A couple years ago our busiest OB told us that we could stop calling him if we wanted Reglan (metoclopramide) ordered for any of his patients; we should just go ahead and call it in ourselves. Now a couple of his partners have said we could do the same thing. Feeling that perhaps we should formalize this a bit, I wondered if any of you out there do the same thing, and if you have anything written up. I was thinking of an information sheet listing precautions, contraindications, that kind of thing. We currently screen for a history of depression, keep in close contact with the moms, and had been giving the mothers a copy of the little article Kathleen Huggins wrote in the UCLA Lactation Newsletter that appeared with Dr. Jensen's article on fenugreek. I had also been thinking that perhaps we could pursue standing orders for Diflucan, since that's pretty much the only other med we call to request besides Reglan. Any opinions or advice? Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin [log in to unmask] or [log in to unmask]