In a message dated 7/26/03 12:48:30 PM Eastern Daylight Time,
[log in to unmask] writes:

> I need to give this mom of a one month old nursling reassurance that this
> drug is safe for her to take ( 250 mg twice a day - total 500 mg) while
> nursing.
> Does anyone have any experience with this drug (used for epileptic seisures)
>
> ? She is concerned about the liver aspects.


Donna, I haven't had a client take this -- or maybe I have and I've
forgotten, because I don't ever "reassure" anyone re: "safety" no matter what the med.
I simply pass on the exact reference(s) for the mom to discuss with her
physician or other type of primary provider. I will discuss relative risk if general
and specific references provide some info for that, and I will role-play some
questions she may want to go over with her doc, e.g. can baby be monitored
for potential liver and platelet concerns. I also may suggest she ask about
options to one med if other(s) with more research are available for a certain
condition. (Sometimes docs want to jump on the "newest and bestest" bandwagon when
a breakthrough pharmaceutical comes up, yet it may not be the best choice for
lactation due to inadequate research.) Since I don't have prescriptive
authority, reassuring re: safety really doesn't come under my particular scope of
practice as a healthcare professional.

Good luck.

Karen

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html