Linda -

I think that the drug you refer to for tooth extraction is Versed
(midazolam). It is a "short-acting benzodiazepine sedative & hypnotic".
Similar to but stronger than valium. Rapid metabolic elimination - per Hale,
"Midazolam and its hydroxy-metabolite were undetectable 4 hrs. after
administration...amount transferred to an infant via early milk is minimal,
particularly if the baby is breastfed more than 4 hrs. after
administration". No reported pediatric concerns, wait 4 hrs. after dose.

Suggest she refer her anesthesiologist to Hale, pp. 462-3 in '98-'99
edition.

Cathy Bargar, RN, IBCLC Ithaca NY

-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: Tuesday, September 14, 1999 11:11 AM
Subject: verged


I know I should "try the archives first", but  I have been trying for an
hour
to do so and I can't access them with the addresses I have tried so could
you
amazing people give me some help?

I have a mom who will be having tooth extraction soon.  The dthey want to
use
for anesthesia during the procedure is Verged.  The baby will be 20 mo. old
and weigh   over 25 pounds.  They've told her she can't nurse for 48 hrs.
Is
this accurate for a baby this age who is not getting all his nutrition from
the breast milk?  Or is this dr. just reading the drug insert?  He was
completely put off with a baby still nursing at this stage anyway.  She has
no option of going to someone else for the procedure since they are on a
military base is a foreign country.

Thank you, LInda MOsher LLLL

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