Leigh Anne,

The minocycline and black milk angle is covered in the 6th edition
(2005) Ruth and Robert Lawrence's book, Breastfeeding: A Guide for the
Medical Profession.  On page 350 it describes a 24-year-old woman who
took minocycline for acne for 4 years, which subsequently caused the
black milk.  It also says: "Examination of the fluid revealed that the
macrophages contained hemosiderin, thus causing the black color...A
scond case was reported in a 29-year-old female who had weaned but could
express black milk 3 weeks after beginning oral minocycline therapy.
Hunt and associates found iron-staining pigment particles in the
macrophases and suggested it was iron chelate of minocycline."

So perhaps the iron aspect might provide a clue.  Hope this helps.

Happy New Year!

Nancy Mohrbacher, IBCLC, FILCA, LLLL
Lactation consultant, Ameda Breastfeeding Products
Chicago, where it is also br-r-r-r cold

>I have permission to post from a mother. Baby is 4 weeks old - first
>baby - born after a long labor, attempted vacuum - then a Caesarean.
>Mother contacted me for sore nipples and plugged duct. I have offered
>mother phone support as I have beentravelling - sent her to local BF
>support group. Some of her complaints suggest a possible candida
>overgrowth.
>
>She is going to get sonogram on breast for a lump that will not go
>away that sometimes gets the size of a golf ball and for a couple of
>days was red and warm. She was on a course of cipromax post pregnancy
>for UTI + fever.
>
>She has been wearing a bra 24/7 - I suggested some free time from the
>bra.
>
>She called me tonight - she nursed baby on non-lump side then nursed
>her on the lump side then began expressing and then realized baby was
>taking in a black, foul smelling milk - she panicked - called ped -
>who suggested AIM and expressing to keep up supply. Now the lump is
>gone - the 4 week old lump!
>
>I think this may have been a galactocele. My question to you all is
>"has anyone else seen black milk?" I checked the archives - I did find
>a correlation between mynocycline and black milk = she does not think
>she had this and she said the milk was very foul smelling.
>
>
>

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