I would be a little nervous about making compounds for nipples myself, although I have "suggested" OTC ointments separately. I know there are some things which have adverse reactions when put together, for example, or where the effect of one is nullified by another. The dermatologist who works closely with us has told us that neosporin should not be used on nipples, nor should triple antibiotic cream. A better choice is polysporin. Mupirocin (Bactroban) is the best choice, according to him, but requires a Dr.'s prescription. Our solution to the problem is to provide a physician's information sheet and a mother's information sheet about Newman's APNO. We fax the doctor the information sheet with references, and a prescription all filled out with the recipe for making it in the U.S. (written by our NICU pharmacist) and a list of pharmacies who will compound it. Newman's ointment calls for 10% clotrimazole, which isn't available in the U.S., and we have found that the 1% vaginal cream does not work well. THere is a way for a pharmacist to get10% clotrimazole into the compound and it works beautifully, if anyone is interested. Those who are hospital-based might try an approach similar to this, since we cannot manufacture our own compounds. Deanne Francis, BsN IBCLC NICU *********************************************** 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