Lisa writes:

She  called her OB today and, due to mom's allergy to penicillin, 
prescribed  erythromycin, 250mg, 4x/day for 7 days. Hale classifies this as L2 but 
states  there is research associating it with pyloric stenosis in newborns. 
Both  Lawrence and Riordan suggest cephalexin or other cephalosporins in case 
of  penicillin allergy for treating mastitis.


Lisa,
 
Although erythromycin is a kind of a third line choice, it may be the one  
because some moms who have penicillinase problems also have problems with  
cephalexins and they are left down at the erythromycin. Did mom have a 
history  of problems with the second-line drugs too? I share frustration on this. 
With  poor choices which may not kick the thrush being the available one, 
then we are  left wondering...
 
I was going over the Hale Clinical book text with a mom, same situation,  
only to find out that she had a history of bad reactions to the 
penicinllinases  and the cephalos as well.
 
Peace,
Judy  

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

**************Access 350+ FREE radio stations anytime from anywhere on the 
web. Get the Radio Toolbar! 
(http://toolbar.aol.com/aolradio/download.html?ncid=emlcntusdown00000003)

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome