When it is topical nipple thrush I use APNO(my version-Bactroban,
betamethasone and nystatin ointments-mom mixes them herself so pharmacist
doesn't spazz out) and diflucan for baby, if baby is over 1 mo old.  If you
use diflucan for baby under one mo you have to adjust dose, so I usually use
nystatin if it is a fairly young baby.  Summer in Atlantic City is
definitely thrush season!

I agree with Joanna that anything that goes on for WEEKS needs further
investigation.  If mom doesn't get prompt relief, look again!
The deep breast pain she mentions is abnormal to say the least.

 I hear from the moms who have had
> weeks of fluconazole with no change in symptoms and following have been
> the
> actual causes of the pain:
>
> Latch problems, including ankyloglossia, becoming symptomatic as late as
> 4-6
> months. (the nipples just can't take it any more??)
>
> Fissures and bacterial infections.
>
> Dermatitis in response to various and sundry "nipple butters".
>
> Eczema
>
> Pendulous breasts with no support from ancient bra, active infant
> practically swinging on nipple.
>
> Ductal bacterial infection - no acute symptoms, just persistent, miserable
> deep breast pain.

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