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is this an ok plan for thrush?

post #1 of 2
11/2/01 at 5:51pm
Thread Starter 
Hi Anne,

I've done some more research on thrush since the last time we spoke (?) I refilled the babys perscription for nystatin, and started it yesterday, orally for her and on my nipples. I spoke with another LC this morning, and she said this was not good enough. (It is what the pedatric nurse told me to do.) The LC said to use lotrimin on my nipples and take some acidopholis and eat yougurt. I also read to put vinegar/water solution on nipples after feeding, pat dry and then use the lotrimin. I also am going to keep hands (mine and hers) washed and change nursing pads frequently. Does this all sound like it will work? I can't take any more pain and I need to kick this or I am going to go out of my mind! Also, does the lotrimin need to be washed off before feeding?

Thank you so much!

Suzie
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post #2 of 2
11/2/01 at 10:10pm

Treating Thrush

Hi Suzie,
You can certainly try the vinegar rinses and the lotramin and see if they help. Nystatin is the least effective treatment for yeast in both you and the baby (it only works 46% of the time) due to the newer resistant strains of yeast that have come out over the past few years, but unfortunately, it is still the medication that doctors prescribe the most since it worked so well for so many years.
Different strains of yeast respond to different anti-fungals, and lotramin (clotrimazole) is one of the OTC anti-fungals that often works. If you can get your doctor to prescribe it, I would try the Nizoral ointment instead, but if not, then the clotrimazole should work better than the nystatin.
You also might want to consider trying gentian violet (also OTC) and diflucan pediatric suspension for the baby ( it works 89% of the time, but you need a prescription to get it.) You don't need to remove the topical anti-fungals before you nurse again. If you apply them after feedings, they should have time to be absorbed into your nipple tissue before you nurse again.
Eating yogurt certainly won't hurt, but you get much more of the live cultures that restore the natural balance of yeast in your body by taking acidophillus tablets from the health food store.
You can find details about all this and more in the article "Information Sheet and Care Plan for Yeast Infections" on my website: breastfeedingbasics.com

Good luck!
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