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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