Someone's post a few days ago:

>Re Pat's case of sore nipples. Why not try Jack Newman MD's four part nipple
>ointment, which usually helps the problem whatever it is.  The shield use
>can make sore nipples worse, and is probably not helping any,...
>
>The ointment is:
>
>mupirocin 2% ointment (5 grams)
>nystatin 100,000 units/ml ointment (5 grams)
>clotrimazole 10% (this is the vaginal cream) (5 grams)
>betamethasone 0.1% ointment (5 grams)
>
I can think of a reason to *not* use this ointment. Unless you have
privileges to prescribe medicine AND prepare pharmacologic compounds,
you're asking for legal trouble. At least in the US, mupirocin (Bactoban)
is a prescription drug, but the whole issue of compounding, even for OTC
products, is quite another question.

Further the clortrimazole, usually known as Lotrimin in the OTC market here
in the US, is generally 1%, not 10%, as I recall.

I'm sorry to sound negative, but I'd like to get people to just stop and
think about the implications of this action.


--
Marie Biancuzzo
Perinatal Clinical Nurse Specialist
[log in to unmask]
Resources to simplify breastfeeding management are available at
http://www.wmc-worldwide.com

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