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From:
Amir Family <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 27 Nov 2005 16:34:09 +1100
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<We are trying topical nystatin for mom and baby for the weekend -
but if anyone has any other ideas in case it doesn't work I'd love to hear 
them!>
Hi Jennifer,
Does sound like thrush - but could also be dermatitis (she said the nipples 
were really red and slightly peeling).
The topical treatment may be enough, as it is child who has been unwell and 
on antibiotics recently, not the mother.
In pregnancy, it is safe to prescribe oral nystatin ( 2 tabs tds) - I use 
this frequently (in pregnant and lactating women). Apparently is not 
absorbed, but I find many women respond to this (plus topical antifungal).
Lisa Amir
MBBS, MMed, PhD, IBCLC in Melbourne, Australia 

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