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I. Waktu dan Tempat

Hari : SELASATanggal : 05 Oktober 2010Waktu : 15.00 BTWI - selesaiTempat : SMK N 7 MajenePakaian : Seragam Pramuka

II .  Jadwal dan Susunan Acara

14.30 -15.00Diharapkan seluruh Peserta sudah berada ditempat acaraDiharapkan seluruh Tamu Undangan sudah berada di tempat acaraKetua Kwartir Ranting Gerakan Pramuka Kec. Tammerodo tiba

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Kecamatan Tammerodo5. Menyanyikan bersama Lagu Hymne Satya Dharma Pramuka

( Hadirin dimohon berdiri )6. Pembacaan Do’a…….( hadirin disilakan duduk kembali)7. Hadirin yang kami hormati, demikian rangkaian acara Pembukaan

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Obat-obatan yang Aman Untuk Ibu Hamil dan MenyusuiAuthor: rizal | Posted at: 4:04 PM | | Sebagai dokter, kita kadang menerima pasien ibu hamil atau menyusui. Pasien seperti ini membutuhkan terapi yang beda dari yang lainnya karena ditakutkan ada pengaruh obat terhadap bayi yang dikandung. Dan sudah terbukti dari sejarah pengobatan, bahwa begitu banyak obat yang memberikan efek negatif bagi bayi.

Berikut ini adalah daftar obat-obat yang Aman untuk digunakan pada ibu hamil dan menyusui. Baris kuning menunjukkan obat-obatan yang paling sering dipakai di Indonesia.

Sebagai keterangan,untuk kategori Pregnancy Risk Category :

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)

untuk kategori Lactation Risk Category :

L1 (safest) L2 (safer) L3 (moderately safe) L4 (possibly hazardous) L5 (contraindicated)

(Perhatian : Karena tabelnya terpotong, disediakan tempat untuk melihat gambar tabel lebih jelas, bisa didownload di sini , File gambarnya tampak kecil, tapi bisa dizoom supaya tulisannya kelihatan)

Generic nameTrade Name

AAP approved?*

Pregnancy Risk Category**

Lactation

Risk Category**

Analgesics (Pain-killers) [more]Acetaminophen (Parasetamol) Tylenol Appro

ved B L1

Colchicine Colchicine

Approved D L4

Non-steroidal anti-inflammatory analgesics (NSAIDs) [more]Azapropazone (apazone)

Rheumox

Approved - L2

Ibuprofen

Advil, Nuprin, Motrin, Pediaprofin

Approved

B (1st, 2nd trim.)D (3r

d trim.)

L1

Indomethacin Indocin Approved

B (1st, 2nd trim.)D (3r

d trim.)

L3

Ketorolac Toradol, Acular

Approved

B (1st, 2nd trim.)D (3r

d trim.)

L2

Mefenamic acid Ponstan, Ponstel

Approved - NR

Naproxen

Anaprox, Naprosyn, Naproxen, Aleve

Approved B

L3L4 (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 Appro

vedB (1st, 2nd trim.)

L3

D (3rd

trim.)

Codeine Tylenol #3, #4

Approved C L3

Fentanyl Sublimaze

Approved B L2

Meperidine Demerol Approved B

L2L3 (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 Appro

ved 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 Appro

ved C L3

Clindamycin Cleocin Approved B L3

Erythromycin E-Mycin,

Approved

B L1L3 earl

Ery-tab, ERYC, Ilosone

y postnat

al

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/ Prolopri Appro C L3

sulfamethoxazole m, Trimpex ved

Anticoagulants[

contents]

Bishydroxycoumarin (dicumarol) - Appro

ved - 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 Appro

ved C L2

Ketoconazole

Nizoral Shampoo, Nizoral

Approved C L2

Antihistamines [more] [content

s]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 Appro B L2

, Brethine ved

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

L1L4 (if used

first 3 days

postpartum)

Norethynodrel Enovid Approved X L2

ProgesteroneCrinone, 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.

TolbutamideOramide, 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]

AcetazolamideDazamide, Diamox

Approved C L2

Bendroflumethiazide

Naturetin

Approved D

L4 (may

inhibit lactatio

n)

Chlorothiazide Hydrodiuril

Approved D L3

Chlorthalidone Hygroto Appro D L3

n ved

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)

[content

s]Antiarrhythmics

Disopyramide

Norpace, Napamide

Approved C L2

Flecainide Tambocor

Approved C L3

Mexiletine Mexitil Approved B L2

ProcainamidePronestyl, 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 Appro

ved

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

NifedipineAdalat, Procardia

Approved C L2

Oxprenolol Apsolox, Slow-Trasicor

Approved

- NR

, Trasicor

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 - Appro

ved 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) - Appro

ved 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]

[content

s]

Sumatriptan Imitrex Approved C L3

Sedatives [more][

contents]

Chloral hydrateAquachloral, Noctec

Approved C L3

Methyprylon (withdrawn from use in US & Canada)

- Approved - NR

Bromide - Appro D L5

ved

Secobarbital Seconal Approved D L3

Sleep Aids[

contents]

Zolpidem/Zolpidem Tartrate Ambien Appro

ved 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 Synthroi Appro A L1

d, Levothroid, Thyroid, Levo-T, Levoxyl

ved

Tuberculosis meds[

contents]

Cycloserine Seromycin

Approved C L3

Ethambutol

Ethambutol, Myambutol

Approved B L2

Isoniazid INH, Laniazid

Approved C L3

RifampinRifadin, 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 lactatio

n)D, vitamin Calcifer

ol, Delta-d

Approved

A L3 (do not

overdo

se)

Folic acid - Approved

A (1st, 2nd trim.)C (3r

d trim.)

L1

K-1, vitamin (Phytonadione) - Appro

ved C L1

Riboflavin/B2 - Approved A L1

Miscellaneous[

contents]

Acitretin (Anti-psoriasis)

Soriatane

Approved - NR

Alcohol/Ethanol [more] - Appro

ved D L3

AllopurinolZyloprim, 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 Appro

ved 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.

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(safest)(safer)(moderately safe)(possibly hazardous)(contraindicated)

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.

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