The LLL Lactation Series (#18 - 30pp plus separate colour sheet) on
"Candidiasis & Bfg"  includes a full discussion of recommended treatments
worldwide, has a colour (really graphic) sheet of photos and written
descriptions of symptoms, and details using water,  vinegar and water, or
baking soda and water rinses (not breastmilk or anything else).  Includes
complete discussion of diagnosis, routes of transmission, etc.  LLL also has
a leaflet which is wonderful for mothers, and tear-off pads of instructions
for thrush treatment - all available at www.lalecheleague.org

I was fortunate enough to receive a grant from lottery funds, so 60 local
doctors will be getting the colour treatment sheet!

As for medical grade lanolins, I tell mothers and LLL's to only recommend
its use when there is a visible crack or lesion.  In these cases it is
really valuable to promote healing and prevent scabs which get repeatedly
pulled off, delaying healing and causing pain.   I also emphasize that USP
modified lanolin is not to be used to prevent nipple pain.  Since the LC
Series Candidiasis recommends the rinses mentioned, then air drying and
antifungal, I wouldn't recommend lanolin.

Michelle Bentley LLL, CLE

----- Original Message -----
From: "Lisa Marasco IBCLC" <[log in to unmask]>
Sent: Tuesday, December 04, 2001 12:07 PM
Subject: Protocol for lansinoh/purelan


> I am wondering if anyone has developed a protocol for when to use
> lansinoh/purelan, and when it is contraindicated. The current context is
for
> a pediatrician who prescribed lansinoh for a mom who had sore nipples due
to
> yeast (baby's symptoms were not dramatic). Mom's nipples did not clear up
> until she switched to monistat, validating the original LC's assessment.
We
> would like to present the ped with an official protocol for use of
lansinoh
> to prevent future misuses. Has anyone developed this? Also, is there
> anything official in writing that contraindicates lansinoh/purelan for
> yeast?
>
> Thanks,
> Lisa Marasco
>

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