Diflucan (fluconazole) is commonly used in newborns and is given even 
to medically fragile babies to prevent yeast infections.  See this 
study in Pediatrics by Kicklighter et al. (2001), Fluconazole for 
prophylaxis against candidal rectal colonization in the very low 
birthweight infant : 
http://pediatrics.aappublications.org/cgi/content/full/107/2/293

The dose given directly to the tiny, premature, medically fragile 
infants in this study was 6 mg/kg/day, for 21 days.  Hale lists the 
theoretic infant dose via breastmilk at 0.34 mg/kg/day.  So a baby 
who receives a portion of its mother's diflucan via breastmilk is 
getting way less than the standard neonatal/pediatric dose.

There is a great deal of info in Hale about diflucan including 11 
references.  He rates it "L2 - Safer", and it is classed by the AAP 
as a "maternal medication usually compatible with breastfeeding."

Margaret
LLLL
Longmont, CO


>I have a doula client whose doctor wants her to go on 2 Months of Diflucan.
>She is concerned about breastfeeding and her doctor is of no help. She is
>wondering what safe doses are for breastfeeding a newborn. Is it even safe
>for her to nurse on a 2 months dosage? If it's not she will wait to kill her
>yeast or until baby is older and it's safer to start the dosage.
>I don't have a copy of Hale's so wasn't sure if it was in there.
>
>Thank you for anything that you can tell me to pass on to her and her
>doctor.
>
>Heather Shelley CD(DONA, PALS) CPD, CBE
>www.birthingyourway.com
>Midwifery Student MCU

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