I was just reading the latest edition of JHL, and am reading the article on
Use of Anti-Infective Agents During Lactation, Part 3: Antivirals,
Antifungals, and Urinary Antiseptics, by Mactal-Haaf, Hoffman and Kuchta.

P. 160-166.   It says of Fluconazole ( a drug used for fungal infections)
that "In the case of fluconazole therapy for vaginal candidiasis, the
mother may choose to forego nursing, expressing mlk to maintain her supply,
for approximately 4 days after which about 90% of the fluconazole would be
excreted. However, it may be prudent to discontinue nursing in the case of
an extended period of therapy or switch to another azole antifungal."  I am
not sure if the authors were referring to only mothers of neonates or
preterm infants...though I don't think so from reading the statements in
context.

Can anyone comment on this. This information is significantly different
from that which I have read in other resources. I wonder if the risks of
this medication were weighed in relation to the present  risks from
artificial feeding?

Kind regards, Kathleen

Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
mailto:[log in to unmask]
http://homepages.together.net/~kbruce/kbblact.html
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