaminophen | Tylenol | Used for pain relief |
| Acyclovir and valacyclovir | Zovirax, Valtrex | Antiviral for herpes infections |
| Antacids | Maalox, Mylanta | Used to treat upset stomachs |
| Bupivacaine | Marcaine | A local anesthetic |
| Caffeine (up to 3 drinks/day) | coffee, soft drinks | A stimulant |
| Cephalosporins | Keflex, Ceclor, Ceftin, Omnicef, Suprax | Antibiotics for lung, ear, skin, urinary tract, throat, and bone infections |
| Clotrimazole | Lotrimin, Mycelex | Used to treat yeast and fungal infections |
| Contraceptives (progestin-only) | Micronor, Norplant, Depo-Provera | Used for birth control |
| Corticosteroids | Prednisone | Used to treat inflammation of joints and other conditions |
| Decongestant nasal sprays | Afrin | Used to treat stuffy noses |
| Digoxin | Lanoxin | Used to treat heart problems |
| Erythromycin | E-Mycin, Erythrocin | Used for skin and respiratory infections |
| Fexofenadine | Allegra | Antihistamine for allergies and hay fever |
| Fluconazole | Diflucan | Used to treat yeast infections |
| Heparin | | Used to keep blood from clotting |
| Ibuprofen | Motrin, Advil | Used for pain relief |
| Inhalers, bronchodilators, and corticosteroids | Albuterol, Vanceril | Used for asthma |
| Insulin | | For diabetes; dosage required may drop up to 25 percent during lactation |
| Laxatives, bulk-forming and stool softening | Metamucil, Colace | Used to treat constipation |
| Lidocaine | Xylocaine | A local anesthetic |
| Loratadine | Claritin | Antihistamine for allergies and hay fever |
| Low molecular weight heparins (enoxaparin, dalteparin, tinzaparin) | Lovenox, Fragmin, Innohep | Anticoagulants |
| Magnesium sulfate | | Used to treat preeclampsia and eclampsia |
| Methyldopa | Aldomet | Used to treat high blood pressure |
| Methylergonovine (short courses) | Methergine | Used to prevent or control bleeding after childbirth |
| Metoprolol | Lopressor | A beta-blocker used to treat high blood pressure |
| Miconazole | Monistat 3 | Used to treat yeast infections |
| Nifedipine | Adalat, Procardia | Used for high blood pressure and Raynaud's syndrome of the nipple |
| Penicillins | Amoxicillin, Dynapen | Used to treat bacterial infections |
| Propranolol | Inderal | A beta blocker used to treat heart problems, and high blood pressure |
| Theophylline | Theo-Dur | Used to treat asthma and bronchitis |
| Tretinoin | Retin A | Cream used for acne. Avoid contact of cream with infant. |
| Thyroid replacement | Synthroid | Used to treat thyroid problems |
| Vaccines (except smallpox and yellow fever) | | |
| Vancomycin | Vancocin | An antibiotic |
| Verapamil | Calan, Isoptin, Verelan | Used for high blood pressure |
| Warfarin | Coumadin | Used to treat or prevent blood clots
|
!!!!!!!!!!!!!!Probably Safe in Usual Doses!!!!!!!!!!!!!!!Little is known about the effects of these drugs on a breastfeeding infant, but if there is an effect, it will probably be mild. In rare cases, a child might have allergic reaction.
| Name of Drug | Brand Name | Use |
| ACE inhibitors | Enalapril (Vasotec), Benazepril (Lotensin) | Used to treat high blood pressure |
| Anticholinergic agents | Pro-Banthine | Used to treat intestinal and gall bladder spasms; may reduce milk supply |
| Anticonvulsants | Depakote, Dilantin, Tegretol (avoid ethosuximide, phenobarbital, and primidone) | Used for seizures and mood disorders |
| Antihistamines, First-generation | Benadryl, Chlor-Trimeton | May reduce milk supply and cause infant drowsiness or fussiness |
| Antituberculars | INH | Used to treat tuberculosis |
| Azathioprine (low doses) | Imuran | Used to suppress the immune system following organ transplants |
| Barbiturates (except phenobarbital) | Fiorinal, Fioricet | For sedation and tension headaches |
| Bupropion | Wellbutrin | For depression |
| Clindamycin | Cleocin | Used to treat abdominal and vaginal infections |
| Oral decongestants | Sudafed, Entex PSE | Used to treat congestion associated with colds or allergies; often reduces milk supply |
| Ergonovine (short course) | | Used to treat uterine bleeding. May reduce milk supply. |
| Fluconazole | Diflucan | Antifungal |
| Gadolinium | Magnevist, Omniscan | Contrast agent for MRI studies |
| Histamine H2 blockers | Cimetidine (Tagamet), ranitidine (Zantac), nizatadine (Axid), and famotidine (Pepcid — preferred) | Used to treat stomach problems |
| Labetalol | Normodyne, Trandate | Used for high blood pressure; caution with preterm babies |
| Hydrochlorothiazide (low doses) | HydroDiuril | Diuretic for high blood pressure |
| Lorazepam | Ativan | Used to treat anxiety |
| Methimazole | Tapazole | Used for hyperthyroidism; less than 20 mg/day is probably safe |
| Metoclopramide | Reglan | Used for gastrointestinal problems and to increase milk supply. Limit to 2 weeks. |
| Midazolam | | Sedative used in anesthesia |
| Naproxen | Naprosyn, Anaprox, Aleve | Used for pain relief; okay if baby is at least 1 month old |
| Omeprazole | Prilosec | Used to treat stomach problems |
| Oxazepam | Serax | Used to treat anxiety |
| Paroxetine | Paxil | Used to treat depression |
| Propofol | Diprivan | Sedative used in anesthesia |
| Quinidine | | Used to treat heartbeat irregularities |
| Quinolone antibacterials | Cipro and Levaquin; Noroxin is preferred | Treatment of urinary tract infections |
| Salicylates (occasional use) | Aspirin | Used for pain relief |
| Sertraline | Zoloft | Used to treat depression |
| Spironolactone | Aldactone, Aldactazide | Used to treat high blood pressure |
| Sumatriptan | Imitrex | Used to treat migraines |
| Tetracyclines < 14 days | tetracycline, doxycycline | Used to treat acne and urinary tract infections |
| Trazodone | | Used for depression and sleep |
| Tricyclic antidepressants (avoid doxepin) | Elavil, Tofranil, Pamelor | Used to treat depression; nortriptyline preferred |
| Verapamil | Calan, Isoptin, Verelan | Used for high blood pressure |
!!!!!!!!!!!!!!!!Potentially Hazardous!!!!!!!!!!!!!!!!!!
You should avoid or use these drugs with caution, particularly while breastfeeding a newborn or premature infant.
| Name of Drug | Brand Name | Use |
| Acebutolol | Sectral | A beta blocker used to treat high blood pressure and abnormal heart rhythms. |
| Atenolol | Tenormin | A beta blocker used to treat high blood pressure and abnormal heart rhythms. |
| Antihistamine/decongestant combinations | Contac, Dimetapp | Used to treat colds and allergies; may reduce your milk supply |
| Benzodiazepines, Long-Acting | Librium, Valium, Dalmane | Used to treat anxiety and for sleep (lorazepam, oxazepam preferred) |
| Chlorthalidone | | Diuretic used to treat high blood pressure; may reduce milk supply |
| Citalopram | Celexa | Antidepressant; can cause infant drowsiness |
| Clonidine | Catapres | Used to treat high blood pressure, may reduce milk supply |
| Contraceptives (estrogen-containing) | Ortho-Novum, Lo-Ovral, Loestrin | Used for birth control; may reduce milk supply |
| Doxepin | Sinequan | Used to treat depression |
| Egotamine | Cafergot | Used to treat migraines |
| Escitalopram | Lexapro | Used to treat depression |
| Ethosuximide | Zarontin | Used to treat epilepsy |
| Fluorescein IV | | Used to diagnose retinal problems |
| Fluoxetine | Prozac, Serafem | Used to treat depression |
| Iodinated contrast media | | Used to examine kidneys; withhold breastfeeding temporarily |
| Lamotrigine | Lamictal | Used for seizures and mood disorders |
| Lithium (monitor infant serum levels) | Lithobid | Used to treat bipolar disorder |
| Metronidazole | Flagyl | An antibiotic used to treat some intestinal and genital infections |
| Nadolol | Corgard | A beta blocker used to treat high blood pressure and heart problems |
| Narcotics, especially meperidine in addicts and high doses with newborns | Tylenol #3, Vicodin | Used for pain (one tablet every six hours maximum; watch for drowsiness) |
| Nefazodone | Serzone | Used for depression |
| Nicotine | | Smoking can reduce milk supply |
| Nitrofurantoin | Macrobid | Used to treat urinary tract infections (safe if the baby is at least 1 month old) |
| Phenobarbital, anticonvulsant doses | | Sedative and anticonvulsant |
| Piroxicam | Feldene | Used to treat arthritis and pain |
| Primidone | Mysoline | Used to treat seizures |
| Reserpine | | Used to treat hypertension |
| Sotalol | Betapace | Used to treat heart problems |
| Thiazide diuretics, long-acting or high doses | Aquatensin, Enduron, Lozol, Renese | For high blood pressure or edema; high dose may reduce milk supply |
| Venlafaxine | Effexor | Used to treat depression |
!!!!!!!!!!!!!!!!!!!!!!!!Not safe to take!!!!!!!!!!!!!!!!!!!!!!!!
These drugs are not safe for breastfeeding moms. Ask your physician if there is a safer alternative medication. If you must take them for health reasons, you should stop breastfeeding — either temporarily or permanently — depending on how long you need to take them. To keep your milk supply up you can "pump and dump" — that is, use a breast pump and discard what you collect until you're ready to breastfeed again.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
| Name of Drug | Brand Name | Use |
| Amantadine | Symmetrel | Used to treat the flu or Parkinson's disease; may reduce milk supply |
| Amiodarone | Cordarone | Used to treat heart problems |
| Antilipemics (excluding resins) | Lescol, Lipitor, Lopid, Mevacor, Pravacor, Zocor | Used to lower the level of cholesterol in the blood |
| Antineoplastic agents | | Used to treat cancer |
| Aspirin (large doses) | | Used to treat arthritis |
| Cocaine | | |
| Chlorampenicol | | Used to treat serious infections |
| Clozapine | Clozaril | Used to treat schizophrenia |
| Dipyrone (dipirona in Mexican drugs) | | Used for pain and inflammation |
| Gold Salts | Myochrysine | Used to treat arthritis |
| Iodide products | Betadine, potassium iodide | Used for douching or as an expectorant |
| Iodine, radioactive | | Used to diagnose and treat hyperthyroidism |
| Lipid-lowering drugs | Lescol, Lipitor, Lopid, Mevacor, Pravacor, Zocor | Used to lower the level of fats in the blood |
| Metamizole (Dipyrone) | | Analgesic/anti-inflammatory. Banned in U.S. but available in Mexico |
| Salicyclates, large doses | Aspirin | Used to treat arthritis |
|
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