Diane said:
>Before the days of diflucan, I had 2 mothers end chronic nipple pain by
taking oral nystatin themselves.  Nystatin isn't absorbed well from the gut;
our assumption was that they themselves had oral yeast and were transmitting
it to their own breasts.<
and Magda added:
<....  In a mum who is basically healthy, just dipped
below par, maybe nystatin, in conjunction with other 'home' remedies' and
maybe some breastfeeding interventions (eg improving attachment so not quite
so frequent feedings = slightly lower level of fatigue, etc.) can help to
tip the balance. ..>
I agree with Magda. I find many women see a reduction in pain with oral
nystatin caps ( 2 caps 3 times a day). The response is not as fast as with
fluconazole and they should take it for at least 2 weeks, but I am sure it
is helpful.
Although we are told that nystatin is not well absorbed I have a couple of
articles which have found nystatin was effective in some type of deafness
and some other odd thing I can't remember at this time of night. I have a
feeling that nystatin works in some way we don't understand.
It certainly won't work for everyone, but it's worth trying. For example, I
saw four women with nipple/breast thrush today - 2 of them I suggested
should go straight onto fluconazole (one had weaned first baby at 3 weeks
and was on verge of stopping again, another had severe breast pain) and the
other two I suggested try nystatin for a week first (as less severe
symptoms) - as well as topical treatments, diet, etc.
Lisa Amir
MBBS, MMed, IBCLC in Melbourne, Australia

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