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Fri, 24 Apr 2009 10:03:54 EDT |
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Lisa writes:
She called her OB today and, due to mom's allergy to penicillin,
prescribed erythromycin, 250mg, 4x/day for 7 days. Hale classifies this as L2 but
states there is research associating it with pyloric stenosis in newborns.
Both Lawrence and Riordan suggest cephalexin or other cephalosporins in case
of penicillin allergy for treating mastitis.
Lisa,
Although erythromycin is a kind of a third line choice, it may be the one
because some moms who have penicillinase problems also have problems with
cephalexins and they are left down at the erythromycin. Did mom have a
history of problems with the second-line drugs too? I share frustration on this.
With poor choices which may not kick the thrush being the available one,
then we are left wondering...
I was going over the Hale Clinical book text with a mom, same situation,
only to find out that she had a history of bad reactions to the
penicinllinases and the cephalos as well.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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