Originally Posted by eilonwy
The one he can't have is doxycycline; It's considered absolutely unsafe during lactation (and in fact my prescription information says that I shouldn't nurse for five full days after the last dose).
I had a similar situation. On my 5th day postpartum, my milk dried up completely because of a vaginal infection that caused a high fever and dehydration. (Prior to that day, I had a good supply for my newborn, and I had nursed DS1 for 3 1/2 years - so the cause of the supply problem was obviously related to my illness.)
I also needed to be on antibiotics, and tried several that didn't work - ultimately, in consultation with a pharmacist, I ended up taking doxycycline and clindamycin. I was very concerned about safety in lactation, but after reviewing the available medical literature on LactMed ( http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT
) I felt more comfortable with using those two medications. The concern about doxy and other drugs in the tetracycline family is that they may cause staining of the infant's permanent teeth - but short courses of antibiotic during breastfeeding are probably safe. Because I was desperately trying to restore my milk supply, I chose to continue nursing while I was on doxycycline, and I felt that the minimal risk was acceptable. You may want to discuss the literature cited on LactMed with your own doctor, so you can make an informed decision about whether or not doxycycline is an absolute contraindication to nursing your baby. Obviously, YMMV, if your little one is also having GI issues. We both took a LOT of probiotics that week!
My milk came back after a week of regularly pumping/putting baby on the breast, drinking a gallon or more eveyr day of Traditional Medicinals Mother's Milk Nursing Tea, and regularly taking Motherlove's More Milk Plus formula (a pp listed the herbal ingredients; tastes nasty but works great). I really encourage you to use a double electric pump so you can stimulate both sides at one time, and a hands-free nursing bra (Medela makes one, although I've also had succcess just wrapping the straps of my Bravado around the horns of the pump) so that you can rest and relax while you're pumping. Rent a hospital grade pump if you need one, they are totally worth it.
I hope that you recover your health and strength quickly!