Vaginal yeast infection and breastfeeding. HELP! - Mothering Forums

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Old 01-07-2006, 01:30 PM - Thread Starter
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Hello everyone,

I need help!

I was diagnosed with yeast infection (vaginal yeast) and I do not know what to do with it because I’m breastfeeding my baby and it looks like most of 1 day creams that do help are either not recommended for breastfeeding mothers or have no studies on this issue.

I have tried douching with grapefruit seed extract (approximately 5 drops per 4 oz of water). Didn’t do it. I have tried gentian violet. That was a real disaster for me. I am all purple, got a lot of extra discomfort, burning and even pain, but it didn’t seem to bother the yeast in any way .

Before I got pregnant I had the same thing and none of the over the counted creams helped. The only thing that did was 1 day prescription cream called Gynazole – 1. However it seems that there are no studies this way or another if it goes into breast milk or not.

I’m being miserable. If somebody had similar experience and knows what may help please share.

Thanks,

Yulia.
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Old 01-07-2006, 01:33 PM
 
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You can take diflucan. It's a one pill treatment and safe with breastfeeding, but you need a prescription.
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Old 01-07-2006, 01:52 PM - Thread Starter
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Thanks for quick response!
I know Diflucan. But, unfortunately, it's probably the most not recommended yeast medicine for pregnant and nursing :.
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Old 01-07-2006, 02:06 PM
 
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I swear I'm not a spokesperson for diflucan, but I just want to put your mind at ease. I'm am currently taking diflucan once a week for ten weeks to treat a fungal infection. There are better treatments for my infection, but none are known to be safe as diflucan. In addition to consulting with my doctor, I asked my stepmom who is an IBCLC and she also checked with the breastfeeding task force she is on. So long story short, I believe it's safe.
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Old 01-07-2006, 03:03 PM - Thread Starter
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Are you breastfeeding too?
My baby is 7m.o.,but still exclusevely breastfed. How old is yours?
Thanks!
Yulia.
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Old 01-07-2006, 03:15 PM - Thread Starter
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mhenry, what dose are you taking? Is it just 1 tablet 400 mg?
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Old 01-07-2006, 03:58 PM
 
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My babe is 7months tommorow. I've been taking 150mg once a week. HTH
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Old 01-07-2006, 03:58 PM
 
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Oh sorry forgot, he is exclusively breastfed.
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Old 01-07-2006, 03:59 PM
 
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Yulia,

Like mhenry writes, Diflucan is definitely safe for breastfeeding. The official category for Diflucan is a Class C. Class A is safe, Class B is pretty safe, Class C is not optimum, but not dangerous, and Class X is contraindicated. That said, Diflucan is a Class C because the companies haven't done enough research to feel comfortable being responsible, monetarily, for any lawsuits that are possible.

I was in to my non-crunchy, knows-NOTHING-about-breastfeeding family practioner last week about the yeast infection I have and can't get rid of on my own. I came in, having already researched my options, and told him what was going on. He was hesitant to prescribe the Diflucan, but did. I came home, did even more research and am completely comfortable taking it while breastfeeding.

Let's see....some facts to help you feel more at ease.
IBCLC, LLL and other lactation folks all recommend Diflucan to nursing moms.
Hospitals give Diflucan directly to preemies for yeast/fungal problems.
www.kellymom.com which is considered a very reliable source of information approves the use of Diflucan.

For my own, persistent infection, I was prescribed one Diflucan pill per week for three weeks, plus 7 nights of vaginally inserted terconazole cream. I am nursing my 12 month old, some days it's exclusive breastfeeding, some days he eats about 50%.

I hope this helps and I hope that you are all better soon.

SAHPilot Mama to a 5yoson, a 17 mo old daughter, and wife to .
Worried about your baby's head shape? PM me for craniosynostosis info!
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Old 01-07-2006, 06:27 PM
 
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Yulia, someone is giving you bad info. Diflucan is actually approved for use in nursing moms by the American Academy of Pediatrics, and it's rated a lactation risk L2, same as Tylenol (the ABCX risk ratings are for pregnancy).

Here are the specific kellymom cites:

http://www.kellymom.com/health/meds/...ml#Antifungals

http://www.kellymom.com/newman/20fluconazole.html

Dr. Hale (Medications & Mothers' Milk), a pharmacologist who exclusively studies the transfer and effect of drugs in breastmilk, also lists clotrimazole (the generic name for Gyne-Lotrimin & some other brands) as an L1 for vaginal application, and miconazole (Monistat) is an L2. Terconazole (Terazol) is an L3.

Butoconazole (Gynezole) isn't listed in my copy of Hale (2003) but perhaps this will set your mind at ease -- medical researchers who indicate that all topical antifungals are OK while breastfeeding simply due to the extremely low rate of transfer into milk:

http://www.ukmicentral.nhs.uk/drugpr...tm#Antifungals

Grrr. It makes me so mad when nursing moms are told (often by medical caregivers) that they have to choose between breastfeeding and treating their own medical problems.

HTH, and feel better soon!
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Old 01-08-2006, 07:42 PM - Thread Starter
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Guys, thank you all SO VERY MUCH!!!

You gave me so great and helpful advices! And so quick!

I did take a tablet of Diflucan (150 mg) yesterday and am going to take two more as my doctor thought that it’s a good idea to take it 3 days in a row.

I’m still feeling a lot of burning and etching, but it will probably go away pretty soon (at least I hope so).

THANKS AGAIN!

Yulia.
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Old 03-24-2014, 09:22 AM
 
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I've been having recurring yeast infections throughout my pregnancy and afterwards too. I couldn't use any medications, so what I did was take a bulb of garlic, thread it with a needle ( I always doubled up on the thread) and insert it before you go to bed. This has worked for me each time. Just make sure that there is enough thread to pull it out in the morning. This is a great alternative remedy for women who can't use medications.

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