Frank-

PLEASE write a letter to the editor about this article.  : )


<<Date:    Fri, 5 Apr 2019 20:29:39 +0000
From:    "Frank J. Nice" <[log in to unmask]>
Subject: "Is It Safe?"-The Many Unanswered Questions about Medications and Breast-Feeding" NEJM, April 4, 2019

This article is so wrong:

"Despite this trend, we are no closer to answering
the question, “Is it safe?” for many medications used during
lactation. In the absence of clinical and pharmacologic studies
that include pregnant and lactating women, health care providers  will continue to counsel their
pregnant and lactating patients without adequate information on
the safety, efficacy, and appropriate dosing of therapeutic products.
Given the ultimate impact of breast-feeding on more than
80% of the U.S. population, efforts to fill the void with definitive conclusions
about safety are critical for public health.

I hope it will not set back over 40 years of my work in this area and the work of  the rest of us over many years.>>

Frank J. Nice, RPh, DPA, CPHP




Kathy Leeper, MD, IBCLC, FABM
Breastfeeding Medicine Specialist
Medical Director

MilkWorks, a non-profit Community Breastfeeding Center
5930 South 58th, Suite W
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