I am not aware of studies comparing different ointment combinations for 
nipple trauma/infection/yeast overgrowth...we need some!

I do not know why Dr Newman decided to include the steroid in the 
combination...but I am aware of the common combination of steroid and 
antifungal.  Fungal overgrowth often causes an eczematous reaction, and 
eczematous lesions often harbor fungal overgrowth, is my understanding.

I use the combination nipple ointment a fair amount, and know that women who 
had been using lanolin often describe the ointment as much more "soothing". 
(BUT of course, fixing the latch is the most important/helpful!!!)

I would love to participate in doing a study comparing pure bactroban with 
the combination ointment on chewed up nipples...
any takers??

Kathy Leeper, MD, IBCLC
Lincoln, NE 

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