Catherine Genna had asked for information on the problems of taking seldane & erythromycin. I posted some information yesterday and have included the rest today as promised. The following information is take from the patient package insert for seldane: Risks of using Seldane: In RARE cases Seldane has caused irregular hearbeats which may cause serious problems like fainting, dizziness, caridac arrest, or death. In these cases, this occured when Seldane was taken: --- in more than the recommended dose (do not take more than one tablet every 12 hours) --- with the antifungal drugs ketoconazole (nizoral) or itracaonzole (sporanox) --- with the antibiotic drugs erythromycin, clarithromycin (Biaxin), or troleandomycin (TAO) --- by patients with serious liver disease. it is interesting to note that the nursing information in the insert does not tell moms to stop nursing while taking seldane -- what it does say is to speak to your doctor. I know a number of mom's who after their milk supply was established took seldane on a "as needed basis" (not every single day) with no apparent side effects for the infant, no matter what their doctor said. Nuf said on drugs. Now for the etc: I am in private practice (2 other consultants help out also) we have a couple office locations (about 20% of our consults -- Home visits make up the other 80%) and a number of satillte rental depots as well (7 hoping to work up to 10 -- currently hovering around 100 pumps). I would like very much to hear (by private e-mail) from others who may be in a similar situation (even if much smaller). I am searching for some suggestions on better organization skills, ways to help cut down the lc burnout i feel coming (i'm sure it's already arrived) and possibly some different BF & practice promotion ideas (i am really beginning to feel, that what i've known all along -- most of the "stupid" docs in my area are at least 5 possibly 10 years behind in how to keep BF going). This winning the doctors over 1 by 1 is starting to REALLY get me down after 6 plus years. I'm having a particulary down week. By the way I am also the mother of 2 very wonderful girls age 4 & 8. I tease my husband that I have: 2 Kids (real cute & always one step ahead of mom) 2 houses (my mom stays in the second one) 2 professions (lactation & pharmacy) and a husband (unfortunatly mostly in that order) I look forward to your private posts. Sorry this is so long, good bye for now. Anne F. Norton-Krawciw, RPh, IBCLC (Breastfeeding Specialists Inc, Sterling Hts MI) (the LC who's a pharmacist) [log in to unmask]