哺乳期安全用药(英文)

1 SafeSafeSafeSafe MedicationsMedicationsMedicationsMedications duringduringduringduring BreastfeedingBreastfeedingBreastfeedingBreastfeeding Although many drugs are safe to use when you're breastfeeding, most will get into your milk to some degree and may even affect your milk supply. To be safe, check with your child's doctor before taking any kind of medication, even over-the-counter drugs. The information in this table was compiled and reviewed by Philip Anderson, a pharmacist and the editor of LactMed, the U.S. National Library of Medicine's drugs and lactation database. If you have more questions about how a drug you're taking might affect your breast milk or your baby, check our pregnancy warnings and breastfeeding warnings pages. DrugsDrugsDrugsDrugs SafeSafeSafeSafe totototo TakeTakeTakeTake inininin UsualUsualUsualUsual DosesDosesDosesDoses NameNameNameName ofofofofDrugDrugDrugDrug BrandBrandBrandBrand NameNameNameName UseUseUseUse Acetaminophen Tylenol Used for pain relief Acyclovirand valacyclovir Zovirax, Valtrex Antiviral for herpes infections Antacids Maalox, Mylanta Used to treat upset stomachs Bupivacaine Marcaine A local anesthetic Caffeine coffee, soft A stimulant 2 drinks 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 Heparinand LMW Used to keep blood from 3 heparins 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 4 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 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 5 DrugsDrugsDrugsDrugs ProbablyProbablyProbablyProbably SafeSafeSafeSafe inininin UsualUsualUsualUsual DosesDosesDosesDoses 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 has an allergic reaction. NameNameNameName ofofofof DrugDrugDrugDrug BrandBrandBrandBrand NameNameNameName UseUseUseUse ACE inhibitors Enalapril(Vasotec), Benazepril (Lotensin) Used to treat high blood pressure Anticholiner gic agents Pro-Banthine Used to treat intestinal and gall bladder spasms; may reduce milk supply Anticonvuls ants Depakote, Dilantin, Tegretol (avoid ethosuximide, phenobarbital, and primidone) Used for seizures and mood disorders Antihistami nes Benadryl, Chlor-Trimeton May reduce milk supply and cause infant drowsiness or fussiness Antitubercul ars INH Used to treat tuberculosis Azathioprin Imuran Used to suppress the 6 e immune system following organ transplants Barbiturates (except phenobarbit al) Fiorinal, Fioricet For sedation and tension headaches Bupropion Wellbutrin For depression Clindamyci n Cleocin Used to treat abdominal and vaginal infections Oral decongestan ts 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 Haloperidol Haldol Used to treat psychosis Histamine H2 blockers Cimetidine(Tagamet), ranitidine (Zantac), nizatadine Used to treat stomach problems 7 (Axid), and famotidine (Pepcid - preferred) Labetalol Normodyne, Trandate Used for high blood pressure; caution with preterm babies Hydrochloro thiazide(low doses) HydroDiuril Diuretic for high blood pressure Lorazepam Ativan Used to treat anxiety Methimazol e Tapazole Used for hyperthyroidism; less than 20 mg/day is probably safe Metoclopra mide Reglan Used for gastrointestinal problems and to increase milk supply Midazolam Sedative used in anesthesia Naproxen Naprosyn, Anaprox, Aleve Used for pain relief; okay if baby is at least 1 month old Oxazepam Serax Used to treat anxiety Paroxetine Paxil Used to treat depression Phenothiazi Compazine(anti-nausea), 8 nes Stelazine, Thorazine (anti-psychotic) Propofol Diprivan Sedative used in anesthesia Propylthiour acil(PTU) Used to treat hyperthyroidism Quinidine Used to treat heartbeat irregularities Quinolone antibacterial s Ciproand Levaquin; Noroxin is preferred Treatment of urinary tract infections Salicylates (occasional use) Aspirin Used for pain relief Sertraline Zoloft Used to treat depression Spironolacto ne Aldactone, Aldactazide Used to treat high blood pressure Sumatriptan Imitrex Used to treat migraines Tetracycline s < 14 days tetracycline, doxycycline Used to treat acne and urinary tract infections Trazodone Used for depression and sleep Tricyclic Elavil, Tofranil, Pamelor Used to treat depression; 9 antidepressa nts (avoid doxepin) nortriptyline preferred Verapamil Calan, Isoptin, Verelan Used for high blood pressure Last updated: August 2008 http://www.drugs.com/drug-safety-breastfeeding.html SafeMedicationsduringBreastfeeding DrugsSafetoTakeinUsualDoses DrugsProbablySafeinUsualDoses