Analgesics | Pregnancy | Breastfeeding | ||
---|---|---|---|---|
0-5 months | From 6th month | |||
Level 1 |
paracetamol PO paracetamol IV |
first choice |
first choice |
first choice |
ibuprofen PO |
avoid |
contra-indicated |
possible Treatment must be as short as possible (≤ 5 days). |
|
acetylsalicylic acid (aspirin) PO |
avoid |
contra-indicated |
avoid |
|
Level 2 |
codeine PO |
possible |
The neonate may develop withdrawal symptoms, respiratory depression and drowsiness in the event of prolonged administration of large doses at the end of the third trimester. Closely monitor the neonate. |
Use with caution, for a short period (2-3 days), at the lowest effective dose. |
tramadol PO tramadol IM, slow IV or infusion |
possible | The neonate may develop drowsiness when the mother receives tramadol at the end of the third trimester and during breast-feeding. Administer with caution, for a short period, at the lowest effective dose, and monitor the neonate. | ||
Level 3 |
morphine PO immediate release (MIR) morphine PO sustained release (MSR) morphine SC, IM morphine IV |
possible | The neonate may develop withdrawal symptoms, respiratory depression and drowsiness when the mother receives morphine at the end of the third trimester and during breast-feeding. Administer with caution, for a short period, at the lowest effective dose, and monitor the neonate. |