Hello Lactnetters,

This was sent to me from Mary Rose Tully, BA, MPH, IBCLC who heads the milk
bank and lactation program at Wake Medical Center in Raleigh NC. She is not
on Lactnet and said I could forward this to the list:

>>Practice hint of the month.  Did you know that if a mother is using ANY of
the 'ozole antifungals (miconozole, fluconozole, etc) and her baby is on
cisipride for reflux the baby could develop fatal heart arythmias?  One
death has been reported from this drug interaction (I don't know that the
source of the antifungal was breastfeeding in that case).  Can't use any of
them topically on mother or baby if the baby is on the cisipride.  Since it
is not in the drug information I learned it from our neonatologist who
studies drugs in neonates and have been trying to pass it on to anyone to
whom a mother might turn for drug info!>>
If you have comments/questions, e-mail her directly at
[log in to unmask]  Pretty scary, IMHO. I'm glad she brought this to
my/our attention.

Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre
Dayton, OH USA
http://www.bflrc.com