Drug classFDA pregnancy risk category*Medications
Analgesics, arthritisBAcetaminophen; ibuprofen (Motrin), first, second; naproxen (Naprosyn), first, second; diclofenac (Voltaren), first, second
CTramadol (Ultram); narcotic agonists; celecoxib (Celebrex), first, second; etodolac (Lodine), first, second; ketorolac (Toradol), first, second; rofecoxib (Vioxx), first, second; sumatriptan (Imitrex)
DAll nonsteroidal anti-inflammatory drugs, third; methotrexate (Rheumatrex).
XErgotamines (Ergostat), diclofenac/misoprostol (Arthrotec)
Anti-anxiety, sleepBBuspirone (BuSpar), diphenhydramine (Benadryl), zolpidem (Ambien)
CHydroxyzine (Atarax)
DMost benzodiazepines
XFlurazepam (Dalmane), temazepam (Restoril)
AntibioticsBAzithromycin (Zithromax); cephalosporins; clindamycin (Cleocin); erythromycin; metronidazole (Flagyl); nitrofurantoin (Furadantin); penicillins; sulfonamides, first, second
CClarithromycin (Biaxin), quinolones, trimethoprim (Proloprim), vancomycin (Vancocin)
DSulfonamides, third; tetracyclines
AnticoagulantsCHeparin, low-molecular-weight heparin (Lovenox)
XWarfarin (Coumadin)
AnticonvulsantsCEthosuximide (Zarontin), gabapentin (Neurontin), lamotrigine (Lamictal)
DCarbamazepine (Tegretol), clonazepam (Klonopin), phenobarbital, phenytoin (Dilantin), primidone (Mysoline), valproic acid (Depakene)
AntidepressantsBBupropion (Wellbutrin)
CDesipramine (Norpramin), doxepin (Sinequan), mirtazapine (Remeron), nefazodone (Serzone), SSRIs, trazodone (Desyrel), venlafaxine (Effexor)
DAmitriptyline (Elavil), imipramine (Tofranil), nortriptyline (Pamelor)
AntifungalsBNystatin (Mycostatin), terbinafine (Lamisil)
CFluconazole (Diflucan), second, third; griseofulvin (Grisactin); itraconazole (Sporanox), second, third; ketoconazole (Nizoral), second, third
DFluconazole, first; itraconazole, first; ketoconazole, first
AntihypertensivesBGuanfacine (Tenex)
CBeta blockers, first; calcium channel blockers; clonidine (Catapres); furosemide (Lasix); labetalol (Normodyne), first; methyldopa (Aldomet); hydralazine (Apresoline)
DACE inhibitors; angiotensin II receptor antagonists; beta blockers, second, third; labetalol, second, third; thiazide diuretics
AntiviralBAcyclovir (Zovirax), famciclovir (Famvir), valacyclovir (Valtrex), zanamivir (Relenza)
CAmantadine (Symmetrel), rimantadine (Flumadine), zidovudine (Retrovir), oseltamivir (Tamiflu)
Asthma/allergiesBCetirizine (Zyrtec), clemastine (Tavist), cromolyn (Intal), ipratropium (Atrovent), loratadine (Claritin), montelukast (Singulair), zafirlukast (Accolate)
CAlbuterol (Ventolin); brompheniramine (Dimetane Dc); epinephrine (Epipen); fexofenadine (Allegra); guaifenesin (Humibid L.A.); prednisone; pseudoephedrine (Novafed), second, third; theophylline; inhaled steroids
Diabetic agentsBAcarbose (Precose), metformin (Glucophage), insulin (drug of choice)
CGlyburide (Micronase), glipizide (Glucotrol), pioglitazone (Actos), repaglinide (Prandin), rosiglitazone (Avandia)
GI medicationsBDicyclomine (Bentyl), dimenhydrinate (Dramamine Injection), H2 blockers, lansoprazole (Prevacid), metoclopramide (Reglan), sucralfate (Carafate)
CHyoscyamine (Levsin), omeprazole (Prilosec), prochlorperazine (Compazine), promethazine (Phenergan), trimethobenzamide (Tigan)
DBismuth subsalicylate
XMisoprostol (Cytotec)
MiscellaneousCDisulfiram (Antabuse)
DLithium, nicotine patches (Nicoderm), nasal spray, and inhaler
XNicotine gum, HMG-CoA reductase inhibitors, isotretinoin (Accutane), megadose vitamin A, oral contraceptives