Selected List of Medications approved by the AAP for use in breastfeeding mothers (AAP list revised 8/04)

Unlike women in general, pregnant and lactating mothers have dietary restrictions and also the necessity of consuming food. below we present a list of taboos and what should be consumed by pregnant women and lactating mothers

Generic name	Trade Name	AAP approved?*	Pregnancy Risk Category**	Lactation Risk 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 & UK)	-	Approved	-	NR
Flufenamic acid	-	Approved	-	NR
Ibuprofen	Advil, Nuprin, Motrin, Pediaprofin	Approved	B (1st, 2nd trim.) D (3rd trim.)	L1
Indomethacin	Indocin	Approved	B (1st, 2nd trim.) D (3rd trim.)	L3
Ketorolac	Toradol, Acular	Approved	B (1st, 2nd trim.) D (3rd trim.)	L2
Mefenamic acid	Ponstan, Ponstel	Approved	-	NR
Naproxen	Anaprox, Naprosyn, Naproxen, Aleve	Approved	B	L3 L4 (for chronic use)
Phenylbutazone	Butazolidine	Approved	-	NR
Piroxicam	Feldene	Approved	B	L2
Suprofen	Profenal	Approved	-	NR
Tolmetin	Tolectin	Approved	C	L3
Narcotic analgesics [more]
Butorphanol	Stadol	Approved	B (1st, 2nd trim.) D (3rd trim.)	L3
Codeine	Tylenol #3, #4	Approved	C	L3
Fentanyl	Sublimaze	Approved	B	L2
Meperidine	Demerol	Approved	B	L2 L3 (if used early postpartum)
Methadone	Dolophine	Approved	B	L3
Morphine	Morphine	Approved	B	L3
Propoxyphene	Darvocet N, Propacet, Darvon	Approved	C	L2
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) [more]	Motilum	Approved	-	L1
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	Ceftazidime, Fortaz, Taxidime	Approved	B	L1
Ceftriaxone	Rocephin	Approved	B	L2
Ciprofloxacin [more]	Cipro	Approved	C	L3
Clindamycin	Cleocin	Approved	B	L3
Erythromycin	E-Mycin, Ery-tab, ERYC, Ilosone	Approved	B	L1 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
Sulfisoxazole	Gantrisin, Azo-Gantrisin	Approved	C	L2
Tetracycline	Achromycin, Sumycin, Terramycin	Approved	D	L2
Ticarcillin	Ticarcillin, Ticar, Timentin	Approved	B	L1
Trimethoprim/sulfamethoxazole	Proloprim, Trimpex	Approved	C	L3
Anticoagulants				[contents]
Bishydroxycoumarin (dicumarol)	-	Approved	-	NR
Warfarin	Coumadin, Panwarfin	Approved	D	L2
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
Ketoconazole	Nizoral Shampoo, Nizoral	Approved	C	L2
Antihistamines [more]				[contents]
Dexbrompheniramine maleate with d-isoephedrine	-	Approved	-	NR
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
Interferon-alpha [more]	Alferon N, Interferon Alpha	Approved	C	L2
Arthritis meds (see also: pain meds)				[contents]
Gold salts	Ridaura, Myochrysine, Solganal	Approved	C	L5
Asthma meds (see also: steroids)				[contents]
Dyphylline	Dilor, Lufyllin, Dyphylline	Approved	C	L3
Terbutaline	Bricanyl, Brethine	Approved	B	L2
Theophylline	Aminophylline, Quibron, Theo-Dur	Approved	C	L3
Contraceptives, Hormones [more]				[contents]
Estradiol	Estratab, Permarin, Menest	Approved	X	L3 (may interfere with milk production)
Clogestone	-	Approved	-	NR
Contraceptive pill with estrogen/progesterone	Preven, Seasonale, Norinyl, Norlestin, Ortho-Novum, Ovral, Lunelle injection, Ortho-Evra patch, etc.	Approved	X	L3 (may interfere with milk production)
Levonorgestrel	Norplant, Mirena, Plan B	Approved	X	L2
Medroxyprogesterone	Provera, Depo-Provera, Cycrin	Approved	D	L1 L4 (if used 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]
Pseudoephedrine	Sudafed, Halofed, Novafed, Actifed	Approved	C	L3 (for acute use) 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]
Loperamide	Imodium, Pepto Diarrhea Control, Maalox Antidiarrheal Caplets, Kaopectate II Caplets, Immodium Advanced	Approved	B	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				[contents]
Acetazolamide	Dazamide, Diamox	Approved	C	L2
Bendroflumethiazide	Naturetin	Approved	D	L4 (may inhibit lactation)
Chlorothiazide	Hydrodiuril	Approved	D	L3
Chlorthalidone	Hygroton	Approved	D	L3
Hydrochlorothiazide	Hydrodiuril, Esidrix, Oretic	Approved	D	L2
Spironolactone	Aldactone	Approved	D	L2
Galactagogues (milk supply) [more]				[contents]
Domperidone	Motilum	Approved	-	L1
Heart, Blood Pressure meds  (Antiarrhythmics, Antihypertensives, Cardiac stimulants)				[contents]
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
Captopril	Capoten	Approved	D	L3 (if used after 30 days)
Diltiazem/Diltiazem HCL	Cardizem Sr, Dilacor-XR, Diltiazem, Cardizem CD	Approved	C	L3
Enalapril/Enalapril Maleate	Vasotec	Approved	C (1st trim.) D (2nd, 3rd trim.)	L2
Hydralazine	Apresoline	Approved	C	L2
Labetalol	Trandate, Normodyne	Approved	C	L2
Methyldopa	Aldomet	Approved	C	L2
Metoprolol	Toprol XL, Lopressor	Approved	B	L3
Minoxidil	Loniten, Minodyl, Rogaine	Approved	C	L2(topically) L3 (orally)
Nadolol	Corgard, Nadolol	Approved	C	L4
Nifedipine	Adalat, Procardia	Approved	C	L2
Oxprenolol	Apsolox, Slow-Trasicor, Trasicor	Approved	-	NR
Propranolol	Inderol	Approved	C	L2
Sotalol	Betapace	Approved	B	L3
Timolol	Blocadren	Approved	C	L2
Verapamil	Calan, Isoptin, Covera-HS	Approved	C	L2
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]
Chloroquine	Aralen, Novo-chloroquine	Approved	C	L3
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 in US & Canada)	-	Approved	-	NR
Bromide	-	Approved	D	L5
Secobarbital	Seconal	Approved	D	L3
Sleep Aids				[contents]
Zolpidem/Zolpidem Tartrate	Ambien	Approved	B	L3
Steroids				[contents]
Methylprednisolone [ high dosage methylprednisolone]	Solu-Medrol, Depo-Medrol, Medrol	Approved	C	L2
Prednisolone	-	Approved	C	L2
Prednisone	Deltasone, Meticorten, Orasone	Approved	C	L2
Thyroid meds [more]				[contents]
Carbimazole	-	Approved	D	L3
Methimazole (active metabolite of carbimazole)	Tapazole	Approved	D	L3
Propylthiouracil	PTU	Approved	D	L2
Thiouracil	-	Approved	-	NR
Levothyroxine	Synthroid, Levothroid, Thyroid, Levo-T, Levoxyl	Approved	A	L1
Tuberculosis meds				[contents]
Cycloserine	Seromycin	Approved	C	L3
Ethambutol	Ethambutol, Myambutol	Approved	B	L2
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
B-6 (pyridoxine)	-	Approved	A	L2; L4 in high doses (may inhibit lactation)
D, vitamin	Calciferol, Delta-d	Approved	A	L3 (do not overdose)
Folic acid	-	Approved	A (1st, 2nd trim.) C (3rd trim.)	L1
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 agent)	Belladonna, Atropine	Approved	C	L3
Azapropazone/apazone (Antirheumatic)	Rheumox	Approved	-	L2
Baclofen (muscle relaxant)	Lioresal, Atrofen	Approved	C	L2
Barbiturate	-	Approved	-	NR
Caffeine [more]	Vivarin, NoDoz, Coffee	Approved	B	L2
Carbetocin (Antihemorrhagic)	Duratocin	Approved	-	NR
Chloroform	-	Approved	-	NR
Cisplatin (Anti-cancer)	Platinol	Approved	D	L4
Dapsone (Antileprosy)	Avlosulfon, DDS	Approved	C	L4
Hydroxychloroquine (Antirheumatic, lupus)	Plaquenil	Approved	C	L2
Iodides	-	Approved	-	NR
Iodine	-	Approved	-	NR
Iodine (povidone-iodine, eg, in a vaginal douche)	-	Approved	-	NR
Ivermectin (Antiparasitic)	Mectizan	Approved	C	L3
Nalidixic acid (Urinary Anti-infective)	NegGram	Approved	B	L4
Norsteroids	-	Approved	-	NR
Pyridostigmine (Muscle stimulant)	Mestinon, Regonol	Approved	C	L2
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.