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Subject:
From:
"Karen Kerkhoff Gromada, MSN, RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 12 Aug 1995 11:34:59 -0400
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Geez, does this mom have a full plate or what?
Info on Imuran is from Hale (1994 ed.) Medications and Mothers' Milk:
"Immunosuppressive agent. Small amounts are known to be secreted in human
milk. No immunosuppressive effects have been noted in infants, but very
little is known. Extreme caution is urged. AHL (adult elimination 1/2 life) =
0.6 hrs."

This is not my area of expertise, but I'd be asking a lot of questions: Does
the mother understand the purpose of being put on this med? Could any of the
meds for one condition interact with meds for the other (and what are
potential effects of interaction)? Do any meds for one condition possibly
aggravate symptions for the other? Are there safe/effective alternate
treatments/meds that could be used temporarily or permanently as baby moves
more to other foods? Has the mother consulted 2nd/3rd opinions, especially
from centers specializing in either or both conditions? (Several years ago a
nurse colleague with MS discussed with several of us how political MS
treatment is in the USA. This women eventually went to Germany to receive
treatment, which was much more successful than treatment she'd received in
this country-- and had meds sent via some international grapevine due to
politics of getting FDA approval for these long-used German meds here. Moral
of story--there often is more than one way to treat something; other ways
sometimes are safer and more effective. At very least, consumer should
understand all why's and wherefore's so that agreement to treatment is with
well-informed consent.)

Also, is use of this med different when it is a 6 month old being breastfed
vs. a newborn? What signs/symptoms of med side effects should/could baby be
watched/tested for? Etc.

"Nuff said. I hope you'll keep us posted on this mom. My heart goes out to
her as she makes such big decisions for herself and her baby while coping
with two debilitating illnesses. Please tell her she and her family are being
thought of and prayed for. Thanks.               Karen

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