I don't know too much about this, but if the stopping of breastfeeding
will stop the problem, why are they contemplating using methotrexate?
I have seen a couple of mothers who were told this and the thing
cleared up by 8 weeks. Can she wait a couple more weeks just to see?
Or are her symptoms so severe that she cannot? Did they use decent
doses of prednisone? Say 80 mg/day? Still can breastfeed with that?
Jack Newman, MD, FRCPC