>Before the days of diflucan, I had 2 mothers end chronic nipple pain by
taking oral nystatin themselves. Nystatin isn't absorbed well from the gut;
our assumption was that they themselves had oral yeast and were transmitting
it to their own breasts.<
Here in the UK , where there is a lot of resistance to Diflucan (gives a
whole new meaning to the term drug resistance) as a treatment for thrush in
the lactating breast, from GPs Health Visitors and MIdwives, our information
leaflet (BfN) also gives nystatin as a possible treatment. In the time we
have had our leaflet out, I have been castigated for having this (not well
absorbed) as well as for having Diflucan (not licenced).
The thing is, nystatin may help some women -- and Wendy Jones and I wonder
if it works like this. What we call thrush is not a 'disease' you have or
you don't. It is an overgrowth of something often normally present. To
'recover' what we are really talking about is getting the body's own
mechanisms into shape to keep yeast under sufficient control that there are
no 'symptoms' of overgrowth. In a mum who is basically healthy, just dipped
below par, maybe nystatin, in conjunction with other 'home' remedies' and
maybe some breastfeeding interventions (eg improving attachment so not quite
so frequent feedings = slightly lower level of fatigue, etc.) can help to
tip the balance. I find this really helpful as a way of thinking about
candida, and talking to mums, becasue it is not a disease, but so easily
falls into disease ways of thinking and talking. And if women feel that
what they do can have an impact, I think it might be helpful, rather than
passively taking drugs (that statement not supported by research, btw).
Magda Sachs
Breastfeeding Supporter, BfN, UK
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