Co-Trimoxazole (Septra) has been a very popular drug, but there have been
case reports of rare, but very severe, reactions to this - Steven-Johnsons
syn. This can be life threatening. This can also happen to patients treated
with this in the past with no problems. For this reason I, and many othes,
have been using it much less than in the past.

The amount a baby would get through milk is non significant if he is
already getting the drug himself. When a doctor calculates the dose for the
baby it is also not exactly fitted to the size of the baby - a 5 kg baby
and a 5,350 kg baby would probably get the same dose, and the baby would
still get the same dose after a week, even if he gained 250 grams. It is
complete nonsence to tell the mother that because she and the baby are
getting the same drug bf may cause an overdose, and she should pump and
dump.

Add this one to stupid reasons not to bf.

Mira Leibovich, MD
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