thanks everyone for your responses to my questions about gv. i should have
clarified that I have talked with this mom about all the lifestyle, hygiene
and dietary issues, and she also has karen zeretske's yeast artil=cle from
Leaven and perhaps Chris's mothering article as well. SHe was terribly
misinformed and misled for hte first 6-8 weeks and the yeast probably took
hold even more strongly during that period from under-treatment with
nystatin (mom only - not baby), then baby, and then too low dosing of
diflucan without concomitant treatment of baby. i know jack means 7 days
in a row, but since she took the two days off, and then continued for a
total of 8 days, she is wondering if she can continue safely. if tom or
jack is on lactnet now, perhaps they could respond with their clinical
opinions re; my previous questions, since it is in their literature that
the conflicting information lies . . .?
yes, i'm sure she meant .5% gv solution, not .05%! typo, sorry!
and in answer to someone's question, phil anderson runs the uc san diego
drugs and breastmilk hotline (don't know if that's the exact name). thanks
again for any information you all can provide regarding these specific
questions. i've pasted the questions below again, in case it might help .. .
i am working with a mom who has been battling yeast and sore nipples for
pretty much the entire 12 weeks of her baby's life. she got tons of
conflicting information, nad went on diflucan, treated baby with nystatin,
has prescription strength clotrimozole or somethhing similar, and has
basically done it all at one time or another. she finally decided to try
the gentian violet (was afraid because of some of the conflicting info she
had gotten from lactation consultants - ranging from "useless" to
"carcinogenic"). after 3 days she felt MARKED improvement, but not
complete. she stopped, but called me on day 5 or 6 (after not using it for
2-3 days) and we discussed continuing for another 3-4 days per jack
newman's gentian violet handout (if improvement use for a week). so she
started up again, has used it for 3 more days and felt another leap in
impreovement, but still not completely pain free. so various questions are:
1) should she continue for another few days since it seems to be helping?
2) or is more than a week's worth of gv too much and should she just start
back on the topical antifungal and nystatin for baby for 2 more weeks
beyond cessation of all symptoms?
3) why would gv work so well when diflucan and topicals combined did not?
in most of the yeast protocols i am familiar with, gv is a first line
offense, with diflucan following it if it doesn't work .. . ..
i think i understand this already from the responses so far .. . .gv
kills/diflucan just keeps in control right?
4) i searched the archives re: gentian violet and carcinogenicity - and
didn't find much. i understand that phil anderson at uc san diego
considers it a carcinogen and says not to use it for breatfeeding women . .
. ? this mom was told the same by one LC she saw. does anyone have mor info?
5) lastly - she was also told to water down the 1% gv to .5% - i was
always under the impression that one watered down 2% to 1%, but i did find
one mention of .5% in the archives. i also found mention of mom applying
2 x daily, and only once daily to baby - do many of you recommend 2x daily
for mom? i have seen 1-2X daily in most written materials, and no
clarification of waht this means. she has been applying 1x daily to bothe
herself and baby.
any and all suggestions more than welcomed! thank you.
Lyla Wolfenstein
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