To : Liz
Re : Vivelle

The Vivelle patch is a prolonged release transdermal estrogen patch used for
menopausal symptoms.  As far as I know, it is never used as a birth control
device.


To : Winnie
Re : Diprolene

Diprolene is a high potency topical steroid.  It should only be used briefly
on the nipple if at all.  For use in psoriasis, the newest therapy is to use
steroids only several days a week,  lest the lesion becomes totally
resistant to the steroid.  Generally, higher potency steroids are used, but
again,  only on two days a week.

I would use caution with Diprolene on the nipple, unless it is thoroughly
washed off...particularly if it is used often.  Symptoms of steroid abuse in
such a neonate would be a perioral rash (initially).

Regards

Tom Hale, Ph.D.

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