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Date: | Fri, 30 Nov 2007 08:29:46 -0600 |
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In my experience, there is often yeast growing in/on the plaque, aggravating
the problem. So I often do 5 days of once a day Gentian violet, followed by
nipple ointment (steroid plus miconazole plus bactroban), and sometimes
these moms need to keep using 1% hydrocortisone ointment at least once a day
to keep it at bay once healed.
If it gets better after GV, but then starts to get worse again on the
ointment, I have used 0.1% triamcinolone ointment (be sure ointment and not
cream) which is a mid-potency steroid similar to westcort.
Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE
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