Hello again all, I need your help again. As mentioned in my last post, I am currently working with a mom, delivered twins three days ago. She only has one breast, following a unilateral radical mastectomy 5 years ago. She would like to breastfeed her twins, but is running into some difficulty. She experienced what sounds like Reynauds syndrome with her first child three years ago, but never received treatment. The Public Health Nurse at the time contacted Jack Newman and received a recommendation for nifedipine. However the GP here declined to prescribe it because he wasn't comfortable with the side effect profile for this drug or with using it for such an 'unusual' problem. This mom now has blisters on her nipple and is again experiencing a similar blanching and pain during feeding primarily, but also some in between feedings (coming out of the shower, for example). She is interested in finding a treatment, particularly a topical one, as that would minimize the overall absorption and the side effects. Do you have any advice for us? Thanks for your help Joan ********** Joan MacNeil, RN, BScN, IBCLC Halifax NS Canada mailto:[log in to unmask] *********************************************** 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