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Date: | Fri, 27 Mar 2009 21:00:59 -0700 |
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On Fri, Mar 27, 2009 at 11:34 AM, Grimanis, Mary <
[log in to unmask]> wrote:
> Does anyone have experience using a higher class steroid (lower potency) in
> APNO instead of Betamethasone, 0.1%. Since ointments take longer to absorb
> when applied to the skin, and since most prescribers often prefer using the
> lowest effective dose, especially when dealing with neonates, then if
> clinically effective, wouldn't Hydrocortisone 2.5% ointment be more
> appropriate to use instead of betamethasone initially. Although its
> recommended that APNO be applied sparingly, there is variation in what mom's
> consider "sparingly," while some moms use a larger amount on the
> nipple/areolar surface, and after every breastfeeding versus qid (even
> though instructions say otherwise). Have there been any studies to address
> this issue? Any clinical cases?
> Many thanks,
> Mary Grimanis, PNP, IBCLC
> Boston Children's Hospital
>
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