Hi everyone Two unrelated but interesting things I read recently in a newspaper/magazine for Aussie doctors. A dermatologist being interviewed about vaginal candidiasis said that up to 10% of cases were caused by Candida glabrata and Candida tropicalis (rather than the commoner Candida albicans). She is quoted as saying that they are less pathogenic but completely resistant to normal topical anticandidal agents. They may respond to oral azoles (eg ketoconazole or fluconazole), but can be treated with flucytosine cream or 2-4 weeks' treatment with boric acid. Any candida experts like to comment on the possibility of these types of Candida causing breast problems??, and whether the treatments quoted would be feasible/safe for lactating women??? Depression - St John's Wort is being marketed in Australia now as a treatment for depression by a large company that sells vitamins, herbs, skin treatments etc etc. They refer to a study in the British Medical Journal to back their claims. I haven't read the article, and wondered if anyone else has seen it: Linde K et al; BMJ 1996;313:253-8 Fiona Fiona Coombes MBBS IBCLC [log in to unmask] Lactation Consultant, Family Physician Perth Western Australia