This med is problematic for bf. Rated L5. Pertinent info from Hale's Medications and Mothers Milk book, also feel free to contact the Infant Risk Center at Texas Tech, easy to find via web search. " significant amts are secreted into breastmilk.....higher than the plasma level." "could expose the developing infant to a significant dose....should be avoided." "long half life and high concentrations...." " should be used under the most extraordinary conditions...infant...closely monitored for cardiovascular and thyroid functions." "Breastfeeding should be avoided if this product is used chronically", according to Hale, but "brief, 3-7 days use is probably not contraindicated if a 24-48 hr interruption is used before reinstating bf." Hale, 13 th ed., p. 57. This would be a tough sell to most physicians, so I am hoping this mother will be off of it soon. Are there alternatives? Laurie Wheeler RN MN IBCLC Mississippi USA ----------------------------------------- Smart Medicine. Inspired Care. And the awards to prove it. Recognized as a Top 50 Healthcare Network. To learn about other recognition and awards Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.asp This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome