<<Why is it that some questions get answered rapid
fire and some questions never stimulate a response at all ??????>>

I'd say because some things are easy (what does G2P2 mean?  did your boys nurse
their dolls?) and some are not!  And sometimes I'm keeping up with Lactnet and
reading recent posts and sometimes I'm reading things from a week ago that I
don't have a clue whether someone else has answered or not.  And when I'm
skimming through because I'm a week behind I'm less likely to add my 2 cents
than when I'm up-to-date and have time (like today).  And sometimes the case
histories are so scattered I can't begin to hazard a guess as to what might be
helpful.

I continue to be hopeful that as technology improves Lactnet will be able to
thread the conversations rather than just post them chronologically.  Then it
would be easy to zero in on discussions that were of interest and skip those
which are not.  I'm sure we've lost some of the wonderful contributors who were
around last summer due to the volume of mail being generated.  I'm also sure the
Kathleens will make this happen as soon as it's technically feasible!

I'm not sure exactly what kind of protocols you're looking for in regards to
Diflucan and Reglan, but here's my 2 cents:  I seldom use Reglan
(metoclopramide) anymore because of the potential for side effects and what
appears to be its limitations.  For a while we were using it frequently to try
to improve low milk supply.  It seems to work well when the milk supply has been
adequate to start but faltered due to mismanagement of one kind or another.  On
the other hand, we were always starting it when we were kicking into high gear
with pumping, increased nursing, etc., so who's to say what would have happened
without it.  It *seemed* to be helpful.  In the mothers who have never had a
decent milk supply (presumed insufficient duct tissue) it never made a
significant difference.  When we do/did use it we used 10 mg tid for 2 weeks and
tapered off at the end.  There are several references to its use in both
Lawrence and Riordan & Auerbach that I assume you've read.

With Diflucan (fluconazole) when we use it (not frequently) we typically use 100
mg qd x 10 days.  I haven't seen side effects in mom or baby but it is very
expensive (around $100).  Unit 18 of the LC Series, "Candidiasis &
Breastfeeding" has references for its use.

Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin
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