We have readily available, by prescription, a nasal spray for use by BF mothers with MER problems. Though often used inappropriately, it is valuable in some cases. It is produced by Novartis and marketed under the name Syntocinon and contains 40 IU of syntocinon per ml. Is it not available in the US anymore? It used to be when I was a kid, because I babysat for a lady who used it. In the post on how this type of drug was used, the poster said 'one spray in each nostril' before nursing. The package insert for our spray specifies that one spray, one squeeze of the plunger, is one dose, and ONE NOSTRIL IS ENOUGH. The amount of oxytocin delivered to the nasal mucosa is a whopping 4 international units. I have seen mothers go from no contractions to baby born with far less than half that amount administered IV, diluted to one unit per deciliter in 5 percent glucose, to induce labor. A double spray gives 8 units. Even though the half-life is very short, 4 units is plenty. If 4 doesn't do the job, neither will 8, and the woman runs twice the risk of irritating her mucous membrane, not to mention using up the spray twice as fast. Rachel Myr midwife (= someone who makes a living off other people's oxytocin) Kristiansand, Norway *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html