Lisa writes:

have  my  in my local  ABA group a member  who has nipple l  thrush.She is 
breastfeeding 3 y.o twins
She is 5 months pregnant.. 
She  has been told she can't have fluconazole as she is pregnant. Is their 
any  other treatment?
~~~
Not an expert, but curious so I googled and found this:
_http://www.nelm.nhs.uk/en/NeLM-Area/Evidence/Medicines-Q--A/Can-oral-flucon
azole-be-used-during-pregnancy/_ 
(http://www.nelm.nhs.uk/en/NeLM-Area/Evidence/Medicines-Q--A/Can-oral-fluconazole-be-used-during-pregnancy/) 
 
It suggests that congenital malformations might, might be possible, if  
given high dose (400+mg/daily) for "prolonged periods during the first  
trimester.  [" high dose fluconazole (≥400mg daily) for prolonged periods  during 
the first trimester of pregnancy." ] I wonder if mom would have any of  these 
risk factors, since the treatment isn't usually over 400 mg for prolonged  
periods, nor is she in her first trimester.
 
Interested to hear from the pharmacologically wiser ones...
 
Peace,
Judy


Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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