Thanks for the information, Maggie. That's very good to know. One real frustrating thing about my practice is I don't get to really follow up with patients all that often and see how they do on their medications. I get a lot of theoretical stuff but little in the way of a personal impression based on experience. I'm still a pretty new practitioner, but it's going to take me forever to accumulate any of these experiences because of the way my practice is structured. Blah! I do get breastfeeding patients asking me about hydrocodone sometimes. I'm glad to hear you haven't noticed any problems with it.
On a personal note, my daughter was sleepy and I didn't take anything stronger than ibuprofen. I think for her it was a touch of jaundice causing that, though.
It's got to be frustrating! One of my close friends is a pharmacist, but he works in a private pharmacy that specializes in chronic pain patients, compounding and hospice pharmacy work, so he gets a lot of feed back on his job. (It's the pharmacy I always use.) People with these situations tend to stay with the same pharmacy if it fits their needs.
When I did a lot of Hot Line work in Lactation I got frustrated because I had little feedback after I would talk to a new mother. Luckily, I was also doing clinical face to face hands on work, so I was seeing clients I could follow up with. In lactation people disappear quickly and don't follow up with you if 1) they quit breastfeeding 2) things go really well and they nearly forgot they saw you.
I try to follow up with as many clients as possible, but I can see that in pharmacy work in a lot of cases, there isn't a lot of follow up. Personally, I think it's wise to use the same pharmacy for everything and to have all in the family use the same pharmacy. That way the pharmacist sees you regularly (and treating my migraines has me in my pharmacy a lot) and also the pharmacist gets to know you and your family and can help keep an eye out for side effects and allergies etc in the family.
Jaundice, even mild physiologic jaundice is infamous for causing some pretty intense lethargy and sleepiness. The more milk you get into the faster, the more quickly it will resolve. But, yes, jaundice can and usually does cause extreme sleepiness in newborns.