Marie warns,
<< 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. >>

Of course, if you are working with a physician (which most of us are, in one
way or another) and he/she does the "prescribing", it stands to reason that
it will be compounded by a qualified pharmacist in a qualified pharmacy.
This is no more than "prescribing" Diflucan for an intractable yeast problem
and "dispensing" it.  A physician (or nurse practitioner/CNM) does the
former, the pharmacist does the latter.  And the IBCLC will make the
recommendation to the HCP if that is what she/he thinks is appropriate for
this particular situation.

Jan -- who hasn't heard of any IBCLCs concoting APNO in their offices -- but
who supposes it could happen.

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