Date: February 27, l996 From: Kathy Bell Subject: NSAIDS and Diflucan questions I am still looking for info on the following: I am looking for quick information with references on the use of NSAIDS, particularly Ibuprofin and Ketorolac in postpartum breastfeeding mothers of term infants. We use Ibuprofin routinely, but I am having a difficult time convincing our hospital pharmacy that there is supportive evidence on the safe use of Ketorolac for a limited time in mothers of term infants. This drug is present on the American Academy of Pediatrics list as generally safe, and I have a copy of the article from the European Journal of Clinical Pharmacology. Anything else available? The hospital pharmacy wants to reference only the product insert from the drug company which contraindicates the use of Ketorolac in BF moms. Next question is on the use of Diflucan in moms with yeast infections of the nipple or breast - can they use this and continue to nurse? Is anyone using it for infants? Alas, my copy of Dr. Hale's book has not yet arrived! I am seeing lot's of yeast infections recently, some of which are very stubborn and not responding to standard measures. Thanks! Kathy