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Date: | Tue, 1 Feb 2005 12:42:51 +1300 |
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June writes:
>> found a palable lump in the left breast (?Mastitis) - TThe advice
was to stop b/f immediately as he wouldnt be able to treat the lump
while she was b/f. = She was prescribed Bromocriptine 2.5mg BD
for 2
weeks>>.
It is very disturbing that this doctor would prescribe Bromocriptine for
mastitis or a breast lump or even lactation suppression (for which it
WAS indicated).
The Therapeutics Section of the NZ Ministry of Health "Prescriber
Update" No 11, February 1996 pp8-9 (nine years ago) in a small
article "Lactation Suppression - Pharmacological Treatment Not
Advised", showed that Bromocriptine was neither favoured nor fully
effective and it recommended conservative management such as
cold packs and analgesics for suppression - not breast inflammation
or lumps!
Serious adverse effects, including death, are well documented
regarding Bromocriptine use and rebound lactation even after a 14-
day treatment may occur.
A very close look at the cause/s of the "mastitis" and "lump" are
essential to optimise breastfeeding and / or relactation in this case.
Let's hope she takes that option or you may be able to guide her
about gradual toddler-led weaning.
Marcia Annandale, IBCLC, LLLL, Christchurch, New Zealand.
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