Kristi, help!

I've been lucky never to get thrush, but (TMI) I have a horrible yeast infection right now. Are the -azole treatments safe to use while BFing? (I have a Terconazole rx left over from when I was pg and they thought I had a YI but I knew I didn't.) I tried to research it on Kellymom, but only found stuff about thrush.

Thank you thank you!

 

As read from Pg 781 in Hales Mothers Milk and medications

Terconazole is an antifungal primarily used for vaginal candidiasis. Ir is similar to fluconazole and itraconazole. When administerd intravaginally, only a limited amount (5-16%) is absorbed systemically (mean peak plasma level=6ng/ml). It is well absorbed orally. Even at high doses the drug is not mutagenic, nor fetotoxic. At high doses, terconazole is known to enter breastmilk in rodents although no data are available on human milk. The milk levels are probably too small to be clinically relevant.
Pregnancy Risk Category C
Lactation Risk Category L#
Adult Concerns: Vaginal burning, itching, flu like symptoms
Pediatric Concerns: None reported du to minimal studies

Adult dose 5g daily

 

Sorry!

 

Holly, must be something in the NE water, I have one too (actually it was the mastitis antibiotics that did it for me).
My doc prescribed me terconazole 80mg suppositories because they are safe for BF. The pharmacy had to special order them however because its not something that is normally prescribed. Its a 3day bedtime rx.

Hope you get it cleared up quickly!! Good luck!

 

I just read this and am freaking out a bit. I had a yeast infection two weeks ago and used the monistat 3 without even thinking. Was this okay??? I am usually so careful.

Lisa

 

QUOTE(motherof5 @ Aug 29 2008, 09:12 PM) [snapback]954274[/snapback]
I just read this and am freaking out a bit. I had a yeast infection two weeks ago and used the monistat 3 without even thinking. Was this okay??? I am usually so careful.

Lisa

I've had my share of yeast infections while pregnant and nursing. You cannot take that magic pill (Difulcan). I don't do well with creams, so I have asked recently. Whenever I get put on antibiotics I automatically get a yeast infection. What is recommended is to take a 5/7 day treatment of monostat or generic of meds. I have asked pharmacists and doctors.
I hope you get better soon Holly!

 

Well, it was my own fault, actually. I got sucked into the TS arcade and sat around in sweaty running shorts too long. Dumb! :blush:

Thanks for the info, Dani!

 

Jacky,

Thanks for the info. I'm relieved--I guess because it wasn't an oral medicine I didn't think about it--silly!


Lisa

 

For the record, Diflucan is ok when BF. This is what we did for a severe Thrush problem. It was a mega dose for 1 week and then an additional week of a lower dose. Thrush is a more aggressive form of yeast than what is typical in the vagina.
Also a bath in some baking soda is good to, it's a pH adjuster.

 

QUOTE(Appymomma @ Aug 30 2008, 08:24 AM) [snapback]954638[/snapback]
For the record, Diflucan is ok when BF.

I would strongly suggest to talk to your medical provider about this. I asked/questioned a doctor and the pharmacist when I had to go on anti-biotics and they had very strong opinions on use of this while breastfeeding. The doctor even looked it up in her little book.

 

A direct quote from Dr. Hale
"
Regardless, in those patients where Candida infection in the infant seems to lead to symptoms in the mum, then a 2-3 week course of fluconazole may be recommended. If after 7 days no change in the course has ensued, then I would discontinuing treatment.

As for toxicity, fluconazole is the least toxic of the azole antifungals. It is now cleared for use in infants 6 months and older in the US...suggesting that its really quite safe. Milk levels are published in my book, they are moderate, but subclinical. The infant will not receive enough via milk to affect treatment.

As to whether this therapy is safe, yes. As to whether Candida is the organism involved, we'll have to wait on this answer.

Regards

Tom Hale, Ph.D.
Professor of Pediatrics "

 

:wavey: I was on vacation in FL for the past 7 days and Jackie just clued me in on this topic!!!

YES, it is okay in bfing/pumping moms at doses that are under 200mg per day, more than that is more sketchy.

Jackie, I would ask your doc what year that book was published as the this data has changed recently.