Kev siv tshuaj nyab xeeb thaum pub niam mis

Thov nco ntsoov: Qhov no tsis yog ib daim ntawv teev tag nrho cov tshuaj muaj kev nyab xeeb / tsis zoo rau kev siv thaum pub niam mis. Nco ntsoov nrog koj tus kws kho mob lossis tus kws kho mob tshwj xeeb rau cov lus qhia txog kev siv tshuaj thaum cev xeeb tub lossis pub niam mis. Kev sau tshuaj thiab kev siv tshuaj tom khw muag khoom yuav tsum ua raws li qhov xwm txheej, thiab cov ntaub ntawv no yuav tsis siv rau txhua qhov xwm txheej.

Nws tau lees paub tias tib neeg cov mis nyuj yog qhov zoo tshaj plaws rau tus menyuam mos. Cov txiaj ntsig muaj txiaj ntsig zoo rau tus menyuam mos, muab cov khoom noj zoo tshaj plaws, cov tshuaj tiv thaiv kab mob tiv thaiv kab mob, thiab lub cev hnyav. Muaj cov txiaj ntsig zoo rau niam, ib yam nkaus: nws ua kom muaj kev sib raug zoo thiab kev so, tuaj yeem ua tus nqi txuag, thiab muab cov txiaj ntsig kev noj qab haus huv zoo li txo qis kev pheej hmoo ntawm mob qog noj ntshav mis thiab zes qe menyuam.

maca dosage rau ed

Kev pub niam mis tshwj xeeb yog pom zoo rau tsawg kawg 6 lub hlis los ntawm cov kws tshaj lij feem ntau, thiab txuas ntxiv mus rau 12 lub hlis thaum qhia lwm yam khoom noj.



Txawm li cas los xij, ntau leej niam yuav tsum tau noj tshuaj ntawm qee hom thaum pub niam mis, txawm tias lub sijhawm luv luv rau qhov mob rov qab los yog qhov ntswg los yog lub sijhawm ntev rau cov mob ntev xws li ntshav siab. Qhov no yuav ua rau muaj lus nug txog kev nyab xeeb ntawm kev kho mob thaum muaj neeg laus. Txawm hais tias koj yog ib tug niam tshiab uas muaj lub luag haujlwm tshiab, koj txoj kev noj qab haus huv tseem tseem ceeb heev.

Txawm hais tias muaj ntau yam tshuaj muaj kev nyab xeeb siv thaum koj pub niam mis, feem ntau yuav nkag mus rau hauv koj cov mis nyuj rau qee qhov thiab tej zaum yuav cuam tshuam rau koj cov kua mis. Txhawm rau kom muaj kev nyab xeeb, nrog koj tus kws kho mob tham ua ntej noj cov tshuaj los yog tshuaj tom khw muag khoom, tshuaj ntsuab lossis tshuaj noj, lossis vitamin. Txawm tias tshuaj ntsuab tshuaj yej kuj muaj ephedra los yog lwm yam khoom xyaw tsis zoo. Tsuas yog vim tias daim ntawv lo hais tias 'natural' tsis yog ib txwm txhais tau tias nws muaj kev nyab xeeb.

Kev pub niam mis thiab cov lus qhia tshuaj

  • American Academy of Pediatrics hais tias muaj ntau yam teebmeem ntawm cov tshuaj rau cov menyuam mos uas pub niam mis tsuas yog tsis paub. Vim li no, tsuas yog noj tshuaj thaum xav tau tiag tiag, ntawm qhov qis tshaj plaws thiab lub sijhawm luv tshaj plaws.
  • Thaum ua tau, noj cov tshuaj uas tau muab ib zaug ib hnub nkaus xwb tom qab noj mov thaum koj tus menyuam yuav muaj lub sijhawm ntev tshaj yam tsis tau saib xyuas; rau ntau tus poj niam qhov no yog kev pub noj zaum kawg ntawm hmo ua ntej tus menyuam mos mus pw.
  • Saib xyuas koj tus menyuam kom muaj kev phiv xws li pw tsaug zog, chim siab, lwm yam muaj peev xwm lossis paub txog cov tshuaj tiv thaiv.
  • Zam kev ua yeeb yam ntev (LA), ncua kev tso tawm (ER), thiab cov tshuaj sib xyaw ua ke, thaum ua tau. Cov tshuaj ua kom luv luv yog tshem tawm ntawm koj lub cev sai dua, thiab cov tshuaj ib leeg ua rau koj yooj yim dua rau kev noj tshuaj.
  • Tsuas yog dej-miscible (soluble) qab zib los yog cov khoom siv gel yuav tsum tau siv rau lub mis vim tias cov tshuaj pleev yuav ua rau tus menyuam mos mus rau qib siab ntawm cov ntxhia hauv paraffins ntawm licking.
  • Kev ceev faj tshwj xeeb yuav tsum tau muaj nyob rau hauv cov menyuam mos yug ntxov (premature) , vim lawv qhov loj thiab cov kab mob hauv nruab nrog cev uas tsim muaj tsawg dua li cov me nyuam mos ib txwm muaj.
  • Nug koj tus kws kho mob txog qhov txaus ntshai thiab cov txiaj ntsig ntawm cov tshuaj uas tau sau tseg thaum koj pub niam mis, lossis ib yam tshuaj uas koj xaiv los ntawm OTC cov kev xaiv uas tsis tas yuav tsum tau sau ntawv.
  • Thaum siv ntau tshaj ib qho tshuaj los yog siv tshuaj sib xyaw ua ke, ua raws li cov lus pom zoo rau kev pub niam mis rau cov tshuaj uas muaj teeb meem tshaj plaws.

Yog tias koj muaj lus nug ntxiv txog yuav ua li cas cov tshuaj uas koj noj yuav cuam tshuam rau koj cov kua mis lossis koj tus menyuam, koj tuaj yeem tshawb xyuas peb ceeb toom cev xeeb tub thiab lus ceeb toom pub niam mis nplooj ntawv.

Cov tshuaj tau tshaj tawm tias muaj kev nyab xeeb thaum pub niam mis hauv cov koob tshuaj ib txwm muaj

Tshuaj los yog Class Hom lossis Lub Npe Sau ntawv
acetaminophen Tylenol OTC; siv rau mob / ua npaws / mob taub hau; cov kua mis ntau tsawg dua li cov tshuaj uas feem ntau muab rau cov menyuam mos. Cov teebmeem tsis zoo hauv cov menyuam mos uas pub niam mis zoo li tsis tshua muaj.ib
acyclovir thiab tshuaj valacyclovir Zovirax , Valtrex Rx; antiviral rau herpes kab mob; Qhov ntau npaum ntawm acyclovir hauv cov mis nyuj tsuas yog kwv yees li 1% ntawm cov me nyuam mos noj thiab yuav tsis xav tias yuav ua rau muaj kev phom sij rau cov menyuam mos noj mis. Valacyclovir yog ib tug prodrug ntawm acyclovir.ib
Antacids (Aluminium, magnesium) Maalox, Mylanta

OTC; siv rau mob plab (dyspepsia)

Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv (WHO) txiav txim siab sib haum nrog kev pub niam mis; Txawm li cas los xij, txuas ntxiv saib xyuas tus menyuam kom muaj kev phiv.ob

tshuaj aspirin (tsawg koob, (75 mus rau 325 mg ib hnub nkaus xwb yog tias pom zoo los ntawm kws kho mob)

Tshuaj kho mob/tshaj tom khw; Bayer Aspirin, Bufferin, Ecotrin, thiab lwm yam.

Feem ntau, kev siv tshuaj aspirin yog qhov zoo tshaj plaws zam thaum pub niam mis. Acetaminophen los yog ibuprofen yuav muaj kev nyab xeeb dua rau kev kho mob.

Qee cov kws tshaj lij pom tau tias koob tshuaj tsawg (75 mus rau 325 mg ib hnub twg) cov tshuaj aspirin tuaj yeem siv los ua cov ntshav thinning tus neeg saib xyuas rau cov poj niam pub niam mis uas xav tau. Saib xyuas tus menyuam mos rau qhov nqaij tawv thiab los ntshav.ib

Tsis txhob siv cov tshuaj aspirin ntev ntev, yog tias ua tau.

bupivacaine ua Marcaine Rx; ib qho tshuaj loog hauv zos siv hauv kev ua haujlwm / xa khoom. Vim tias cov qib qis ntawm bupivacaine hauv cov kua mis, thiab nws tsis nqus los ntawm qhov ncauj, cov nyiaj tau txais los ntawm tus menyuam mos yog me me thiab nws tsis tau ua rau muaj kev cuam tshuam tsis zoo rau cov menyuam mos noj mis.ib
caffeine

Pom muaj nyob rau hauv kas fes (80-150 mg rau 6 ooj khob), tshuaj yej, dej qab zib, haus dej cawv, chocolate, guarana, qee cov tshuaj OTC.

Ib Starbucks Grande (16 oz) muaj ~ 300 mg caffeine.

Ib qho stimulant uas kis mus rau hauv cov kua mis.

Tshaj caffeine hauv leej niam tuaj yeem ua rau muaj kev txhawb siab rau cov menyuam mos. Saib xyuas kev chim siab ntawm tus menyuam mos.

Tsis txhob haus dej haus kom muaj zog, cov tshuaj caffeine ntshiab.

Caffeine noj ntawm 300 mg mus rau 500 mg ib hnub max pom zoo.

Caffeine ntau ntau los ntawm cov kua mis yuav siab dua rau cov menyuam mos yug ntxov ntxov.ib

Cephalosporins (xws li Keflex lossis cephalexin)

Feem ntau cephalosporins suav hais tias yog sib haum nrog kev pub niam mis.ob,3

Rx; broad-spectrum tshuaj tua kab mob rau cov kab mob.

Raws li American Academy of Pediatrics (AAP), feem ntau, cov tshuaj tiv thaiv kab mob muaj kev nyab xeeb rau tus poj niam cev xeeb tub yog tias nws muaj kev nyab xeeb rau tus menyuam mos.

Tej zaum yuav cuam tshuam nrog plab hnyuv hauv tus menyuam mos ua rau raws plab lossis thrush.

clotrimazole

Clotrimazole (tshuaj pleev lossis tshuaj pleev)

Rx/OTC; siv los kho cov kab mob poov xab thiab fungal.

Kev noj zaub mov tsis zoo ntawm qhov ncauj, tsis zoo li yuav ua rau muaj kev cuam tshuam rau tus menyuam mos uas pub niam mis, nrog rau kev siv tshuaj pleev rau lub txiv mis.ib

Cov tshuaj tiv thaiv kab mob (progestin nkaus xwb lossis 'cov tshuaj me me'): norethindrone, etonogestrel levonorgestrel, drospirenone)4.6

Piv txwv lub npe: Ortho Micronor , Errin , Heather , Slynd, lwm tus.

Siv los tswj kev yug menyuam. Cov kev xaiv dav dav tuaj yeem muaj.

Cov tshuaj tiv thaiv tsuas yog Progestin nkaus xwb yog suav tias yog cov tshuaj tiv thaiv hormonal ntawm kev xaiv thaum cev xeeb tub, tshwj xeeb tshaj yog thaum thawj 4 lub lis piam tom qab yug menyuam.1.6

Kev tshawb fawb tau pom tias cov tshuaj tiv thaiv kev sib xyaw ua ke tsis cuam tshuam rau lactation, zoo li yav dhau los, tab sis qee tus kws kho mob tseem yuav nyiam cov tshuaj progestin nkaus xwb.7

Tsis muaj cov ntawv ceeb toom txog qhov tsis zoo hauv cov menyuam mos uas pub niam mis nrog niam siv cov tshuaj tiv thaiv progestin nkaus xwb.5

Rau qee tus poj niam, txoj kev tswj tsis tau yug me nyuam yuav nyiam thaum pub niam mis (qhov no suav nrog tooj liab IUD, hnab looj tes, diaphragm thiab lub hau npog ncauj).

Corticosteroids

Piv txwv: prednisone , prednisolone.

Rx; siv los kho mob pob qij txha thiab lwm yam mob.

Raws li qhia los ntawm ToxNet LactMed (NIH) cov ntaub ntawv, tsis muaj qhov cuam tshuam tsis zoo hauv cov menyuam mos uas pub niam mis nrog leej niam siv cov tshuaj corticosteroid thaum pub niam mis.ib

Decongestant nasal sprays Piv txwv: Afrin (oxymetazoline), Sinex (phenylephrine)

OTC; Siv los kho qhov ntswg qhov ntswg.

Txwv kev nqus systemic.

Pom zoo tshaj qhov ncauj decongestants (xws li pseudoephedrine los yog phenylephrine), uas yuav inhibit cov kua mis.ib

digoxin Lanoxin

Rx; siv rau lub plawv tsis ua hauj lwm, lwm yam teeb meem plawv.

Yog tias muab tso rau hauv txoj hlab ntshav, tsis txhob pub niam mis rau 2 teev tom qab noj tshuaj.

Vim tias qhov qis ntawm digoxin hauv cov kua mis, cov khoom noj los ntawm tus menyuam mos yog me me thiab yuav tsis xav tias yuav ua rau muaj kev phom sij rau cov menyuam mos noj mis.ib

erythromycin tshuaj Erythrocin ; Ery-Tab

Rx; macrolides siv rau kab mob ntawm daim tawv nqaij thiab ua pa.

Saib xyuas tus menyuam mos raws plab, candidiasis (thrush, daim pawm ua pob).ib

fexofenadine Allegra ua xua

OTC; non-drowsy antihistamine rau kev ua xua thiab hay fever.

Tsis muaj sedation thiab qis mis nyuj; niam txiv siv fexofenadine yuav tsis xav tias yuav ua rau muaj kev cuam tshuam tsis zoo rau cov menyuam mos uas pub niam mis.ib

Kev siv ua ke nrog cov tshuaj decongestants tuaj yeem txo cov kua mis.

fluconazole Diflucan

Rx; Siv los kho cov kab mob poov xab

Tau txais hauv cov niam tsev laus vim tias cov kua mis tsawg dua li cov menyuam mos.ib

heparin thiab qis molecular hnyav heparins (piv txwv li: dalteparin, enoxaparin) Nco tseg: kev txhaj tshuaj tsis muaj tshuaj heparin sodium yog pom zoo thaum siv tshuaj heparin thaum lub sij hawm lactation.

Rx; siv los ua kom cov ntshav txhaws.

Tsis xav tias yuav tsum tau tawm mus rau hauv cov kua mis los yog nqus los ntawm tus menyuam mos vim qhov hnyav molecular siab. Tsis tas yuav tsum tau ceev faj tshwj xeeb.ib

ibuprofen Motrin , Advil , generics thiab khw muag khoom hom

Rx/OTC: siv rau qhov mob nyem

Vim tias cov mis nyuj qis qis, kev ua haujlwm luv luv, thiab kev nyab xeeb ntawm cov menyuam mos hauv cov koob tshuaj ntau dua li cov uas pom hauv cov mis nyuj, ibuprofen yog ib qho kev xaiv zoo tshaj plaws uas yog ib qho tshuaj analgesic lossis anti-inflammatory agent nyob rau hauv cov niam laus.ib

Inhaled bronchodilators tshuaj albuterol , levalbuterol , lus terbutaline

Rx; siv rau mob hawb pob.

Tsis muaj ntaub ntawv luam tawm.

Cov kws tshaj lij pom zoo siv cov tshuaj inhaled bronchodilators uas tau txais vim tias tsis muaj bioavailability thiab niam cov ntshav qab zib tom qab siv.ib

insulin

Cov niam txiv uas muaj ntshav qab zib siv cov tshuaj insulin tuaj yeem saib xyuas lawv cov menyuam mos.

Ua tib zoo soj ntsuam ntawm cov niam txiv uas xav tau caloric ntxiv thiab cov ntshav qabzib hauv niam txiv yog xav tau.

Insulin feem ntau muaj nyob rau hauv niam mis. Kev siv tau txais.

Rx; rau ntshav qab zib / nce ntshav qab zib; Cov tshuaj yuav tsum tau poob mus txog 25% thaum lactation.

Insulin, suav nrog cov tshiab biosynthetic insulins (aspart, detemir, glargine, glulisine, lispro) yog cov protein uas tsis ua haujlwm thiab rhuav tshem hauv plab hnyuv ntawm tus menyuam mos yog tias noj los ntawm qhov ncauj.8

Laxatives psyllium (Metamucil), docusate (Colace), polyethylene glycol (Miralax).

OTC; siv los kho cem quav.

Psyllium tsis nqus los ntawm txoj hnyuv, yog li nws tsis tuaj yeem nkag mus rau hauv cov kua mis. Nws yog siv tau thaum pub niam mis.ib

Docusate yog absorbed tsawg heev thiab tsis zoo li yuav pom nyob rau hauv cov kua mis. Cov tshuaj laxatives uas tsis tau nqus tau tag nrho yuav nyiam dua li docusate.ib

Polyethylene glycol yog absorbed tsis zoo los ntawm lub plab zom mov, yog li nws tsis tuaj yeem nkag mus rau hauv cov kua mis hauv qhov tseem ceeb. Tsis tas yuav tsum tau ceev faj tshwj xeeb.ib

lidocaine Xylocaine

Rx; ib qho tshuaj loog hauv zos.

Lidocaine yog absorbed tsis zoo los ntawm cov menyuam mos. Lidocaine tsis xav tias yuav ua rau muaj kev phiv hauv cov menyuam mos uas pub niam mis.ib

loratadine Claritin , Claritin RediTabs

OTC; non-drowsy antihistamine rau kev ua xua thiab hay fever.

Tsis muaj sedation thiab qis mis nyuj. Tsis xav tias yuav ua rau muaj kev phom sij rau cov menyuam mos. Qee cov kws tshaj lij pom zoo kom siv cov koob tshuaj qis tshaj plaws.

Loratadine tej zaum yuav muaj kev cuam tshuam tsis zoo rau lactation, tshwj xeeb tshaj yog ua ke nrog cov tshuaj decongestant xws li pseudoephedrine lossis phenylephrine.ib

Tsawg molecular hnyav heparins ( enoxaparin , dalteparin ) Lovenox , Fragmin Rx; siv los ua anticoagulant; tsis xav tias yuav raug tso tawm mus rau hauv cov kua mis vim qhov hnyav molecular siab.ib
magnesium sulfate

Rx; siv los tiv thaiv thiab tswj kev qaug dab peg hauv pre-eclampsia thiab eclampsia.

txhuam dej cawv ntawm tus mob herpes

Postpartum IV siv ntev dua 6 teev tuaj yeem ncua qhov pib lactation.ib

Saib Cov ntsiab lus ntawm kev siv thaum lactation .

tshuaj methyldopa

Rx; siv los kho cov ntshav siab; tsis xav tau kev ceev faj tshwj xeeb.

Vim tias qhov qis methyldopa hauv cov mis nyuj, cov khoom noj los ntawm tus menyuam mos yog me me thiab yuav tsis xav tias yuav ua rau muaj kev phom sij rau cov menyuam mos noj mis.ib

metoprolol Lopressor

Rx; beta-blocker siv los kho cov ntshav siab.

Cov me nyuam mos noj; tsis tas yuav tsum tau ceev faj tshwj xeeb.

Cov kev tshawb fawb txog kev siv metoprolol thaum pub niam mis tsis pom muaj kev phiv tshwm sim hauv cov menyuam mos noj mis.ib

miconazole (tshuaj pleev) Monistat

OTC; siv los kho cov kab mob poov xab.

Bioavailability ntawm qhov ncauj tsis zoo. Tsis zoo li yuav cuam tshuam rau tus menyuam mos uas pub niam mis, nrog rau kev siv tshuaj pleev rau lub txiv mis, tab sis tsis tshua muaj tshuaj.ib

nifedipine Adalat , procardia

Rx; calcium channel blocker siv los kho cov ntshav siab thiab angina (mob hauv siab).

Cov kev tshawb fawb txog kev siv metoprolol thaum pub niam mis tsis pom muaj kev phiv tshwm sim hauv cov menyuam mos noj mis.

Tsis tas yuav tsum tau ceev faj tshwj xeeb.ib

Penicillins amoxicillin , penicillin G

Rx; siv los kho kab mob kab mob.

Qee zaum, pob khaus thiab cuam tshuam ntawm tus menyuam mos plab hnyuv, ua rau raws plab lossis thrush, tau raug tshaj tawm nrog penicillins, tab sis cov teebmeem no tsis tau soj ntsuam zoo.

Amoxicillin, penicillin G tau txais hauv cov niam laus.ib

propranolol Inderal LA, Inderal XL, InnoPran XL

Rx; beta blocker siv los kho mob plawv, ntshav siab, thiab infantile hemangiomas.

Cov kua mis tsawg tsawg thiab tsis xav tias yuav ua rau muaj kev phiv hauv cov menyuam mos uas pub niam mis. Tsis xav tau kev ceev faj tshwj xeeb.ib

theophylline

Elixophyllin, Theo-24, thiab lwm yam

Rx; siv los kho mob ntsws asthma thiab bronchitis.

Saib xyuas tus menyuam mos rau kev chim siab, txhawb nqa, thiab teeb meem pw tsaug zog hauv cov menyuam mos thiab tshwj xeeb tshaj yog cov menyuam mos yug ntxov.

Khaws cov ntshav cov ntshav hauv niam cov ntshav hauv qis qis ntawm cov tshuaj kho mob thiab saib xyuas tus menyuam mos kom pom cov kev mob tshwm sim ntawm theophylline. Xav txog kev saib xyuas menyuam mos liab yog tias xav tau.

Ncua kev tu neeg mob rau 2 teev (tom qab koob tshuaj IV) lossis 4 teev (tom qab noj qhov ncauj tam sim ntawd) yog tias ua tau. Kev ncua kev laus yuav tsis muaj txiaj ntsig yog tias noj cov ntawv ua haujlwm ntev.ib

tretinoin tshuaj Avita, Atralin, Renova, UA Retin A

Rx; cream siv rau pob txuv; tsuas yog siv dej-miscible cream lossis gel khoom.

Xyuas kom meej tias tus menyuam mos daim tawv nqaij tsis tuaj yeem nkag mus ncaj qha rau thaj chaw ntawm daim tawv nqaij uas tau kho.
Hloov cov thyroid Synthroid , levothyroxine

Rx; Hloov cov thyroid hormone ib txwm ua los ntawm koj lub cev los pab tswj koj lub zog thiab cov metabolism.

Levothyroxine tau tawm mus rau hauv cov mis nyuj, tab sis yog ib feem ntawm cov kua mis. Kev siv yog suav tias tsim nyog.ib

Cov tshuaj tiv thaiv kab mob

Cov menyuam mos noj mis yuav tsum tau txhaj tshuaj tiv thaiv raws li cov txheej txheem tsim los ntawm ACIP.

Raws li cov ACIP Cov Lus Qhia Txog Kev Coj Zoo Tshaj Plaws rau Kev txhaj tshuaj tiv thaiv kab mob tshwj xeeb , tshwj tsis yog rau cov tshuaj tiv thaiv kab mob me me thiab ua npaws daj , tsis muaj cov tshuaj tiv thaiv kab mob tsis muaj sia lossis cov tshuaj tiv thaiv kab mob muaj sia rau tus poj niam lactating cuam tshuam rau kev nyab xeeb ntawm kev pub niam mis rau cov poj niam lossis lawv cov menyuam mos.

Thaum cov niam tsev laus tsis tuaj yeem zam lossis ncua kev mus rau thaj chaw muaj kab mob khaub thuas daj uas muaj kev pheej hmoo ntau dua, cov poj niam no yuav tsum tau txhaj tshuaj tiv thaiv.9

Yog tias koj pub niam mis, koj tuaj yeem tau txais cov tshuaj tiv thaiv COVID raws li CDC qhia. Tsis muaj kev tshawb fawb mus ntev, tab sis cov ntaub ntawv tsis ntev los no tau qhia tias cov neeg pub niam mis thiab tau txais cov tshuaj tiv thaiv COVID-19 mRNA muaj cov tshuaj tiv thaiv hauv lawv cov mis, uas tuaj yeem pab tiv thaiv lawv cov menyuam mos, tab sis xav tau cov ntaub ntawv ntxiv los txiav txim seb qhov kev tiv thaiv no zoo li cas. rau tus me nyuam.19

vancomycin (qhov ncauj) Vancocin, Firvanq

Rx; qhov ncauj tshuaj tua kab mob. Tsis tas yuav tsum tau ceev faj tshwj xeeb.

txwv cov ntaub ntawv qhia tias qhov ncauj vancomycin tsim cov mis nyuj tsawg.

Vim tias vancomycin absorbed tsis zoo thaum noj qhov ncauj, nws tsis zoo li nkag mus rau hauv cov hlab ntsha ntawm tus menyuam mos los yog ua rau muaj kev phiv.ib

verapamil Calan , Calan SR, Verelan , Verelan PM

Rx; calcium channel blocker siv rau ntshav siab, angina (mob hauv siab).

Cov ntaub ntawv raug txwv tab sis qhia tias leej niam koob tshuaj verapamil nce mus txog 360 mg ib hnub twg tuaj yeem kuaj pom, tab sis qib qis hauv cov mis nyuj.

Verapamil yuav tsis cia siab tias yuav ua rau muaj kev phiv hauv cov menyuam mos noj mis, tshwj xeeb tshaj yog cov menyuam mos tshaj 2 lub hlis.ib

warfarin Coumadin

Rx; siv los kho lossis tiv thaiv cov ntshav txhaws.

Cov mis nyuj tsawg heev tshwm sim nrog cov koob tshuaj warfarin txog li 12 mg ib hnub twg.

Tsis muaj cov kev mob tshwm sim hauv cov menyuam mos uas pub niam mis tau raug tshaj tawm los ntawm niam txiv siv warfarin thaum pub niam mis, txawm tias muaj koob tshuaj 25 mg ib hnub rau 7 hnub.

Muaj kev pom zoo tias kev kho niam txiv warfarin thaum pub niam mis ua rau muaj kev pheej hmoo me ntsis rau tus me nyuam mos. Tsis xav tau kev ceev faj tshwj xeeb.ib

Rx - tshuaj nkaus xwb; OTC - dhau ntawm lub khw muag khoom

Lwm yam tshuaj uas siv rau kev pub niam mis

Feem ntau, cov ntaub ntawv tsuas yog txwv rau cov teebmeem ntawm cov tshuaj no ntawm tus menyuam mos uas pub niam mis. Ua raws cov kev sib txuas kom paub ntau ntxiv txog kev siv cov tshuaj no hauv kev pub niam mis thiab xyuas nrog koj tus kws kho mob tas li. Kev soj ntsuam ntxiv lossis kev sim kuaj yuav tsum muaj rau tus menyuam mos. Kev sau tshuaj yog tsim los ntawm koj tus kws kho mob.

Tshuaj los yog Class Hom lossis Lub Npe Sau ntawv
ACE inhibitors

captopril , enalapril (Vasotec), benazepril (Lotensin)ib

Rx; siv los kho cov ntshav siab, mob raum, mob plawv.

Captopril, enalapril thiab benazepril tuaj yeem tshwm sim hauv cov kua mis. Txawm li cas los xij, cov khoom noj tsawg tsawg thiab yuav tsis xav tias yuav ua rau muaj kev phom sij rau cov menyuam mos uas pub niam mis.

Tsis muaj ntaub ntawv qhia txog lisinopril; ib qho kev xaiv yuav nyiam.ib

Anticonvulsants - tham nrog koj tus kws kho mob ua ntej; cov ntaub ntawv yuav raug txwv rau qee yam tshuaj.

Tshaj tawm raws li tau hais kom muaj kev nyab xeeb lossis ceev faj siv. Saib xyuas tus menyuam mos kom ze rau qhov tshwm simib:

Tsis txhob siv, lossis siv nrog ceev faj, thiab saib xyuas tus menyuam mos raws li kev pom zoo los ntawm tus kws kho mobib:

Rx; siv rau qaug dab peg thiab kev xav tsis zoo. Cov poj niam cev xeeb tub thiab pub niam mis nrog mob qaug dab peg yuav tsum nco ntsoov sab laj nrog lawv tus kws kho mob txog cov tshuaj qaug dab peg.

Tshawb xyuas cov tshuaj ib leeg raws li qee cov tshuaj tuaj yeem ua rau muaj kev phom sij rau cov menyuam mos, thaum lwm tus yuav muaj kev nyab xeeb dua.

Qee cov tshuaj yuav ua rau muaj kev phiv hauv tus menyuam mos xws li qaug zog, noj zaub mov nyuaj thiab qhov hnyav nce.

Kev kho mob qaug dab peg feem ntau yog siv ua ke. Kev siv ob lossis ntau dua cov tshuaj qaug dab peg tuaj yeem ua rau muaj kev phiv tsis zoo lossis tsis xav txog.

Kev ntsuas tus me nyuam hauv cov ntshav ntshav yuav pab txiav txim siab toxicity yog tias muaj kev txhawj xeeb. Saib xyuas kev loj hlob tseem ceeb.ib

Antihistamines

Cov tshuaj antihistamines tsis txaus feem ntau yog nyiam; feem ntau tsis xav tias yuav ua rau muaj kev phiv rau cov menyuam mos.ib

Sedating antihistamines yog lwm txoj hauv kev rau lub sijhawm luv luv, siv tshuaj tsawg.ib

OTC/Rx; Qee cov tshuaj tiv thaiv kab mob tuaj yeem txo cov mis nyuj (tshwj xeeb tshaj yog thaum siv cov tshuaj decongestant) thiab ua rau me nyuam mos tsaug zog los yog fussiness.

Yog tias sedating, siv cov koob tshuaj qis tshaj plaws thiab noj thaum sawv ntxov tom qab noj mov tas.

isoniazid

generic xwb

Rx; siv los kho tuberculosis

CDC thiab lwm pab pawg kws tshaj lij hais tias kev pub niam mis yuav tsum tsis txhob poob siab rau cov poj niam noj isoniazid.

Cov niam tsev laus uas noj isoniazid yuav tsum noj 25 mg ntawm qhov ncauj pyridoxine txhua hnub.

Muab koob tshuaj ib hnub rau leej niam ua ntej tus me nyuam mos lub sij hawm pw tsaug zog ntev tshaj plaws kom txo cov koob tshuaj uas tus me nyuam tau txais.

Saib xyuas cov menyuam mos rau qhov tsis tshua muaj mob daj ntseg.ib

azathioprine ua

Imuran

Rx; siv los tiv thaiv lub cev tiv thaiv kab mob tom qab hloov khoom nruab nrog; tuaj yeem siv rau kev mob plab hnyuv lossis lupus.

Cov kws tshaj lij feem ntau xav txog kev pub niam mis thaum lub sijhawm azathioprine tau txais. Tej zaum yuav xav saib xyuas cov ntshav suav nrog qhov sib txawv, thiab kuaj lub siab ua haujlwm hauv cov menyuam mos uas pub niam mis tshwj xeeb.ib

Kev soj ntsuam mus ntev rau cov teebmeem xws li mob qog noj ntshav hauv cov menyuam yaus tsis tau ua.

Tsis txhob pub niam mis rau 4 mus rau 6 teev tom qab noj tshuaj.

ibuprofen txhua 4 teev
bupropion ua

Aplenzin , Wellbutrin XL

Rx; rau kev nyuaj siab, kev tsis sib haum xeeb raws caij nyoog, kev haus luam yeeb.

Cov ntaub ntawv kho mob tsis muaj; cov ntaub ntawv qhia txog kev qaug dab peg hauv cov menyuam muaj hnub nyoog 6 hli; lwm yam tshuaj yuav nyiam.ib

Saib xyuas menyuam mos zoo yog tias ua ke nrog SSRI. Saib xyuas ntuav, raws plab, jittiness, lossis sedation; xav saib xyuas cov menyuam mos.ib

clindamycin

Cleocin

Rx; Siv los kho mob plab thiab qhov chaw mos; tshuaj pleev rau pob txuv.

Cov khoom noj ntawm qhov ncauj lossis IV tuaj yeem hloov cov menyuam mos plab hnyuv ua rau raws plab, thrush, lossis tsis tshua muaj ntshav hauv cov quav; xav txog lwm txoj kev.ib

Cov tshuaj pleev tshuaj tsis zoo yuav ua rau me nyuam muaj kev phiv.

Qhov ncauj decongestants

phenylephrine , pseudoephedrine (Sudafed)

OTC; Siv los kho congestion txuam nrog mob khaub thuas los yog ua xua.

Tej zaum yuav ua rau muaj kev chim siab hauv tus menyuam mos; feem ntau cuam tshuam los yog txo cov mis nyuj - tsis txhob siv yog tias lactation tsis zoo tsim.

Ib koob tshuaj pseudoephedrine txo qis mis ntau lawm thiab rov siv dua zoo li cuam tshuam rau lactation. Cov niam txiv uas muaj menyuam mos uas nws cev xeeb tub tseem tsis tau tsim tau zoo lossis hauv cov niam uas muaj teeb meem tsim cov kua mis txaus yuav tsum tsis txhob tau txais pseudoephedrine.ib

Cov ntaub ntawv txwv ntawm qhov ncauj phenylephrine yog li kev xaiv yuav nyiam.

Phenylephrine nasal spray los yog ophthalmic tee yog tsawg dua yuav txo cov mis nyuj.

fluconazole

Diflucan

Rx; tshuaj tua kab mob.

Fluconazole tau txais nyob rau hauv cov niam laus vim hais tias cov nyiaj tso tawm mus rau hauv cov mis nyuj yog tsawg dua li qhov koob tshuaj fluconazole neonatal.ib

Histamine H2 blockers

OTC; siv los kho mob plab acid reflux/heartburn.

Famotidine tuaj yeem xav tau.

Cimetidine tuaj yeem cuam tshuam cov enzymes hauv siab uas ua rau muaj kev cuam tshuam ntawm cov tshuaj.ibLEEJ TWG hais kom zam kev cimetidine vim tsis muaj cov ntaub ntawv mus sij hawm ntev ntawm cov kev mob tshwm sim.ob

Ranitidine (Zantac) tau pom tias ua rau cov tshuaj ua rau mob qog noj ntshav thiab tau raug tshem tawm ntawm US kev ua lag luam .

labetalol

Ua qeeb

Rx; siv rau ntshav siab.

Ceev faj nrog cov me nyuam yug ntxov ntxov; lwm tus neeg sawv cev yuav nyiam.

Qib ntawm labetalol yog tsawg hauv cov kua mis. Tsis tas yuav tsum tau ceev faj tshwj xeeb hauv cov menyuam mos uas muaj hnub nyoog puv sijhawm.

Labetalol tuaj yeem ua rau cov niam tsev laus ua rau Raynaud qhov tshwm sim ntawm lub txiv mis.ib

hydrochlorothiazide

Microzide

Rx; diuretic rau ntshav siab.

koob tshuaj 50 mg ib hnub twg los yog tsawg dua yog siv tau thaum lactation; koob tshuaj ntau dua yuav txo tau cov kua mis.ib

lorazepam

Ativan

Rx; siv los kho kev ntxhov siab, qaug dab peg.

Lorazepam muaj qib qis hauv cov kua mis, thiab lub neej luv luv piv rau qee cov tshuaj benzodiazepines.

Nws muaj kev nyab xeeb ncaj qha rau cov me nyuam mos, thiab tsis xav tias yuav ua rau muaj teeb meem me nyuam mos. Cov ntawv tshaj tawm feem ntau tsis sau cov tshuaj sedation hauv cov menyuam mos ntawm cov koob tshuaj niam txiv ib txwm.ib

naproxen ua

Anaprox, Aleev, Naprosyn

OTC/Rx; siv los kho qhov mob.

Cov ntaub ntawv txwv tsis pub qhia tias qib naproxen hauv cov mis nyuj yog tsawg thiab cov kev mob tshwm sim hauv cov menyuam mos noj mis tsis tshua muaj.

Txawm li cas los xij, vim hais tias ntawm naproxen lub neej ib nrab ntev thiab tau tshaj tawm qhov tshwm sim tsis zoo hauv tus menyuam mos uas pub niam mis, lwm yam NSAIDs (piv txwv li, ibuprofen) lossis acetaminophen yuav nyiam thaum tu tus menyuam mos los yog menyuam mos ntxov ntxov.ib

oxazepam ua

generic xwb

Rx; siv los kho kev ntxhov siab.

Qib qis hauv cov kua mis. Oxazepam tsis xav tias yuav ua rau muaj kev phiv hauv cov menyuam mos uas pub niam mis nrog cov koob tshuaj niam txiv ib txwm.

Tsis tas yuav tsum tau ceev faj tshwj xeeb; Txawm li cas los xij, kev siv luv luv yog ib txwm nyiam.ib

quinidine Tsis muaj

Rx; siv los kho lub plawv dhia irregularities.

Cov ntaub ntawv txwv tsis pub qhia tias leej niam koob tshuaj quinidine txog li 1.8 grams txhua hnub tsim cov mis nyuj tsawg.

Tsis xav tias yuav ua rau muaj kev phiv hauv cov menyuam mos uas pub niam mis, tshwj xeeb tshaj yog tias tus me nyuam loj dua 2 lub hlis.

Xav txog kev ntsuas cov ntshav qab zib kom txiav txim siab tus menyuam mos toxicity yog tias muaj kev txhawj xeeb; saib xyuas cov menyuam mos uas pub niam mis tsuas yog nyob ze.ib

Xaiv Cov tshuaj fluoroquinolone tshuaj tua kab mob

Rx tshuaj tua kab mob

Vim muaj kev phiv loj heev hauv cov neeg mob, cov FDA tau hais hais tias chav kawm no tsis haum rau tej yam mob xws li sinusitis, bronchitis, thiab tsis yooj yim rau urinary ib ntsuj av. Txawm li cas los xij, yog tias tsim nyog, kev siv sij hawm luv luv ntawm ciprofloxacin thiab levofloxacin zoo nkaus li tau txais hauv cov niam laus. Tsis muaj ntaub ntawv qhia txog kev siv moxifloxacin thaum pub niam mis.

Cov lus pom zoo tam sim no hais tias chav kawm no yuav tsum tau tshwj tseg rau kev kis kab mob hnyav dua thaum ua tau.

Saib xyuas tus menyuam mos kom muaj kev cuam tshuam rau lub plab zom mov, xws li raws plab lossis candidiasis (thrush, pawm ua pob).

Fluoroquinolones ib txwm tsis tau siv rau hauv cov menyuam mos vim muaj kev txhawj xeeb txog kev tsis zoo ntawm cov menyuam mos cov pob qij txha. Txawm li cas los xij, kev tshawb fawb qhia tias muaj kev pheej hmoo tsawg.

Yog tias tau muab tshuaj rau hauv tus poj niam laus, zam kev pub niam mis rau 3 mus rau 4 teev tom qab txhaj tshuaj kom pab txo qis qhov tshwm sim ntawm tus menyuam mos.

Kev npaj kho qhov muag ua rau muaj kev pheej hmoo me me rau tus menyuam mos.ib

SSRIs

Cov niam uas noj SSRI tom qab yug me nyuam tej zaum yuav muaj teeb meem ntxiv rau kev pub niam mis, txawm tias qhov no yuav yog qhov cuam tshuam txog lawv lub xeev tus kab mob. Kev txhawb nqa lactation yuav xav tau.ib

Rx; siv los kho kev nyuaj siab, kev nyuaj siab tom qab yug me nyuam.

Feem ntau cov kws tshuaj ntsuam xyuas tau txiav txim siab paroxetine lossis sertraline nyiam antidepressants thaum pub niam mis.ib

Paroxetine : tsis tau kuaj pom hauv cov ntshav ntawm cov menyuam mos feem ntau uas tau kuaj. Qee zaum cov kev mob tshwm sim me me xws li insomnia, nyob tsis tswm thiab quaj ntxiv tau raug tshaj tawm hauv cov menyuam mos uas pub niam mis.ib

Sertraline : qaug zog metabolite norsertraline (desmethylsertraline) tau kuaj pom hauv cov me nyuam mos; Cov menyuam mos yug ntxov uas muaj cov metabolism hauv lub cev tsis zoo tuaj yeem khaws cov tshuaj thiab ua kom pom cov tsos mob zoo ib yam li neonatal abstinence.ib

Feem ntau cov tshuaj tiv thaiv kev ntxhov siab tshiab tsim cov ntshav plasma tsawg heev los yog tsis paub tseeb hauv cov menyuam mos. Cov neeg ua hauj lwm ib nrab ntawm lub neej luv dua tuaj yeem nyiam dua.

spironolactone

Aldactone

Rx; siv los kho ntshav siab

Spironolactone zoo li tau txais thaum pub niam mis.ib

Kev mob hnyav diuresis (kev kho rau cov kua dej tuav) tuaj yeem cuam tshuam lactation tab sis nws tsis zoo li tias spironolactone ib leeg muaj zog txaus los ua rau cov nyhuv no.ib

boost bar rau kev ntxhov siab vim
sumatriptan

Imitrex

Rx; siv los kho migraines

Sumatriptan muaj tsawg qhov ncauj bioavailability nrog cov mis nyuj tsawg. Sumatriptan yuav tsis cia siab tias yuav ua rau muaj kev cuam tshuam tsis zoo rau feem ntau cov menyuam mos noj mis

Cov kws tshaj lij pom zoo kom txwv tsis pub pub niam mis rau 8 teev (12 teev los ntawm cov chaw tsim khoom). Qhov no tej zaum yuav pab tau rau cov menyuam mos yug ntxov ntxov.ib

Sumatriptan yuav tsis cia siab tias yuav ua rau muaj kev mob tshwm sim hauv cov menyuam mos uas pub niam mis feem ntau.

Tetracyclines

  • Achromycin V (tetracycline)
  • Vibramycin, Oracea, Monodox, thiab lwm yam (doxycycline)

Rx; Cov tshuaj tua kab mob tuaj yeem siv los kho pob txuv lossis UTI, kab mob Lyme.

Cov ntaub ntawv muaj qhia tias tsis zoo li yuav ua rau muaj kev phom sij (piv txwv li, cov hniav staining) nrog rau lub sijhawm luv luv ntawm kev siv tetracycline lossis doxycycline thaum lactation vim tias cov mis nyuj qis thiab kev nqus los ntawm tus menyuam mos yog inhibited los ntawm calcium hauv cov kua mis.ib

Kev siv Doxycycline rau cov menyuam yaus hnub nyoog qis dua 8 xyoos yog tam sim no suav tias yog siv tau hauv cov chav kawm txog 21 hnub.ib

Raws li kev ceev faj txwv rau kev siv luv luv thiab tsis txhob rov kho dua.

Saib xyuas cov kab mob hauv plab hnyuv (zaub mov, thrush, pob khaus).

tshuaj trazodone Tsis muaj

Rx; siv rau kev nyuaj siab thiab pw tsaug zog.

Cov ntaub ntawv txwv tsis pub qhia tias cov mis nyuj trazodone tsawg.

Tsis xav tias yuav ua rau muaj kev phiv hauv cov menyuam mos uas pub niam mis, tshwj xeeb tshaj yog tias laus dua 2 lub hlis lossis thaum noj 100 mg lossis tsawg dua yog siv thaum pw tsaug zog.ib

Tricyclic antidepressants (TCAs)

Rx; siv los kho kev nyuaj siab.

Qee cov kws tshaj lij xav txog imipramine lossis nortriptyline TCAs xaiv rau cov niam laus, yog tias yuav tsum siv TCA. Cov mis nyuj tsawg thiab ob peb yam tshwm sim tshwm sim hauv cov menyuam mos.ib

Zam qhov ncauj doxepin vim muaj cov metabolite nquag, muaj nyob rau hauv cov menyuam mos cov ntshav, thiab ntau cov lus ceeb toom tshwm sim.ib

Rx - tshuaj nkaus xwb; OTC - dhau ntawm lub khw muag khoom

Xav paub ntxiv

Raws li tau tshaj tawm los ntawm American Academy of Pediatrics (AAP) xa mus rau LactMed Database kom tau txais cov ntaub ntawv tam sim no tshaj plaws ntawm tus kheej cov tshuaj.

Saib ntxiv

Qhov chaw

  1. National Institutes of Health. US National Library of Medicine. LactMed database. Tau txais Lub Xya Hli 15, 2021 ntawm toxnet.nlm.nih.gov/newtoxnet/lactmed.htm
  2. Department of Adolescent and Child Health and Development. UNICEF. Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb Kev pub niam mis thiab noj tshuaj rau leej niam: cov lus pom zoo rau cov tshuaj nyob rau hauv kaum ib daim ntawv teev npe ntawm WHO tus qauv ntawm cov tshuaj tseem ceeb. Tau txais los ntawm Lub Xya hli ntuj 15, 2021 thaum http://whqlibdoc.who.int/hq/2002/55732.pdf
  3. Hale's tshuaj thiab niam mis. Online. 2021. Springer Publishing Company. Tau txais los ntawm Lub Xya hli ntuj 15, 2021 thaum https://www.halesmeds.com/categories
  4. Kuv puas tuaj yeem siv tshuaj hormonal tswj thaum pub niam mis? Planned Parenthood. Tau txais los ntawm Lub Xya hli ntuj 16, 2021 thaum https://www.plannedparenthood.org/learn/birth-control/breastfeeding/whats-best-birth-control-option-while-breastfeeding
  5. Skyla. Cov lus qhia. Drugs.com. Tau txais los ntawm Lub Xya hli ntuj 16, 2021 thaum find-drugs-conditionspro/skyla-iud.html#s-43684-0
  6. Drospirenone. Cov lus qhia. Drospirenone siv thaum pub niam mis. Drugs.com. Tau txais los ntawm Lub Xya hli ntuj 16, 2021 thaum find-drugs-conditionsbreastfeeding/drospirenone.html
  7. Minipill (progestin-tsuas yog tshuaj tiv thaiv kev yug menyuam). Mayo Clinic. Drugs.com. Tau txais los ntawm Lub Xya hli ntuj 16, 2021 thaum find-drugs-conditionsmcp/minipill-progestin-only-birth-control-pill
  8. Insulin tsis tu ncua. Cev xeeb tub thiab pub niam mis ceeb toom. Drugs.com. Tau txais los ntawm Lub Xya hli ntuj 16, 2021 thaum find-drugs-conditionspregnancy/insulin-regular.html
  9. Kev txhaj tshuaj tiv thaiv kev nyab xeeb rau cov niam uas pub niam mis. US Centers for Disease Control and Prevention (CDC). Lub ib hlis ntuj 24, 2018. Accessed July 17, 2021 at https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/vaccinations.html
  10. FDA hloov kho cov lus ceeb toom rau cov tshuaj fluoroquinolone tshuaj tua kab mob ntawm kev pheej hmoo ntawm kev puas siab puas ntsws thiab cov ntshav qab zib tsis zoo. US Food and Drug Administration (FDA). Xovxwm tshaj tawm. Tau txais los ntawm Lub Xya hli ntuj 21, 2021 thaum Tsab ntawv xov xwm no tshwm sim thawj zaug https://www.fda.gov/news-events/press-announcements/fda-updates-warnings-fluoroquinolone-antibiotics-risks-mental-health-and-low-blood-sugar-adverse
  11. Daim Ntawv Qhia Txog Kev Kho Mob: Kev hloov tshuaj thiab kev kho mob rau hauv tib neeg cov kua mis: kev hloov tshiab ntawm cov ncauj lus xaiv. Pediatrics. 2013; 132(3): e796-e809. Muaj nyob ntawm: http://pediatrics.aappublications.org/content/132/3/e796 . Rov lees paub lub Tsib Hlis 2018. Nkag mus rau Lub Xya Hli 21, 2021.
  12. Thomas J. Tshuaj thiab pub mis niam: Cov lus qhia kom muab cov ntaub ntawv raug rau niam. American Academy of Pediatrics (AAP). Tau txais online Lub Rau Hli 17, 2021 ntawm https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Breastfeeding/Pages/Medications-and-Breastfeeding.aspx
  13. Healthy Children.org. Tshuaj thiab pub niam mis. Kho tshiab 12/12/2015. Tau txais los ntawm Lub Xya hli ntuj 21, 2021 thaum http://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Medications-and-Breastfeeding.aspx
  14. Drugs.com. Tshuaj siv thaum pub niam mis. Lub Xya hli ntuj 21, 2021. Accessed at find-drugs-conditionsbreastfeeding/
  15. Cov tshuaj tiv thaiv COVID-19 thaum cev xeeb tub lossis pub niam mis. US Centers for Disease Control and Prevention (CDC). Lub Rau Hli 29, 2021. Nkag mus rau Lub Xya Hli 20, 2021 ntawm https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/pregnancy.html

Cov ntaub ntawv ntxiv

Nco ntsoov sab laj nrog koj tus kws kho mob kom paub tseeb tias cov ntaub ntawv uas tshwm sim hauv nplooj ntawv no siv tau rau koj tus kheej.