I heard of a case recently where a young bf mother, on Medicaid,  (*in pain
from Candida infection) was told by her OB practice that a nipple ointment (
consisting of two antifungals, a corticosteroid, and Bactroban) was "too
much medicine to give to her baby."  While I can understand that we would
not want to medicate anyone without having a really good reason, the
diagnosis and situation was fairly clear, according the the LC involved....

The compounded ointment that was recommended was the same one that Dr. Jack
Newman recommends:

mupirocin 2% ointment (5 grams)
nystatin 100,000 units/ml ointment (5 grams)
clotrimazole 10% (this is the vaginal cream) (5 grams)
betamethasone 0.1% ointment (5 grams)


I find it so ironic that a health care provider  would think that this
ointment compound would be "too much medicine," whereas the drugs
administered to mothers in childbirth routinely are ok?

What am I missing here?

Scratching my head in Vermont.

Kathleen


Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
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