1

preg cat. lactation

1. Gastro-Intestinal System
1.1 Antacids and other drugs for dyspepsia

Aluminium hydroxide +
300 mg + 100 mg
Magnesium hydroxide + tab. No data compatible
+ 25 mg
Simethicone
Carminative mixt. 180 ml/ No data No data
Simethicone tab. 80 mg C No data
Simethicone susp. 40 mg / 0.6 ml C No data

Aluminium hydroxide + 918 mg + 300

NED Magnesium hydroxide + susp. mg + 60 mg No data compatible
Simethicone 15 ml
1.2 Antispasmodics and other drugs altering gut motility

Domperidone tab. 10 mg
C compatible
susp. 5 mg/5 ml in 30 ml
Hyoscine-n-butylbromide tab. 10 mg
inj. 20 mg/1 ml amp. C No data
syr. 5 mg/5 ml in 60 ml bott
Metoclopramide tab. 10 mg B Avoid if possible
Metoclopramide inj. 10 mg/2 ml amp B use with caution

Chlordiazepoxide + Clidinium
NED tab. 5 mg + 2.5 mg * Avoid if possible
bromide ( Librax)
* Preg cat: C (for clidinium bromide), D (for chlordiazepoxide)
 2

preg cat. lactation

1.3 Ulcer-healing drugs and drugs used in variceal bleeding

Omeprazole EC cap. 20 mg
Omeprazole inj. 40 mg/vial C Avoid if possible
HF () Omeprazole syr. 2 mg/ml in 60 ml
Ranitidine hydrochloride tab. 150 mg
B compatible
Ranitidine hydrochloride inj. 50 mg/ 2 ml amp
Sucralfate tab. 1g B No data
:

0.1 mg/ml in 1
Sandostatin (Octreotide) inj.
amp
B No data
: 1.
2. bleeding esophageal varices
1.4 Drugs used in acute diarrhea

Na 75 meq + K 20
meq + Cl 80 meq +
oral
Oral Rehydration Salt (ORS) glucose 111 mmol + No data compatible
powder citrate 11.3 mmol in 1
lite
Loperamide HCl cap. 2 mg B compatible
: 12
1.5 Drugs used in chronic bowel disorders

Sulfasalazine EC tab. 500 mg B Avoid if possible, esp.

premature/ <1 month
1.6 Laxatives

Bisacodyl tab. 5 mg
rectal suppo.
C No data
Bisacodyl 10 mg
Magnesium hydroxide (MOM) susp. 8 gm/100 ml B No data
 3

preg cat. lactation

Lactulose syr. 66.70% B No data
hepatic encephalopathy chronic constipation 6
:

monobasic sodium
phosphate 2.4 g +
Sodium phosphate (SWIFF) oral sol. dibasic sodium C use with caution
phosphate 0.9 g in 5 cc.

: 1.
2. 45 ml 90 ml 24
3.
4.

NED Sodium chloride enema enema 20 ml, 100 ml No data No data

1.7 Local preparations for anal and rectal disorder

Scheriproct ( Proctosedyl) rectal prednisolone 1 mg + No data No data

suppo.
cinchocaine HCl 1 mg +
clemizole 5 mg

2. Cardiovascular System
2.1 Positive inotropic drugs

Digoxin (HAD) tab. 0.25 mg

elix. 0.05 mg/ml in 60 ml C compatible
inj. 0.5 mg/2 ml amp
2.2 Diuretics

Furosemide tab. 40 mg, 500mg

inj. 20 mg/2 ml Avoid if possible,
C
inj. 250 mg/10 ml may inhibit lactation
HF () Syr. 1 mg/ml in 25 ml
HCTZ tab. 50 mg Compatible, Avoid if possible
B (may inhibit lactation)
HF () Syr. 1 mg/ml in 25 ml
 4

preg cat. lactation

20% in 250 ml
Mannitol inj. bottle
C compatible

Spironolactone tab. 25, 100 mg C/D (2No data

& 3rd compatible
trimesters)
HF () Syr. 1 mg/ml in 25 ml
Amiloride HCl + HCTZ D/B Avoid if possible, may
tab. 5 mg + 50 mg
(Moduretic) inhibit lactation

SER-AP-ES tab. Reserpine 0.1 mg + C No data (HCTZ,

NED Hydralazine 25 mg Hydralazine =
+ HCTZ 15 mg compatible)
2.3 Anti-arrhythmic drugs
Atropine sulfate inj. 0.6 mg/ml amp C compatible
Adenosine (Adenocor) inj. 6 mg/2 ml amp No data (T1/2
C )

Amiodarone HCl (Cordarone) inj. 150 mg/3 ml

(HAD) D No data, may be concern
tab. 200 mg
: supraventricular, ventricular and atrial arrhythmias
Magnesium sulfate inj. 10%, 50% B compatible
2.4 Beta-adrenoceptor blocking drugs

Avoid if possible, esp.

Atenolol tab. 25, 50 mg D premature, < 1 month
Propranolol HCl tab. 10, 40 mg C compatible
Carvedilol tab. 12.5 mg C compatible
: systolic heart failure

NED Labetalol inj. 25 mg/5 ml C compatible

: hypertensive emergency hydralazine
 5

preg cat. lactation

2.5 Drugs affecting the renin-angiotensin system and some other antihypertensive drugs
2.5.1 Vasodilator antihypertensive drugs

Hydralazine HCl tab. 25 mg C compatible

Sodium nitroprusside (HAD) inj. 50 mg/vial C No data
: hypertensive emergency ()
2.5.2 Centrally acting antihypertensive drugs

Methyldopa tab. 250 mg B compatible

:
2.5.3 Alpha-adrenoceptor blocking drugs

Prazosin HCl tab. 2 mg C No data

Doxazosin mesilate (Cadura) tab. 2 mg C No data, maybe concern

(promt release)
2.5.4 Angiotensin-converting enzyme inhibitors

Enalapril maleate tab. 5, 20 mg C/D (2No data

& 3rd compatible
HF () Syr. 1 mg/ml in 25 ml trimesters)

C/D (2No data &

Captopril tab. 25 mg 3rd trimesters) compatible
: hypertensive emergency
2.5.5 Angiotensin-II receptor antagonists

C/D (2No data

Losartan tab. 50 mg & 3rd compatible
trimesters)

: 1. ACEI
2.
 6

preg cat. lactation

C/D (2No data

NED Irbesartan (Aprovel ) tab. 300 mg & 3rd compatible
trimesters)
1. 1 DUR repeated
: medication

2.
3.
2.6 Nitrates,calcium-channel blockers and other vasodilators
2.6.1 Nitrates

Glyceryl trinitrate 5 mg/ml in 10 ml

inj. C No data
(Nitroglycerine) (HAD) amp
: hypertensive emergency coronary ischemic
Isosorbide dinitrate tab. 10 mg C No data
Isosorbide dinitrate SL tab. 5 mg C No data
Isosorbide mononitrate (Ismo ) tab. 20 mg C No data
2.6.2 Calcium-channel blockers

Amlodipine tab. 5 mg C No data

Verapamil HCl tab. 40 mg C compatible
Diltiazem HCl tab. 30 mg C compatible
Nicardipine (HAD) inj. 2 mg/ 2 ml C No data
10 mg/ 10 ml
: 1. 2 mg/2 ml
2. hypertensive emergency sodium
nitroprusside nitroglycerine

NED Manidipine tab. 20 mg No data No data

 7

preg cat. lactation

2.7 Sympathomimetics
2.7.1 Inotropic sympathomimetics

Dopamine HCl (HAD) inj. 250 mg/10 ml amp C compatible

Dobutamine HCl (HAD) inj. 250 mg/20 ml vial B No data
Norepinephrine bitartrate (HAD) inj. 4 mg/4 ml amp D No data
: D5W oxidation 8 mg: D5W 250 ml
2.7.2 Vasoconstrictor sympathomimetics

Ephedrine HCl inj. 30 mg/ml amp C No data, maybe concern

: 2 .
2.7.3 Drugs used in cardiopulmonary resuscitation

Adrenaline (Epinephrine) (HAD) inj. 1 mg/ml in 1 ml amp C No data

2.8 Anticoagulants

Warfarin sodium (HAD) tab. 3, 5 mg X compatible

Heparin sodium inj. 5,000 iu/ml in 5 ml vial C compatible
Enoxaparin sodium inj. 4,000 iu/0.4 ml amp B No data
2.9 Antiplatelet drugs

Aspirin EC tab 81 mg, 300 mg * Avoid long term therapy

* Pregnancy cat: C if dose < 150 mg/day /D (3rd trimesters)

Clopidogrel tab. 75 mg B No data
: ()
1. aspirin

2. 1 aspirin (Stent)

3. aspirin recurrent thrombotic events acute coronary syndrome

4. atrial fibrillation antiphospholipid syndrome anticoagulant

5. multiple thrombotic risk factor

6. clopidogrel aspirin (bleeding)

7. NSTEMI aspirin 1
 8

preg cat. lactation

2.10 Fibrinolytic drugs

Streptokinase inj. 1,500,000 iu/vial C No data

: 2 1
2.11 Hemostatics
Tranexamic acid cap. 250 mg
B No data
inj. 250 mg/5 ml amp
: 1. oral bleeding local measure
2. prophylaxis bleeding tendency
3. (menorrhagia)
2.12 Lipid-regulating drugs

Gemfibrozil cap. 300 mg C No data, maybe concern

Simvastatin tab. 10 mg, 20 mg X No data, maybe concern
:
1. simvastatin 40 mg/day 40 mg/day
:
1

2. simvastatin
HIV protease inhibitor, gemfibrozil, erythromycin, clarithromycin, itraconazole,
ketoconazole, somvastatin 20 mg/day amlodipine amiodarone
simvastatin 10 mg/day diltiazem verapamil

NED Rosuvastatin (Crestor) tab. 20 mg X No data, maybe concern

: 1. 1 repeated medication
2. DUR
3.
4. simvastatin
 9

preg cat. lactation

NED Ezetimibe 10 mg (Ezetrol) tab. 10 mg C No data, maybe concern
: 1. 1 repeated medication
2.
3.
3.1 Simvastatin 60-80 mg

3.2
2.13 Blood viscosity reducer agent

NED Pentoxifylline SR tab. 400 mg C No data, maybe concern

3. Respiratory system
3.1 Bronchodilators
3.1.1 Adrenoceptor agonists

Procaterol HCl (Meptin) syr. 5 mcg/ml in 60 ml bott No data No data

Salbutamol sulfate tab. 2 mg
syr. 2 mg/5ml in 60 ml bott
MDI 100 mcg/puff
No data compatible
(200 puff/bottle)
sol. for 5 mg/ml in 20 ml bottle
nebulizer
Terbutaline sulfate tab. 2.5 mg
B compatible
inj. 0.5 mg/ml amp

NED Bambuterol tab. 10 mg No data No data

3.1.2 Compound antimuscarinic bronchodilators
Ipratropium bromide + MDI 0.02 mg + 0.05 mg/puff B No data
(200 puff/bottle)
fenoterol HBr (Berodual )
Ipratropium bromide + sol. for 0.25 mg + 0.5 mg/ml B No data
fenoterol HBr nebulizer
(Berodual)
 10

preg cat. lactation

Fluticasone propionate + MDI 125 mcg + 25 mcg/puff B No data
Salmeterol (Seroflo)
(120 puff/bottle)

Ipratropium bromide+ sol. for 0.5 mg + 3.01 mg in C No data

NED nebulizer 2.5 ml /respule
salbutamol (Combivent)
3.1.3 Theophylline

Aminophylline tab. 100 mg

inj. 250 mg/10 ml amp C compatible
HF () Syr. 10 mg/ml in 10 ml
Theophylline (Theodur) SR tab 200 mg C compatible
Theophylline + Glyceryl syr. 50 mg+30 mg/5 ml C No data
guaiacolate ( Quibron)
(60 ml/ bottle)

3.2 Corticosteroids

100, 200 mcg/puff

Budesonide MDI ](200 puff/ bottle) C Use with caution

Budesonide (Pulmicort sol. for

500 mcg/2 ml in respule C Use with caution
neubulizer) nebulizer
Salmetrerol + Fluticasone 50 mcg + 250 mcg /puff
Terbuhaler (60 puff /bottle) C Use with caution
(Seretide )
2 severe asthma repeated
: medication

beta2-agonist
:
(step down)

3.3 Leucotriene receptor antagonist

Montelukast (Singulair) chewable tab. 5 mg B No data

:
Montelukast tab. 10 mg B No data
 11

preg cat. lactation

3.4 Antihistamines

Chlorpheniramine maleate tab. 4 mg

syr. 2 mg/5 ml in 60 ml bott B No data
inj. 10 mg/ml amp
Hydroxyzine tab. 10 mg C No data
Cetirizine syr. 5 mg/5 ml in 60 ml
B No data
tab. 10 mg
Loratadine tab. 10 mg B compatible

NED Fexofendine tab. 60 mg C compatible

: 2 Loratadine Cetirizine
NED Levocetirizine tab. 5 mg B No data
: 1 UC/
NED Ketotifen fumarate syr. 1 mg/5 ml in 60 ml
C No data
tab. 1 mg
NED Tripolidine + Pseudoephedrine syr. 1.25 mg + 30 mg/5ml
C No data
(Sulidine ) tab. 2.5 mg + 60 mg
: .5
3.5 Pulmonary surfactants
Beractant (Servanta) intratrache lung extract 25 No data No data
al susp mg/ml in 8 ml/vial
2
: respiratory distress syndrome (RDS)

3.6 Cough preparations

3.6.1 Cough suppressants

Dextromethorphan HBr tab. 15 mg C No data

M.Tussis (Opium + Glycerrhiza) mixt. (hosp.) 180 ml/bottle (Hosp.) B/D use with caution
Codeine + glyceryl guaiacolate cap. 10 mg + 100 mg C No data

( Ropect)
 12

preg cat. lactation

3.6.2 Expectorant and demulcent cough preparations

Glyceryl guaiacolate syr. 100 mg/5 ml in 60 ml No data No data

Squill and ammonia (Ammon
mixt. 180 ml/bottle No data No data
carb )

NED Bromhexine tab. 8 mg

No data No data
syr. 4 mg/5 ml in 60 ml
NED Kamilosan-M mouth spray No data No data
3.7 Systemic nasal decongestants

Pseudoephedrine HCl tab. 60 mg

C compatible
syr. 30 mg/5 ml in 60 ml
: 2 .

NED Tripolidine + Pseudoephedrine syr. 1.25 mg + 30 mg/5ml

C No data
tab. 2.5 mg + 60 mg
: . 30
3.8 Other respiratory preparations

Aromatic ammonia spirit spirit No data No data

4 Central nervous system
4.1 Hypnotics and anxiolytics
: 4
Chloral hydrate oral sol. 50 mg/ml C compatible in single dose
Chlordiazepoxide cap. 10 mg D No data, may be concern

Diazepam tab. 2, 5 mg compatible in single dose,

D avoid giving repeated dose
inj. 10 mg/2 ml amp
 13

preg cat. lactation

Lorazepam tab. 0.5 mg D No data, may be concern

Clonazepam tab. 0.5, 2 mg D compatible

Dipotassium chlorazepate cap. 5 mg D No data, may be concern

Hydroxyzine () tab. 10 mg C No data

Alprazolam tab. 0.5 mg D No data, may be concern

: 30
Midazolam tab. 15 mg D No data, may be concern

: 2
20
4.2 Drugs used in psychoses and related disorders
4.2.1 Antipsychotic drugs

Chlorpromazine HCl tab. 50 mg,100 mg

C Avoid if possible
inj. 50 mg/2 ml amp
Clozapine () tab. 25, 100 mg B No data, may be concern

:
Fluphenazine decanoate inj. 25 mg/ml amp C Avoid if possible
Haloperidol tab. 2, 5 mg
C Avoid if possible
inj. 5 mg/ml amp
Perphenazine tab. 2, 4 mg C No data, may be concern

Trifluoperazine () tab. 5 mg C No data, may be concern

Thioridazine HCl tab. 100 mg C No data

Risperidone () tab. 1 mg C Avoid if possible
:
: 5

Chlorpromazine + Amobarbital
NED tab. 25 mg + 50 mg C No data, may be concern
(A.M.A)
 14

preg cat. lactation

4.2.2 Antimanic drugs

Carbamazepine tab. 200 mg D compatible

Lithium carbonate () cap. 300 mg D Avoid if possible
Sodium valproate EC tab 200 mg D compatible
Sodium valproate SR tab 500 mg D compatible
4.3 Antidepressant drugs

compatible in dose up to
Amitriptyline HCl tab. 10, 25 mg C 150 mg/day
Imipramine HCl tab. 25 mg D No data, may be concern

Fluoxetine HCl cap. 20 mg C No data, may be concern

Mianserin HCl tab. 10 mg No data No data

4.5 Drugs used in nausea and vertigo

4.5.1 Drugs used in nausea and vomitting

Domperidone maleate tab. 10 mg

C compatible
susp. 5 mg/5ml in 30 ml bott
Metoclopramide tab. 10 mg
B Use with caution
inj. 10 mg/ml amp
Ondansetron inj. 8 mg/2 ml amp B No data, may be concern
4.5.2 Drugs used in vestibular disorders

Dimenhydrinate tab. 50 mg
B No data, may be concern
inj. 50 mg/ml amp
Betahistine tab. 6 mg No data No data
4.6 Analgesics and antipyretics

Acetaminophen (Paracetamol) tab. 325, 500 mg

syr. 120 mg/5 ml B compatible
drop 100 mg/1 ml in 15 ml
Ibuprofen FC tab. 200, 400 mg
B compatible
susp. 100 mg/5 ml in 60 ml
 15

preg cat. lactation

NED Acetaminophen (Paracetamol) inj. 300 mg/2 ml B compatible

NED Methyl salicylate cream 25% No data No data
4.7 Analgesics
4.7.1 Opioid analgesics

C/D (3rd
Fentanyl inj. 100 mg/2 ml amp
trimesters)
compatible
C/D (3rd
HF () Methadone HCl oral sol. trimesters)
compatible
Morphine sulfate inj. 10 mg/ml amp C/D (3rd compatible in single dose,
trimesters) avoid giving repeated dose
SR tab. 10 mg
C/D (if used
for prolonged
compatible in single dose,
Pethidine HCl inj. 50 mg/ml amp period or in
avoid giving repeated dose
high doses at
term)
: 2 .
Tramadol HCl cap. 50 mg C No data

Paracetamol + Codeine ( tab. 300 mg + 15 mg C compatible in single dose,

NED
Tylenol with codeine, TWC) avoid giving repeated dose

: 30
4.7.2 Drugs for neuropathic pain

compatible in dose up to
Amitriptyline HCl tab. 10, 25 mg C 150 mg/day
Carbamazepine tab. 200 mg D compatible
Gabapentin cap. 300 mg C No data, matbe concern
: 1. 2 neuropathic pain
2. repeated medication
3. repeated
medication
 16

preg cat. lactation

4.7.3 Antimigraine drugs
4.7.3.1 Drugs for acute migraine attack

Acetaminophen (Paracetamol) tab. 325, 500 mg B compatible

rd
Aspirin EC tab 300 mg C/D (3
Avoid long term therapy
trimesters)
: 18 Reye's syndrome
Ibuprofen FC tab. 200, 400 mg B compatible
Ergotamine tartrate + Caffeine
tab. 1 mg + 100 mg X Avoid if possible
( Carfergot)

belladona ext eq to
hyoscine 100 mcg +
NED Belloid tab. ergot 300 mcg + X No data
phenobarbital 20 mg

4.7.3.2 Drugs used in the prophylaxis of migraine

compatible in dose up to
Amitriptyline HCl tab. 10 mg, 25 mg C 150 mg/day
Propranolol HCl tab. 10 mg, 40 mg C compatible
Avoid if possible,
Cyproheptadine HCl tab. 4 mg B
Sodium valproate EC tab. 200 mg D compatible
SR tab. 500 mg D compatible
:
Topiramate tab. 50 mg C No data
:

NED Flunarizine HCl cap. 5 mg No data No data

 17

preg cat. lactation

4.8 Antiepileptics
4.8.1 Drugs used in the control of epilepsy

Carbamazepine tab. 200 mg D compatible

Phenobarbital sodium tab. 30 mg, 60 mg D compatible
Phenytoin (as base) tab. 50 mg D compatible
Phenytoin sodium SR cap. 100 mg D compatible
Sodium valproate EC tab. 200 mg D compatible
Sodium valproate SR tab.* 500 mg D compatible
Sodium valproate oral sol. 200 mg/ml in 60 ml D compatible
Topiramate (Topamax) tab. 50 mg C No data
: 2 repeated medication
4.8.2 Drugs used in status epilepticus

compatible in single dose,

Diazepam inj. 10 mg/2ml amp D avoid giving repeated dose

Phenobarbital sodium inj. 200 mg/ml amp D compatible

Phenytoin sodium inj. 250 mg/5 ml vial D compatible
Sodium valproate inj. 400 mg/in 4 ml amp D compatible
: refractory status epilepticus
Midazolam HCl inj. 5 mg/ml in 3ml amp D No data, may be concern

: refractory status epilepticus , 2 .
4.9 Drugs used in movement disorder

compatible in single dose,

Diazepam tab. 2 mg, 5 mg D avoid giving repeated dose

Levodopa + carbidopa Avoid if possible, levodopa

tab. 100 mg + 25 mg C may inhibit lacatation
(Sinemet)
Propranolol HCl tab. 10 mg, 40 mg C compatible
Trihexyphenidyl HCl tab. 2 mg C use with caution
Baclofen tab. 10 mg C compatible
 18

preg cat. lactation

Clozapine tab. 25, 100 mg B No data, may be concern

: 4 .
Bromocriptine mesylate tab. 2.5 mg C use caution
4.10 Drugs used in substance dependence
4.10.3 Drug used in opioid dependence

HF () Methadone HCl oral sol. B compatible

: 2 .
4.10 Drug used in dementia, Alzheimer's dementia and senile

NED Donepezil (Aricept) tab. 10 mg C No data

: 1 repeated medication
5. Infections
5.1 Antibacterial drugs
5.1.1 Penicillins

Amoxicillin cap. 250, 500 mg

dry syr. 125 mg/5 ml in 60 ml B compatible
dry syr. 250 mg/5 ml in 60 ml

Ampicillin sodium inj. 250 mg, 1g B compatible

Cloxacillin sodium inj. 1 gm B compatible
Dicloxacillin cap. 250, 500 mg
62.5 mg/5 ml in 60 ml
B compatible
dry syr.
Penicillin G inj. 1, 5 B compatible
Penicillin G benzathine inj. 1.2 B compatible
Penicillin V dry syr. 125 mg/5 ml in 60 ml
B compatible
tab. 250 mg
 19

preg cat. lactation

Amoxycillin + potassium tab. 625 mg = amoxicillin
500 mg + clavulanic
clavulanate (Augmentin) acid 125 mg

tab. 400 mg+ 57 mg/5 ml

(35 ml/ bottle)
B compatible

inj. amoxicillin 1 gm +
clavulanic acid 0.2 gm
in 1 vial
:
1. alternative treatment bactrim melioidosis
2. H. influenzae / M. catarrhalis ampicillin
3. / aerobes anaerobes
4. ampicillin beta-lactamase

5.1.2 Cephalosporins,cephamycins,and other beta-lactams

Cefalexin (Cephalexin) dry syr. 125 mg/5 ml in 60 ml

B compatible
cap 250 mg
: S. aureus penicillin
E. coli
Cefazolin sodium inj. 1 gm B compatible
:

Cefotaxime sodium inj. 1 gm B compatible

:
1. kernicterus Ceftriaxone
2. 1
3. (alternative drug) ceftriaxone

Ceftriaxone sodium inj. 1 gm B compatible

:
1. serious community acquired bacterial infection
Pseudomonas aeruginosa
2. gram-negative meningitis 1
3. penicillin resistance S. pneumoniae (PRSP) Gonococcus
4. aminoglycosides
5. gonococcus
 20

preg cat. lactation

Ceftazidime inj. 1 gm B compatible
:
empirical/specific therapy P.aeruginosa melioidosis
Cefixime (Cefspan) cap. 100 mg B compatible
Cefixime (Cefspan) dry syr. 100 mg/5 ml in 30 ml B compatible
:
switch therapy
ceftriaxone
Cefoperazone + Sulbactam inj. 500 mg + 500 mg B compatible

(Sulperazon)

: nosocomial infection
Acinobactor spp. (DUE)
Cefoxitin sodium inj. 1gm B compatible
:
1. (alternative treatment)
2. Non-tuberculosis Mycobacterium spp. (atypical mycobacterium)
rapid growers
3. beta-lactamase inducer
Meropenem inj. 1 gm B No data

:
(MDR) (DUE)

NED Cefuroxime inj. 750 mg B compatible

: bone cement
5.1.3 Tetracyclines

Doxycycline HCl cap. 100 mg D Avoid if possible

Tigecycline inj. 50 mg/vial D No data, maybe concern
:
 21

preg cat. lactation

5.1.4 Aminoglycosides

Gentamicin sulfate inj. 80 mg/2ml amp D compatible

Amikacin sulfate inj. 500 mg/2 ml vial D No data
: gentamicin / netilmicin ** MDR-TB
5.1.5 Macrolides

Erythromycin stearate dry syr. 125 mg/5 ml in 60 ml B compatible

: 6
Roxithromycin tab. 100, 150 mg No data No data
Clarithromycin tab. 500 mg C No data
:
1. URI
2. non-tuberculous Mycobacterium spp.
3. triple therapy quardruple therapy H. pyroli
complicated ulcer NSAIDs
Azithromycin cap 250 mg C use with caution
:
1.
2. non-tuberculous mycobacterium (NTM)

3. scrub typhus doxycycline

4. azithromycin 2 syphilis doxycycline ceftriaxone
5.1.6 Quinolones

Norfloxacin tab. 100 mg C Avoid if possible

Ofloxacin tab. 200 mg C Avoid if possible
: MDR-TB

Ciprofloxacin tab. 500 mg

C Avoid if possible
inj. 200 mg/100 ml
:
1. beta-lactam / amioglycoside
2. empirical therapy 3 beta-lactam / amioglycoside severe
hospital-acquired pneumonia
 22

preg cat. lactation

Levofloxacin tab. 500 mg C Avoid if possible
inj. 500 mg/100 ml C Avoid if possible
:
1. second-line drug MDR-TB
2. moderate to severe CAP lower respiratory tract pneumonia drug resistant
S. pneumoniae (DRSP) pathogen atypical pneumonia
3. moderate to severe CAP* lower respiratory tract pneumonia
drug resistant S. pneumoniae (DRSP) pathogen atypical pneumonia macrolide
switch therapy

: * CAP 3 IDSA 2007 levofloxacon 750

5 500 mg 7
5.1.7 Some other antibacterials

Chloramphenicol sodium
inj. 1 gm C Avoid if possible
succinate
:
1. rickettsiosis (scrub typhus, murine typhus) first-line drug
2. bacterial meningitis
Metronidazole tab. 200 mg
B Avoid if possible
inj. 500 mg/100 ml
Clindamycin cap. 300 mg B
Avoid if possible
inj. 600 mg/in 4 ml B
:
1. anaerobe
beta-lactam type I (anaphylaxis, urticaria) anaerobe
2. (alternative drug) PCP
3. 1 2
antibiotic associated colitis (AAC)
Lincomycin inj. 600 mg/ in 2 ml B use with caution
:

 23

preg cat. lactation

Vancomycin pwdr for inj. 500 mg/ vial B No data

: MRSA MRSE DUE
Colistimethate sodium pwdr for inj. 150 mg/vial C use with caution

: specific therapy gram-negative-MDR

NED Colistin sulfate dry syr. 1.5 / C use with caution

5.1.8 Sulfonamides and trimethoprim

Cotrimoxazole (Sulfamethoxazole + tab. SMP 400 mg + TMP

Trimethoprim) 80 mg
inj. SMP 400 mg + TMP
80 mg in 5ml Avoid if possible, esp.
C/D premature, < 1 month
susp. SMP 200mg + TMP
40 mg in 5ml (60
ml/bottle)
: PCP
Sulfadiazine tab. 500 mg B/D (at term) Avoid if possible
: toxoplasmosis
5.1.9 Antituberculous drugs

Ethambutol HCl tab. 400 mg B compatible

Isoniazid (INH) tab. 100 mg C compatible
Pyrazinamide tab. 500 mg C use caution
Rifampicin cap. 300 mg, 450 mg C compatible
Streptomycin sulfate inj. 1 gm D compatible
INH + Rifampicin + PZA + 75 + 150 + 400 +

Ethambutol (Rifafour) tab. 275
INH + Rifampicin (Rifinah 150) tab. 75 + 150
INH + Rifampicin (Rifinah 300) tab. 75 + 300
Amikacin sulfate* inj. 500 mg/ 2 ml vial D No data
 24

preg cat. lactation

Kanamycin sulfate* inj. 1 gm D compatible
Ofloxacin* tab. 200 mg C Avoid if possible
Para-aminosalicylic acid (PAS)* EC tab. 1 gm C No data
Ethionamide* tab. 250 mg C No data
Cycloserine* cap. 250 mg C compatible
Levofloxacin tab. 500 mg C Avoid if possible
: * MDR-TB second line drug
5.1.10 Antileprotic drugs

Clofazimine cap. 50 mg C Use with caution

Dapsone tab. 100 mg C compatible
5.2 Antifungal drugs

Fluconazole cap. 200 mg C compatible

: invasive infection dermatomycoses
Griseofulvin tab. 500 mg C No data
Ketoconazole tab. 200 mg C compatible
Nystatin oral susp. 100,000 iu/ml in 12 ml C compatible
bott
Amphotericin B (HAD) inj. 50 mg B No data
: invasive infection
Itraconazole cap. 100 mg C No data

: Penicillosis marneffei, cryptococcosis, vaginal candidiasis

dermatomycoses
5.3 Antiviral drugs
5.3.1 Non-antiretrovirals

Acyclovir tab. 800 mg B compatible

:
1. varicella-zoster herpes simplex
2. herpes zoster
3. recurrent herpes simplex infection
 25

preg cat. lactation

Lamivudine tab. 150 mg
:
1. chronic hepatitis B HBeAg positive negative
1.1 ALT 1.5 HBV DNA 10000 copies/ml
2000 IU/ ml /
1.2 liver histology chronic hepatitis
2. compensated decompensated cirrhosis HBV DNA
3. HBsAg positive
4. HIV serology negative 2 3
HIV serology negative
(1) Oseltamivir (Tamiflu) cap. 30, 45 75 mg C No data

NED Acyclovir cream 5% in 1 g/ B compatible

5.3.2 Antiretrovirals
:

(1) AZT + 3TC (Combid ) tab. 300 mg + 150 mg C Avoid if possible
(1) Didanosine (ddI) chewable tab. 125 mg B Avoid if possible
(1) Didanosine (ddI) chewable tab. 200 mg B Avoid if possible
(1) Efavirenz (EFV) cap. 200 mg C Avoid if possible
(1) Efavirenz (EFV) tab. 600 mg C Avoid if possible
(1) Indinavir sulfate (IDV) cap. 400 mg C Avoid if possible
(1) Lamivudine (3TC) tab. 150 mg C Avoid if possible
Lamivudine + Stavudine tab. 150 mg + 30 mg C
(1)
(Lastavir) Avoid if possible

Lamivudine + Stavudine + 150 mg + 30 mg +

(1) tab. 200 mg
C
Nevirapine (GPO vir-S30) Avoid if possible
Lamivudine + Nevirapine + tab. 150 mg + 200 mg + C
(1) Zidovudine (GPO vir-Z 250) 250 mg Avoid if possible
(1) Lopinavir + Ritronavir (Kaletra) tab. 200 mg + 50 mg C Avoid if possible
 26

preg cat. lactation

(1) Nevirapine (NVP) tab. 200 mg mg C Avoid if possible
(1) Nevirapine (NVP) syr. 10 mg/ml in 10 ml C Avoid if possible
(1) Nelfinavir tab. 250 mg B Avoid if possible
(1) Ritonavir (RTV) cap. 100 mg B Avoid if possible
(1) Stavudine (d4T) cap. 20 mg, 30 mg C Avoid if possible
(1) Tenofovir (Viread) tab. 300 mg B Avoid if possible
(1) Zidovudine (AZT) cap. 100 mg, 300 mg
C Avoid if possible
oral sol. 10 mg/ml in 60 ml
5.4 Antiprotozoal drugs
5.4.1 Antimalarials

Chloroquine diphosphate tab. 250 mg ( C compatible

150 mg base)

Primaquine phosphate tab. 15 mg C compatible

300 mg (
Quinine sulfate tab. D compatible
250 mg base)
Quinine HCl inj. 600 mg/2 ml amp D compatible
Artesunate* tab. 50 mg
No data No data
inj. 60 mg/amp
Mefloquine HCl* tab. 250 mg C Avoid if possible

: *

5.4.2 Other antiprotozoal drugs

Metronidazole tab. 200 mg

B Avoid if possible
inj. 500 mg/100ml
: amebiasis, giardiasis urogenital trichomoniasis
Pyrimethamine tab. 25 mg C compatible
Toxoplasmosis
:

 27

preg cat. lactation

5.5 Anthelmintics

Albendazole tab. 200 mg C compatible

Diethylcarbamazine tab. 300 mg No data No data
100 mg/5 ml in 30
Mebendazole susp. ml bottle C compatible
Niclosamide tab. 500 mg B compatible
Praziquantel tab. 600 mg B compatible
5.6 Antiseptics

Chlorhexidine gluconate sol. 5% No data

Cresol (Lysol) sol. 50% No data
Ethyl alcohol sol.* 70%, 90% No data
Formaldehyde (Formalin) sol. No data
Gentian violet sol. paint No data
Hydrogen peroxide sol. No data
Potassium permanganate pwdr No data
Povidone iodine sol. 10% No data
Tincture of iodine sol.* 2.5% No data

NED Chlorhexidine scrub 4% No data

Chlorhexidine gluconate Obstetric
NED cream No data
HF Chlorhexidine + Cetrimide ( sol.* 1% in water No data
Savlon) sol.* 1:30 in water No data
sol.* 1:30 in 70% alcohol No data
NED Glutaraldehyde sol. No data
NED Povidone iodine scrub No data
NED Sodium hypochlorite sol. 10% No data
 28

preg cat. lactation

6 Endocrine system
6.1 Drugs used in diabetes
6.1.1 Insulins

Mixtard insulin 70/30 inj. 100 u/ml in 10 ml vial B compatible

Mixtard insulin 70/30 (Penfill) penfill inj. 100 u/ml in 3 ml vial B compatible
NPH insulin (Insulatard ) inj. 100 u/ml in 10 ml vial B compatible
NPH insulin (Insulatard Penfill ) penfill inj. 100 u/ml in 3 ml vial B compatible
Regular insulin inj. 100 u/ml in 10 ml vial B compatible
6.1.2 Oral antidiabetic drugs

Glibenclamide tab. 5 mg C compatible

Glipizide tab. 5 mg C No data

Metformin HCl tab. 500 mg B No data
Pioglitazone tab. 30 mg C No data

NED Gliclazide tab. 80 mg C No data

NED Sitagliptin (Januvia) tab. 100 mg C No data
1 repeated
: medication

6.2 Thyroid and antithyroid drugs

6.2.1 Thyroid hormones

Levothyroxine sodium tab. 0.1 mg A compatible

6.2.2 Antithyroid drugs

HF() Lugol's solution oral sol.* 5% iodine + 10% KI No data Avoid if possible
Methimazole tab. 5 mg D compatible
Propylthiouracil (PTU) tab. 50 mg D compatible
 29

preg cat. lactation

6.3 Corticosteroids

use caution, compatible in

Dexamethasone inj. 5 mg/ml amp C single dose
use caution, compatible in
Hydrocortisone inj. 100 mg/vial C single dose
Prednisolone tab. 5 mg C compatible
Methylprednisolone inj. 1,000 mg/vial C No data
:
Triamcinolone inj. 10 mg/ml , 5 ml/vial
D (1st
trimester)/C
No data
40 mg/ml , 1 ml /vial
: 1.
2. 2 ()
3 1
3. intra-lesion injection (intradermal injection)

2.5-10 mg/ml 0.9 % NSS
keloid 40 mg/ml 3-4
6.4 Sex hormones
6.4.1 Female sex hormones

Medroxyprogesterone acetate compatible from 6 wks

tab. 5 mg X
(Provera) post-partum
compatible from 6 wks
Norethisterone (Primalut-N) tab. 5 mg X
post-partum
Conjugated estrogens (Premarin) tab. 0.625 mg X No data
Hydroxyprogesterone caproate
inj. 250 mg/ml amp X No data
(Proluton)

NED Clomiphene citrate cap. 50 mg X No data

: 1
Estradiol valerate + Norgestrel tab. 2 mg + 0.5 mg X Avoid f possible. May
NED inhibit lactation
(Cycloprogynova)
 30

preg cat. lactation

NED Tibolone (Livial) tab. 2.5 mg X use caution
: 1
Levonorgestrel (Mirena) intrauterine 52 mg/ X compatible from 6 wks
NED system post-partum
: 1. dysmenorrhe, menorrhagia uterine fibroid
2.
6.4.2 Male sex hormones and antagonists

Cyproterone acetate tab. 50 mg X No data

moderate to severe hirsutism
:
combined oral contraceptive spinololactone

:

NED Testosterone undecanoate (Andriol) cap. 40 mg X Avoid

1. 2
: repeated medication

2.

6.5 Drugs affecting bones metabolism

NED Alendronate sodium + Vitamin D tab. 70 mg + 2800 iu C No data

(Fosamax Plus)
: 1
NED Glucosamine sulfate cap. 250 mg No data No data

: (
)
NED Hylan G-F 20 (Synvisc) inj. 8 mg/ml in 2 ml No data No data
:
 31

preg cat. lactation

6.7 Other endocrine drugs
6.7.1 Bromocriptine and other dopaminergic drugs

Bromocriptine mesylate tab. 2.5 mg B use caution

: prolactinoma, acromegaly amenorrhea

galctorrhea
6.7.2 Drugs affecting gonadotrophins

NED Danazol cap. 200 mg X Avoid f possible

7 Obstetrics, gynaecology and urinary-tract disorders
7.1 Drugs used in obstetrics
7.1.1 Prostaglandins, prostaglandins antagonists and oxytocics

compatible in single dose,

Methylergometrine maleate inj. 0.2 mg/ml amp C Avoid repeated dose
compatible in short term
Oxytocin inj. 10 IU/amp X use, Avoid prolong use
Indomethacin sodium (HAD) inj. 50 mg in 1 amp C/D (if used >
48 hrs or after
34 weeks compatible
gestation)

: patent ductus arteriosus

ibuprofen syr
Sulprostone (Nalador) inj. 500 mcg No data compatible
: severe post-partum haemorrhage

NED Misoprostol (Cytotec) tab. 200 mcg X Avoid f possible

:
NED Prostaglandin E1 (Prostin VR) inj. 500 mcg/amp C No data
: 2 ductus arteriosus maintenance
 32

preg cat. lactation

7.1.2 Myometrial relaxants

Salbutamol sulfate tab. 2 mg No data compatible

Terbutaline sulfate tab. 2.5 mg
B compatible
inj. 0.5 mg/ml amp

NED Nifedipine cap. 10 mg C compatible

: 1. : inhibit labor
2. : Nifedipine iv
3. : NPO SBP > 180 1 dose
Nicardipine iv
4. : systemic sclerosis
5. : rapidly progressive glomerulonephritis
acute poststreptococcal glomerulonephritis
7.2 Treatment of vaginal and vulval conditions

Clotrimazole vag. tab. 100 mg/tab B No data

1 g 0.625 mg of

Conjugated estrogens (Premarin ) vag. cream conjugated estrogen, X No data
14 g/

1 1.5 mg of
NED Estradiol 17-beta (Oestrogel) gel estradiol,80 g/ X No data
7.3 Contraceptives

Nordette (Ethinylestradiol + tab. 30 mcg + 150 mcg X

Levonorgestrel)
No data
compatible from 6 wks post-
Levonorgestrel implant X partum
compatible from 6 wks post-
Medroxyprogesterone acetate (DMPA) inj. 150 mg/ 3 ml vial X partum
Lynestrenol (Exluton) tab. 0.5 mg D No data
 33

preg cat. lactation

7.4 Drugs for genito-urinary disorders
7.4.1 Drugs for benign prostatic hyperplasia

Alfuzosin (Xatral XL ) CR tab. 10 mg B No data

Doxazosin mesylate tab. 2 mg C No data, may be concern

NED Doxazosin GITS (Cadura XL) CR tab. 4 mg C No data, may be concern

NED Dutasteride (Avodart) tab. 5 mg X No data
1
: alpha-blocker combination

NED Tamsulosin tab. 0.4 mg B No data
: BPH
D
NED Permixon tab. 160 mg No data
: medication

7.4.2 Drugs for urinary frequency,enuresis,and incontinence

Oxybutynin (Diutropan) tab. 5 mg B No data

:
1. urge incontinence stress incontinence
2. nocturnal enuresis ()
3.

NED Solifenacin (Vesicare) tab. 5 mg C No data

2
:
repeated medication
NED Tolterodine (Detrusitol) CR cap. 2 mg C No data

:

 34

preg cat. lactation

7.4.3 Drugs used in alkalinisation of urine

Shoul 's solution (Sodium oral sol.* 1 ml = 1 mEq of Na No data No data

HF() citrate+ Citric acid) + 1 mEq of
bicarbonate

Potassium sodium hydrogen pwdr 2.4 g/ C No data

NED
citrate (Uralyt-U)
7.4.4 Drug used in erectile dysfunction

NED Sildenafil (Viagra) tab. 100 mg B No data

1
: repeated medication 2

8 Malignant disease and immunosuppression

8.1 Cytotoxic drugs
8.1.1 Alkylating drugs

Cyclophosphamide tab. 50 mg
D Avoid
inj. 200 mg/vial
8.1.3 Antimetabolites

Fluorouracil (5-FU) inj. 500 mg/10 ml vial D Use alternative medicine

Methotrexate (HAD) tab. 2.5 mg
X Avoid
inj. 50 mg/2 ml amp
8.1.5 Other antineoplastic drugs

Carboplatin inj. 50 mg/ bott D No data

8.2 Drugs affecting the immune response

use caution, compatible in

Dexamethasone inj. 5 mg/ml amp C single dose
Prednisolone tab. 5 mg C compatible
 35

preg cat. lactation

Azathioprine tab. 500 mg D Avoid
Methylprednisolone inj. 1,000 mg/vial C No data
:
1. induction therapy
2. acute rejection (renal allograft acute rejection), SLE ,
glomerulonephritis , vasculitis, aplastic anemia, idiopathic thrombocytopenic purpura
demyelinating disease
pwdr for
BCG dried power (Immucyst) inj.
81 mg/vial No data No data
: bladder cancer
8.3 Sex hormones and hormone antagonists in malignant disease
8.3.1 Prostaglandins, anti-estrogens and enzyme inhibitors

Tamoxifen citrate tab. 20 mg D Avoid

:
9 Nutrition and blood
9.1. Whole blood, blood products and drugs used in some blood disorders
9.1.1 Whole blood and blood products

Fresh frozen plasma

Leukocyte depleted packed red cell
Lyophillized cryoprecipitate
Packed red cell
Platelet concentration random donor
Whole blood
9.1.2 Drugs used in hypoplastic, hemolytic and renal anaemias

Folic acid tab. 5 mg A compatible

Deferoxamine mesilate pwdr for
500 mg/vial C No data
(Desferal ) inj.
 36

preg cat. lactation

Iron sucrose inj. 100 mg/5 ml B No data

: CKD epoietin
therapy ()
Deferiprone (GPO-L-ONE) tab. 500 mg/tab No data No data

:
6
Epoetin alfa (Erythropoietin,
(2) inj. 3,000 IU/amp C use with caution
Eprex)
1
:

300 mcg pre-fill

NED C No data
Filgrastim (G-CSF) inj. syringe
1. 2 DUE febrile neutropenia ANC < 500
:
cell/mm3
2. febrile neutropenia ANC < 500 cell/mm3

9.2 Fluid and electrolyte

Dextran 40 in 0.9% NSS sterile sol 500 ml compatible

Glucose inj. 50% in 50 ml
Glucose inj. 5% in 100, 200, 500, 1,000ml
Glucose inj. 10% in 100, 300, 500 ml
5% D - NSS inj. 500, 1,000 ml
5%D - NSS/2 inj. 500, 1,000 ml
5% D - NSS/3 inj. 500, 1,000 ml
5% D - NSS/4 inj. 500 ml
5% D - NSS/5 inj. 300, 500 ml
10% D - NSS/2 inj. 500, 1,000 ml
10% D - NSS/5 inj. 100, 300 ml
 37

preg cat. lactation

Intermittent peritoneal dialysis sterile sol 1000 ml
HF() Potassium chloride (KCL) (HAD) elixir* 40 meq/30 ml
A
inj. 40 meq/ 20 ml amp
Ringer lactate inj. 1000 ml
8.4% in 50 ml amp
Sodium bicarbonate sterile sol (1 mEq/1 ml)
C No data
tab. 300 mg
Sodium chloride sterile sol 0.45% in 500, 1,000 ml
sterile sol 0.9% in 5, 50, 500, 1,000 ml
compatible
sterile sol 3% in 300 ml
Water for injection sterile sol 10, 50 ml
Calcium polystyrene sulfonate
No data
(Kalimate) oral pwdr 5 g/

20% in 100 ml
NED Albumin sterile sol No data
bottle

2 crystalloid
: nonprotein colloid
nutrition albumin
NED Acetar solution sterile sol 1,000 ml
:
NED Gelofusine sterile sol 500 ml No data No data
NED 6% Hydroxyethyl starch sterile sol 500 ml No data
750 mg eq. to
NED Potassium chloride tab. potassium 10 meq
A compatible

9.3 Vitamins

A/X (dose >

Vitamin A cap. 25,000 iu RDA ) compatible
Vitamin B1 inj. 100 mg/ml amp A compatible
A/C (dose >
Vitamin C tab. 100 mg RDA ) compatible
Vitamin K1 inj. 1, 10 mg/amp C compatible
 38

preg cat. lactation

Multivitamin drop A compatible
Vitamin B complex inj. 10 ml vial A compatible
Vitamin C inj. 500 mg/ml amp A/C (dose > compatible in usual doses,
RDA ) if large dose are, monitor for
side effect (haemolysis,
jaundice)
A/D (dose >
Alfacalcidol (Vit. D3) cap. 0.25 mcg RDA ) compatible

: CKD 5
hyperparathyroidism

50 iu/ml in 15 ml A/C (dose >

Vitamin E drop. RDA ) compatible
bott

:
/

NED Vitamin B complex tab. A compatible

NED Vitamin B 1-6-12 tab. A compatible
NED Multivitamin tab. A compatible
NED Multivitamin with out iron syr. A compatible
Multivitamin with iron
NED syr. A compatible
(Nutroplex)
A/C (dose >
NED Vitamin E cap. 100 iu RDA ) compatible
A/C (dose >
drop. 50 iu/ml in 15 ml bott
RDA ) compatible
9.4 Intravenous nutrition

Amino acid solution for new

sterile sol. 10% in 100 ml No data
born*
Amino acid with mineral
sterile sol. 10% in 500 ml No data No data
(Aminovent)*
 39

preg cat. lactation

Amino acid without mineral
sterile sol. 10% in 500 ml C No data
(Amiparen)*
: * TPN
Amino acid solution high 7.2% in 500 ml (
branch chain amino acid 45.8%
sterile sol. No data No data
branch chain
(Kidmin) amino acid)
sterile 20% in 100, 500
Fat emulsion (Intralipid) emulsion ml
No data No data

Complete fat- soluble vitamins sterile iv

No data No data
(Vitalipid) sol.
: malabsorption
Complete water- soluble sterile iv
No data No data
vitamins (Soluvit-N) sol.
: malabsorption
Complete water soluble and fat
soluble vitamin preparation sterile iv
No data No data
sol.
(OMVI)
9.5 Minerals

Calcium carbonate tab. 600 mg A compatible

Calcium gluconate (HAD) sterile sol. 10% in 10 ml amp C compatible
Dipotassium hydrogen
sterile sol. phosphate 0.5 mmol/ml No data No data
phosphate
: TPN
Ferrous sulfate tab. 200 mg = 60 mg A compatible
element iron
Ferrous drop drop 15 mg of element A compatible
iron/0.6 ml
Magnesium sulfate sterile sol. 10% in 10 ml, 50% B compatible
in 2 ml

30 ml = Na 7.5 meq
HF() Phosphate solution oral sol.* + phosphate 15 meq No data No data
 40

preg cat. lactation

Multiple trace element solution
sterile sol. No data compatible

: TPN
Multiple trace eliment solution
sterile sol. No data No data
(Addamel-N)

66 mg of iron ion +
Folic acid 100 mcg + vit
NED FBC tab. B1 2 mg + vit B2 2 mg A compatible
+ vit B12 5 mcg + vit C
20 mg
10% in 1 ml = Mg2+
HF Magnesium chloride oral sol. C compatible
0.21 meq + Cl1- 0.1 meq

9.5 Minerals
Ferrous sulfate tab. 200 mg = 60 mg A compatible
element iron

Folic acid tab. 5 mg A compatible

: 6
neural tube defect 5 mg
Potassium iodine tab. 150 mcg A compatible

: 6

9.7 Metabolic disorders
Penicilamine (D-Penicillamine) cap. D avoid
: wilson's disease
 41

preg cat. lactation

10 Musculoskeletal and joint diseases
10.1 Drugs used in rheumatic diseases and gout
10.1.1 Non-steroidal anti-inflammatory drugs (NSAIDS)

C/D 3rd
Aspirin (Aspent ) EC tab. 300 mg trimester
Avoid long term therapy

Diclofenac sodium EC tab. 25 mg B (1st, 2nd) D

(3rd) trimester compatible
inj. 75 mg/3 ml amp
Ibuprofen FC tab. 200 mg, 400 mg B (1st, 2nd) D
100 mg/5 ml in 60 ml (3rd) trimester compatible
susp.
Indomethacin cap. 25 mg B/ D (3rd) compatible
rd
B/D 3
Naproxen tab. 250 mg trimester
compatible
C/D 3rd
Piroxicam cap. 10 mg trimester
compatible

C/D 3rd
NED Diflunisal FC tab. 250 mg trimester
No data, maybe concern

: 2 mild to moderate NSAIDs

NED Etoricoxib (Arcoxia) tab. 90 mg C
: 1 DUR
NED Mefenamic acid cap. 250 mg C/D 3rd compatible
trimester
NED Meloxicam tab. 7.5 mg compatible
10.1.2 Disease-modifying antirheumatic drugs (DMASDs)

Chloroquine phosphate tab. 250 mg C compatible

Azathioprine tab. 500 mg D Avoid
Methotrexate (HAD) inj. 50 mg/2 ml vial
X Avoid
tab. 2.5 mg
Avoid if possible, esp.
Sulfasalazine EC tab. 500 mg B/D (at term)
premature/ <1 month
 42

preg cat. lactation

10.1.3 Drugs for treatment of gout and hyperuricemia

Allopurinol tab. 100 mg C compatible

: acute gout
SJS, TEN, DRESS 4
:
thiazide
Colchicine tab. 0.6 mg D compatible
Benzbromarone tab. 100 mg No data No data

: acute gout Allopurinol

10.2 Drugs used in neuromuscular disorders
10.2.1 Drugs which enhance neuromuscular transmission

Pyridostigmine bromide tab. 60 mg C compatible

Avoid if possible in
Neostigmine methylsulfate sterile sol. 12.5 mg/ 5 ml C combination with atropine

10.2.2 Skeletal muscle relaxants

compatible in single dose,

Diazepam* tab. 2 mg, 5 mg D avoid giving repeated dose
Baclofen* tab. 10 mg C compatible
Tizanidine HCl* tab. 2 mg C No data, naybe concern
: *
1. multiple sclerosis
2.
3. muscle tone disability

NED Paracetamol + Orphenadrine tab. 450 mg + 35 mg C No data

10.3 Drugs for relief of soft-tissue inflammation
10.3.1 Rubifacients

Methyl salicylate cream No data No data

 43

preg cat. lactation

11 Eye
11.1 Anti-infection eye preparations
11.1.1 Antibacterials and eye wash solution

Boric acid eye wash sol.* 3% No data No data

Chloramphenicol eye drop 0.50% No data Avoid if possible, esp.
premature, < 1 month
Chloramphenicol eye oint. 1% No data No data
Polymyxin B sulfate + eye drop No data No data
Neomycin sulfate + Gramicidin
(P l h)
: polymycin B systemic

NED Gatifloxacin eye drop 0.30% No data No data

Oxytetracycline + Polymyxin B eye oint. 5 mg + 10,000 u No data
NED
(Terramycin) in 1 g No data
11.1.2 Antibacterials with corticosteroids

Dexamethasone + eye drop 1 mg + 5 mg + No data No data

Chloramphenicol + 0.25 mg in 1 ml
Tetrahydrozoline ( CD-oph)
: 1.
2. herpes
simplex virus
3.
11.1.4 Antivirals

Acyclovir eye iont 3% in 4.5 g/ No data No data

 44

preg cat. lactation

11.2 Corticosteroids and other anti-inflammatory preparations

Antazoline HCl+Tetrahydrozoline eye drop No data No data

HCl (Hista-oph )
Fluorometholone eye susp. 0.10% No data No data

: steroid glaucoma steroid cataract

Prednisolone acetate eye susp. 0.125%,1% No data No data

:
steroid glaucoma steroid cataract
Sodium cromoglycate (Vividrin) eye drop 2% No data No data
11.3 Mydriatics and cycloplegics

Atropine sulfate eye drop 1% No data No data

Phenylephrine HCl eye drop 10% No data No data
Tropicamide (Mydriacyl) eye drop 1% No data No data
11.4 Drugs for treatment of glaucoma

Acetazolamide tab. 250 mg C compatible

Glycerol (Glycerine) oral sol C No data
Pilocarpine HCl eye drop 1% No data compatible

Timolol maleate (Glauco Oph ) eye drop 0.50% No data compatible

Brimonidine
tartrate (Alphagan ) eye drop 0.15% No data No data
: beta-blocker (Timolol)
Bimatoprost (Lumigan) eye drop 0.03% No data No data

: 1

 45

preg cat. lactation

11.5 Local anaesthetics

Tetracaine HCl eye drop 0.50% No data No data

:
11.6 Tear deficiency, ocular lubricants and astringents

Hypromellose with preservative (Lac-

oph) eye drop 0.50% No data No data
Carbomer (Vidisic) eye gel 0.20% No data No data

Artifecial tears without preservative eye drop No data

NED
(Vislube) No data

: 2 preservative
preservative
11.7 Ocular diagnostic and peri-operative preparations

Balance salt sol for eye 100 ml, 500 ml No data No data
irrigate
Diclofenac sodium eye drop 0.1% No data No data
Sodium chondroitin sufate + Sodium
sterile sol for intraocular use No data No data
hyaluronate (Duovisc)

12 Ear, Nose and Oropharynx

12.1 Drugs acting on the ear

Dexamethasone + Framycetin ear drop 0.5 mg + 5 mg + No data No data

0.05 mg in 1 ml
sulfate + Gramicidin (Sofradex)
1% Clotrimazole eye drop ear drop 1% No data No data
:
Ofloxacin (Tarivid) ear drop 1% No data compatible
: chloramphenicol
HF() Sodium bicarbonate ear drop* 2.50% No data No data
 46

preg cat. lactation

12.2 Drugs acting on the nose
12.2.1 Drugs used in nasal allergy

Triamcinolone acetonide (Nasocort) nasal spray 55 mcg/puff (120 C No data

puff/bottle)
2 repeated medication
: 2

12.2.2 Topical nasal decongestants

HF() Ephedrine HCl nasal drop* 0.25%, 0.5%,1% C No data

: 2
Oxymetazoline HCl (Iliadin) nasal spray 0.05% C No data
12.3 Drugs acting on the oropharynx and oral cavity
12.3.1 Drug used in treatment oral ulcer

HF () Borax in glycerin solution* 15% No data No data

12.3.2 Oropharyngeal antifungal drugs

Nystatin oral susp. 100,000 iu/ml in 12 ml C compatible

12.3.3 Antiseptics for root canal treatment

Clove oil oil No data No data

Chlorhexidine gluconate sol. 4% B No data

NED Triamcinolone oral paste 0.10% C No data

12.3.5 Other dental preparations
Epinephrine HCl (Adrenaline) sterile sol. C No data
HF Special mouth wash solution No data No data
 47

preg cat. lactation

13 Skin
13.1 Anti-infective skin preparations
13.1.1 Antibacterial preparations

Silver sulfadiazine cream 1% B No data

Mupirocin (Bactroban) oint. 2% B No data

NED Framycetin sulfate (Sofra-Tulle ) patch 1% No data No data

NED Sitosterol (Mebo) oint. 0.25% No data No data
13.1.2 Antifungal preparations

Clotrimazole cream 1% B No data

HF() Sodium thiosulfate sol.* 20% No data No data

NED Sertaconazole (Zalain) cream 2% 5g/ C No data

: 2 repeated medication
clotrimazole cream
13.1.3 Parasiticidal preparations

Benzyl benzoate emulsion 12.5%, 25% No data No data

13.1.4 Antiviral preparation

NED Acyclovir cram cream 5% in 1 g B No data

13.2 Emollient and barrier preparations

Olive oil oil No data No data

HF() Zinc oxide paste 25% No data No data
HF() Urea cream 5%,10%, 20% No data No data
Vaslin (white petrolatum) oint. No data No data

HF Urea + Triamcinolone cream 10% urea in 0.1% TA No data No data

HF Urea + Triamcinolone cream 10% urea in 0.02% TA No data No data
 48

preg cat. lactation

13.3 Topical antipruritis

Calamine lotion No data No data

13.4 Topical corticosteroids

Clobetasol propionate cream 0.05% C No data

HF() Triamcinolone acetonide cream 0.02%, 0.1% No data No data
HF() Triamcinolone acetonide lotion 0.02%, 0.1% No data No data
13.5 Other preparations for psoriasis (excluding topical corticosteroids)

HF() Coal tar (LCD) cream 5%

C compatible
HF() Coal tar (LCD) shampoo 5%
Methotrexate (HAD) tab. 2.5 mg X Avoid
: severe resistant psoriasis
13.6 Preparation for warts and calluses

Podophyllin paint 25% No data No data

HF() Salicylic acid (SA) cream 3%, 5% C No data
HF() Trichloroacetic acid sol. 50% No data No data

HF() Salicylic acid + Triamcinolone cream 5% SA in 0.1% TA No data No data

14 Immunological products and vaccines

Anti-D immunoglobulin, human inj. C compatible

Bacillus Calmette Gue'rin

vaccine (BCG) inj. C compatible
Diptheria-Tetanus vaccine inj. C
dT (adult type) compatible
Diphtheria tetanus pertussis
inj. C compatible
vaccine (DTP)
Hepatitis B vaccine inj. C compatible
 49

preg cat. lactation

Japanese encephalitis vaccine inj. No data No data
Measles vaccine inj. C compatible
Poliomyelitis vaccine (OPV) oral sol. C compatible
Tetanus vaccine (Tetanus toxoid) inj. C compatible
Anti-rabies hyperimmune serum

(ERIG) inj. No data compatible
Human rabies immune globulin

(HRIG) inj. 300 iu/2 ml compatible
Rabies vaccines inj. C compatible
Tetanus antitoxin, horse inj. No data
1500 u/ ml in 1 amp compatible
Tetanus antitoxin, human inj. 250 u/ml in 1 amp No data compatible
Hepatitis B immunoglobulin
inj. C No data
(HBIG)
: 1
15 Anesthesia
15.1 General anesthesia
15.1.1 Intravenous anesthetics

Propofol inj. 10 mg/ml in 20 ml amp B No data, maybe concern

Thiopental sodium
inj. 1 gm C compatible
(Thiopentone sodium)
sterile
Etomidate emultion
2 mg/ ml in 10 ml No data No data
induction of general anesthesia
:
CHF
Ketamine HCl inj. 50mg/ml in 10 ml amp B use with caution

:
(intractable pain)
 50

preg cat. lactation

15.1.2 Inhalational anaesthetics

Sevoflurane volatile B No data

Isoflurane l
volatile C
No data
l
15.1.3 Muscle relaxants (neuromuscular blocking drugs)

fentanyl citrate inj. 10 mg/5 ml amp B compatible

Pancuronium bromide inj. 4 mg/ 2 ml amp C No data
Rocuronium bromide inj. 50 mg/ 5 ml amp C No data
Succinylcholine chloride inj. 500 mg/vial C No data
Vecuronium bromide inj. 4 mg/ml C No data
15.1.4 Sedative and analgesic peri-operative drugs

Diazepam tab. 2 mg, 5 mg compatible in single dose,

D avoid giving repeated dose
inj. 10 mg/2 ml amp
Fentanyl citrate inj. 100 mg compatible

Morphine sulfate with/without C/D (3 rd compatible in single dose,

preservative inj. 10 mg/1 ml amp trimesters) avoid giving repeated dose
: 2 .
C/D (if used
for prolonged
compatible in single dose,
Pethidine HCl inj. 50 mg/ml amp period or in
avoid giving repeated dose
high doses at
term)
: 2 .
Midazolam HCl inj. 5 mg/ml in 3 ml amp
D No data, maybe concern
tab. 15 mg
. (premedication) 2
:
20
 51

preg cat. lactation

15.1.5 Anticholinesterases and antimuscarinic drugs used in anesthesia

Atropine sulfate inj. 0.6 mg/ml amp C compatible

:
Neostigmine methylsulfate inj. 2.50% C No data
:
15.2 Local anesthesia

Lidocaine + Prilocaine (Emla) cream 1 gm = 25 mg+25 mg B compatible

Lidocaine HCl inj. 1%, 2%, 4% (HF) B compatible
Lidocaine HCl jelly 2% B compatible
Lidocaine HCl viscous sol 2% B compatible
Lidocaine HCl spray 10% B compatible
Lidocaine HCl + Epinephrine inj. 1% B compatible
dental
Lidocaine HCl + Epinephrine 2%+1:10000 B compatible
cartridge
Bupivacaine HCl inj. 0.5% in 20 ml C compatible
sterile sol. 0.5% marcaine
Bupivacaine HCl (spinal, heavy, 0.5% C compatible
epidural) isoboric

NED Ethylchloride spray No data No data

2% + 0.05 % in
NED Lidocaine + Chlorhexidine gel No data No data
12.5 g/tube
 52

preg cat. lactation

16 Antidotes

Acetylcysteine (N-
inj. 300 mg/3 ml amp B No data
acetylcysteine)
: paracetamol
Antivenom sera inj. , , C No data


Atropine sulfate inj. 0.6 mg/ml amp C compatible
Calcium gluconate (HAD) inj. 10% in 10 ml amp C compatible

: 1. calcium chanel blockers hydrofluoric acid

2.
Charcoal, activated pwdr 50g/ No data compatible
:

Naloxone HCl inj. 0.04 mg/ml amp C No data

: opioids
Pralidoxime chloride (2-PAM) inj. 1 gm/amp C No data
: organophosphates
Sodium bicarbonate inj 8.4% (1 mEq/ml) C compatible
: urine alkalinization
Cyclophosphamide inj. 200 mg/vial D Avoid
: paraquat
Deferoxamine mesilate pwdr for inj. 500 mg/vial C No data
: chronic iron overload
Protamine sulfate inj. 50 mg/5 ml vial C No data
: heparin LMWH
Leucovorin (Folinic acid) inj. 50 mg / 5 ml C No data
Vitamin K1 (Phytomenadion) inj. 10 mg / amp C compatible

NED Fuller's earth oral pwdr 30 g/ No data No data

 53

preg cat. lactation

Antidote
Methylene blue inj. 50 mg/5 ml via; C No data
: methemoglobinemia
25% Sodium thiosulfate inj. 250 mg/18 ml vial No data No data
3% Sodium nitrite inj. 300 mg/10 ml vial No data No data
: cyanide

17 Contrast media and Radiopharmaceuticals

17.1 X-Ray contrast medias,iodinated
17.1.1 Drugs used in urography and computed tomography

Iopromide (Utravist) sterile sol. 300 mg of Iodide /ml in B No data

50 ml vial

17.1.2 Drugs used in myelography

300 mg of Iodide /ml in

Iohexol (Omnipaque) sterile sol
50 ml vial
No data No data

17.2 X-ray contrast media,non-iodinated

pwdr for oral

Barium sulfate susp. A No data
18. Miscellaneous and herbal
18.1 Herbal drugs
()
cap. 500 mg No data No data
cream 0.04 gm/g in 5 gm No data No data
jel No data No data
Capsaicin gel () cream 0.025% 35 g/bott. No data No data
cap. No data No data
cap. 500 mg No data No data
lozenge 20 / No data No data
cap. No data No data
oral pwdr No data No data
cap. No data No data
 54

preg cat. lactation

powder No data No data
cap. No data No data
cap. No data No data

gel 87.399% 30 / No data No data

cap. 500 mg No data No data
cap. No data No data
No data No data
No data No data
18.3
No data No data
No data No data
No data No data
No data No data
No data No data
- No data No data
No data No data
No data No data
No data No data
No data No data
- No data No data