Let me clarify. I have never prescribed medication, nor do I plan on doing
so. I agree with Marie on this point, of course. As a nurse, or IBCLC, this
is not within the scope of my practice. I do not suggest that IBCLCs
prescribe medications.
However, sometimes, in the course of a professional conversation with a
physician, I do sometimes discuss various options based on information
that I have, and the physician in charge then makes the treatment
decisions. I believe that discussing treatment options in a colleagial way
is acceptable.
Thanks for the chance to clarify on this important point.
Kathleen
Date: Tue, 18 Jan 2000 11:01:40 -0500
From: Marie Biancuzzo <[log in to unmask]>
Subject: Re: sore nipples
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
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
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