Dr Jack Newman's Guide to Breastfeeding (2000) p 105 says "I ask a mother to stay on the nifedipine for two weeks and then try going off the medication. Usually the Raynaud's [ie vasospasm] does not return; sometimes it does, though in a less severe form. If the pain returns and treatment still seems necessary, the mother can go on another two weeks of the medication. Usually, this will do the trick, but we did have one mother who needed four, two-week courses..." See the whole discussion, including other treatments medical and otherwise; most importantly IMO he says that vasospasm is *usually* a *response* to nipple trauma and that the underlying problem needs to be dealt with. Elise LLLL Bath, NH *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html