My dear husband-the-pharmacist says that the amount of systemic absorption of creams (in general), including steroid creams, is minimal compared to oral ingestion. Same goes for nasal sprays such as Afrin. He doesn't see any problem with using a topical preparation when bf. And if he EVER said, "I wouldn't let MY WIFE do something...." in response to a client question, the fallout would not be pretty. I absolutely HATE that type of patronizing response. I feel a soapbox coming, so I'll stop..... Jan