Beverley: You are right. There is very little literature on management of the nursing mother with asthma. I thought asthma meds had been discussed some time ago, but I couldn't find it in my files. It would seem that vanceril is an unlikely problem, as it is an inhaled steroid with minimal absorption into the mother's bloodstream, and even oral prednisone, which has much higher blood levels of steroid, is compatible with breastfeeding. As for albuterol (those outside the USA will know it as salbutamol), I'll try to locate my currently misplaced copy of Dr. Hale's book to see if he mentioned it. I seem to remember case reports that showed no adverse effects, but don't quote me. Again, I find it interesting that doctors will allow a drug to be used during pregnancy but not during lactation. The rationale during pregnancy is that although albuterol is a potential risk to the fetus, uncontrolled asthma probably poses an even greater risk to its development. Although this is no longer an issue during lactation, the potential adverse effects are probably less anyway, especially in an older infant. Alicia. [log in to unmask]