PLEASE HELP- got shot of methotrexate and need to stop breastfeeding NOW!

[kaitlyncakesmama]

i found out today i'm having an ectopic pregnancy :( i got a shot of methotrexate and was told to stop nursing for at least four days.

ds is turning one next week. we co-sleep and he has to be nursed down, and nurses 5-6 times a night. we went through a biting phase a few weeks ago, and since then, my supply has really dropped. i think he is nursing mainly for comfort. he has never taken a pacifier, thumb or bottle.

i'm really at a loss of what to do about the nursing situation on top of the loss of this pregnancy. is it possible to comfort nurse him w/o having him ingest the milk? i was thinking a shield or some type of barrier- i'm really desperate.

i probably don't have enough milk to even pump so i guess at this point i don't even know if i should even try to keep my supply, or wean him for good. prior to this i was thinking about night-weaning because of the whole biting issue and him still waking so frequently. honestly i think if i have to deal w/ the ectopic pregnancy and ds crying about not nursing at night and still try to keep up my supply, that will be too much for me. is there something i can do to stop my own supply and still nurse him for comfort?

how can i handle the weaning and sleep situation??

[PatioGardener]

i'm heart broken for you, mama

try to explain to your baby that your milk is not safe for 4 days - they understand so much.

your breasts constantly make milk.  do you respond to the pump?  i have no idea what i would do in your situation.  lots of cuddles?  sleep in a bra?  pump like crazy?  hale suggests the pump and dump for 4 days, and he is usually quite liberal, so i personally would try to avoid nursing for 4 days, and pump pump pump.  will your partner help out?

you can get your supply back after.  we'll help!  and i would feed baby from an open cup for these 4 days, and then lots of skin to skin and free to nurse time after. 

sorry not so eloquent - baby sleeping in arms, typing 1 handed

[MountainMamaGC]

I have read that the half life of MTX is 12 hours, and it should be all excreted by 48 hours. Just drink lots of water. Google more about the metabolism of the drug, but I think 4 days is overkill.

http://curriculum.toxicology.wikispaces.net/Methotrexate

Metabolism - Elimination

Methotrexate is eliminated almost entirely by renal excretion. MTX is predominantly excreted unchanged in the urine within 48 hours by both glomerular filtration and active tubular secretion. Toxicity is dependent more on the duration of concentration than dose administered.

Aspirin and probenecid inhibit methotrexate secretion in the proximal tubule and folinic acid blocks methotrexate reabsorption thus aspirin may increase toxicity and folinic acid may accelerate methotrexate excretion. The clearance of methotrexate is largely independent of urine flow rate.

[MountainMamaGC]

I also found this.

http://www.breastfeed.com/expertqa/medications/how-long-does-methotrexate-stay-in-your-system-and-will-408