Drugs Contraindicated in Pregnancy
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DRUGS CONTRAINDICATED IN PREGNANCY (Part 1 of 2) This chart represents information on select drugs that are contraindicated (Pregnancy category X) for women who are pregnant. This is not an inclusive list of products that carry that pregnancy category. Those drugs that are contraindicated at a certain phase of the pregnancy are listed next to the product name. For more information on specific drug monographs, see product entries or consult the manufacturer. ALLERGIC DISORDERS Ortho Tri-Cyclen 28 (norgestimate/ INFECTIONS & INFESTATIONS Vistaril (hydroxyzine) Early pregnancy ethinyl estradiol) Bactrim (sulfamethoxazole/trimethoprim) Propecia (finasteride) 3rd trimester CARDIOVASCULAR SYSTEM Silvadene (silver sulfadiazine) Copegus (ribavirin) Aggrenox (dipyridamole/aspirin) Late pregnancy Flagyl (metronidazole) 1st trimester for 3rd trimester Solaraze (diclofenac sodium) trichomoniasis Altoprev (lovastatin) 3rd trimester Furadantin (nitrofurantoin) Pregnancy Bayer (aspirin) 3rd trimester Soriatane (acitretin) at term Caduet (amlodipine/atorvastatin) Sotret (isotretinoin) Grifulvin V (griseofulvin) Coumadin (warfarin sodium) SSD (silver sulfadiazine) Gris-Peg (griseofulvin) Crestor (rosuvastatin) Late pregnancy Macrobid (nitrofurantoin as Ecotrin (aspirin) 3rd trimester SSD AF (silver sulfadiazine) macrocrystals and monohydrate) Pregnancy at term Lescol (fluvastatin) Late pregnancy Macrodantin (nitrofurantoin Lescol XL (fluvastatin) Tazorac (tazarotene) macrocrystals) Pregnancy at term Letairis (ambrisentan) Tilia Fe (norethindrone acetate/ethinyl Rebetol (ribavirin) Lipitor (atorvastatin) estradiol) Rebetron (ribavirin/interferon alfa -2b) Livalo (pitavastatin) Tri-Legest Fe (norethindrone acetate/ ethinyl estradiol) Septra (sulfamethoxazole/trimethoprim) Lovastatin tabs 3rd trimester Tri-previfem (norgestimate/ethinyl Multaq (dronedarone) Sulfadiazine Pregnancy at term estradiol) Pravachol (pravastatin) Tindamax (tinidazole) 1st trimester Tracleer (bosentan) Tri-sprintec (norgestimate/ethinyl estradiol) Urobiotic-250 (oxytetracycline HCl/ Vytorin (ezetimibe/simvastatin) sulfamethizole/phenazopyridine) Yaz (drospirenone/ethinyl estradiol) Zocor (simvastatin) Late pregnancy ENDOCRINE SYSTEM Virazole (ribavirin) CENTRAL NERVOUS SYSTEM Androderm (testosterone) Beyaz (drospirenone/ethinyl estradiol) METABOLIC DISORDERS Androgel (testosterone) Doral (quazepam) Zavesca (miglustat) Estazolam Axiron (testosterone) Delatestryl (testosterone enanthate) MUSCULOSKELETAL DISORDERS Flurazepam Advil (ibuprofen) 3rd trimester Halcion (triazolam) Depo-testosterone (testosterone cypionate) Aleve (naproxen sodium) 3rd trimester Restoril (temazepam) Egrifta (tesamorelin) Ansaid (flurbiprofen) Late pregnancy Vistaril (hydroxyzine) Early pregnancy Fluoxymesterone Arava (leflunomide) Yaz (drospirenone/ethinyl estradiol) Fortesta (testosterone) Arthrotec (diclofenac sodium/ misoprostol) DERMATOLOGICAL DISORDERS Lupron (leuprolide acetate) Bayer (aspirin) 3rd trimester Amnesteem (isotretinoin) Methyltestosterone BC Arthritis Strength (aspirin/caffeine/ Avage (tazarotene) Oxandrin (oxandrolone) salicylamide) 3rd trimester Beyaz (drospirenone/ethinyl estradiol) Striant (testosterone) Carisoprodol/aspirin/codeine Carac (fluorouracil) Supprelin LA (histrelin acetate) 3rd trimester Claravis (isotretinoin) Synarel (nafarelin) Cataflam (diclofenac potassium) Efudex (fluorouracil) Testim (testosterone) Late pregnancy Estrostep Fe (norethindrone acetate/ Testred (methyltestosterone) Celebrex (celecoxib) 3rd trimester ethinyl estradiol) Choline magnesium trisalicylate Fluoroplex (fluorouracil) GASTROINTESTINAL TRACT Pregnancy at term Loryna (drospirenone/ethinyl estradiol) Cytotec (misoprostol) Dantrium (dantrolene) (continued) DRUGS CONTRAINDICATED IN PREGNANCY (Part 2 of 2) MUSCULOSKELETAL DISORDERS Megace ES (megestrol acetate) Aleve (naproxen sodium) 3rd trimester (continued) Megace Suspension (megestrol Bayer (aspirin) 3rd trimester Daypro (oxaprozin) 3rd trimester acetate) BC Original Formula (aspirin/caffeine/ Diclofenac sodium Late pregnancy Xenical (orlistat) salicylamide) 3rd trimester Diflunisal 3rd trimester OB/GYN Caldolor (ibuprofen) 3rd trimester Duexis (ibuprofen/famotidine) Late ALL ORAL CONTRACEPTIVES Cataflam (diclofenac potassium) pregnancy (≥30wks) Late pregnancy Ecotrin (aspirin) 3rd trimester ALL HORMONE REPLACEMENT THERAPY Celebrex (celecoxib) 3rd trimester Etodolac Late pregnancy Advil (ibuprofen) 3rd trimester Choline magnesium trisalicylate Evista (raloxifene HCl) Aleve (naproxen sodium) 3rd trimester Pregnancy at term Feldene (piroxicam) Late pregnancy Aygestin (norethindrone acetate) D.H.E. 45 (dihydroergotamine mesylate) Ibuprofen 3rd trimester Betadine douche (povidone-iodine) Diflunisal 3rd trimester Ketoprofen Late pregnancy Bravelle (urofollitropin) Ergotamine tartrate/caffeine Mobic (meloxicam) 3rd trimester Cataflam (diclofenac potassium) Etodolac Late pregnancy Nabumetone 3rd trimester Late pregnancy Excedrin Migraine (acetaminophen/ Nalfon (fenoprofen calcium) Celebrex (celecoxib) 3rd trimester aspirin/caffeine) 3rd trimester 3rd trimester Cetrotide (cetrorelix) Fiorinal (butalbital/aspirin/caffeine) Naprelan (naproxen) 3rd trimester Clomid (clomiphene citrate) 3rd trimester Probenecid + Colchicine Fiorinal w. Codeine (butalbital/aspirin/ Prolia (denosumab) Depo-subQ provera (medroxyprogesterone acetate) caffeine/codeine phosphate) 3rd trimester Rheumatrex (methotrexate sodium) Endometrin (micronized Ibudone (hydrocodone bitartrate/ Salsalate 3rd trimester progesterone) Ectopic pregnancy ibuprofen) 3rd trimester Vimovo (naproxen/esomeprazole) Flagyl (metronidazole) 1st trimester Ketorolac Late pregnancy Late pregnancy (≥30wks) for trichomoniasis Migranal (dihydroergotamine mesylate) Zipsor (diclofenac potassium) Follistim (follitropin beta) Late pregnancy Motrin Migraine Pain (ibuprofen) Ganirelix acetate 3rd trimester NEOPLASMS Gonal-F (follitropin alfa) Nalfon (fenoprofen calcium) Bexxar (tositumomab) Ibuprofen 3rd trimester) 3rd trimester Casodex (bicalutamide) Lupron Depot (leuprolide acetate) Naprelan (naproxen) 3rd trimester Delestrogen (estradiol valerate) Menopur (menoptropins) Percodan (oxycodone HCl/aspirin) Efudex (fluorouracil) Methergine (methylergonovine) 3rd trimester Eligard (leuprolide acetate) Midol teen (acetaminophen/ Ponstel (mefenamic acid) Late pregnancy Estrace (estradiol) pamabrom) 3rd trimester) Synalgos-DC (dihydrocodeine bitartrate/ Evista (raloxifene HCl) Mifeprex (mifepristone) aspirin/caffeine) 3rd trimester Firmagon (degarelix) Naprelan (naproxen) 3rd trimester Vicoprofen (hydrocodone bitartrate/ Fluoxymesterone Ovidrel (choriogonadotropin alfa) ibuprofen) ≥30wks gestation Menest (esterified estrogens) Ponstel (mefenamic acid) Revlimid (lenalidomide) Late pregnancy RESPIRATORY TRACT None available Targretin (bexarotene) Repronex 75 IU (follicle-stimulating Thalomid (thalidomide) hormone/luteinizing hormone) UROGENITAL SYSTEM Trelstar (triptorelan pamoate) Serophene (clomiphene citrate) Avodart (dutasteride HCl) AVOID Trexall (methotrexate) Synarel (nafarelin acetate) HANDLING CAPSULES Vantas (histrelin acetate) Tindamax (tinidazole) 1st trimester Caverject (alprostadil) Zytiga (abiraterone acetate) Zoladex (goserelin) Edex (alprostadil) NUTRITION PAIN MANAGEMENT Jalyn (dutasteride/tamsulosin HCl) Benzphetamine Advil (ibuprofen) 3rd trimester Lithostat (acetohydroxamic acid) Fosteum (genistein/citrated zinc/ Advil Migraine (ibuprofen) Proscar (finasteride) AVOID HANDLING cholecalciferol) 3rd trimester CRUSHED/BROKEN TABLETS Not an inclusive list. (Rev. 7/2018).