Might be worth reviewing management of vasospasm with her (wonder if her
"consultant" is an IBCLC??)
Most recommend taking more magnesium than calcium. Use dry heat as the
evaporation that happens with a moist compress will cause more heat loss
from the breast. Haven't heard of nimodipine but looks like it's somewhat
selective for brain tissue, and I can find no recommendation for use with
nipple vasospasm . Usually it's nifedipine that's used for nipple
vasospasm.
Has anyone worked on latch with her? Very often vasospasm is associated
with a shallow latch or other reasons for nipple compression during the
feed.
Here's Jack Newman's vasospasm advice:
http://breastfeedinginc.ca/content.php?pagename=doc-V-RP
Scroll down to page 7 to see the vasospasm protocols from University of
North Carolina's set of great information:
http://www.mombaby.org/wp-content/uploads/2016/04/PainProtocols.v3.pdf
Also check out pectoral massage and stretches for mammary constriction
syndrome in" Severe Breast Pain Resolved with Pectoral Muscle Massage" J
Hum Lact August 2014 30: 287-291 Often associated with or confused with
vasospasm.
And if she does take nifedipine, levels in breastmilk are low. Lactmed's
info can give her specific info on amount found in milk to take to the
child's cardiologist.
https://toxnet.nlm.nih.gov/cgi-bin/sis/search2/f?./temp/~DYSY00:1
"currently taking 250mg of magnesium, 1000 IU vitamin D, and 500mg of
Calcium. She immediately applies warm compresses after feedings and has
also done warm olive oil. Mom claims these remedies only provide very
temporary relief and reports to have severe pain sensitive to cold/wind/ a
draft etc. The next step is to start Nimodipine."
Wishing her more comfort (and more accurate information)
Susan Lawrence
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