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> From: Christine Choong <[log in to unmask]>
> To: [log in to unmask]
> Subject: Re:  Levofloxacin  & breastfeeding.
> Date: Friday, October 29, 1999 4:37 PM
>
> Hi, I have been no mail for the last few weeks having been overseas, so
> would be glad if possible for a personal reply as I have not quite got
> organised yet. I saw a Japanese mother this morning & our communication
is
> a little difficult so I hope I have the facts right. She seems to have a
> sinus problem & Dr. offered her the alternative of surgery which would
> seemingly involve 3 days hospitalisation or taking the following drugs :
> Levofloxacin 100mg &  Clarinase ( 5mg. Loratadine & 120mg.
> Pseudoephidrine). She has been told to disc. breastfeeding while taking
> medication , but is currently fully breastfeeding a 6 month old baby who
> will not take a bottle & will not sleep without suckling. If possible
this
> mom prefers medication to surgery but has been instructed to commence
> treatment today. I checked with the paed. who does not know whether this
> medication is safe. I have checked in Thomas Hales book 96 edition   (
> sorry I know there is a new edition out!)   Both Loratadine &
> pseudoephidrine seem to be OK but I can't find Levofloxacin. There are
> other drugs( I think in  the same family)  which may cause GI bleeding.
Can
> anyone give me advice to pass onto this mother. Can she take the drugs &
if
> so what side effects does she need to look out for in baby?  I would be
> grateful for some advice ASAP.  Looking forward to getting back on
Lactnet
> soon.
> Thanks in advance.
> Christine Choong
> SRN IBCLC in Malaysia

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