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The Ob/GYN office I go to has 2 women who work there: Jan who is a N.P., C.N.M. which stands for nurse practitioner and certified nurse midwife and then there's
Susan who is C.N.M.
Back in October of 2012 I was having milk supply issues and I wanted to increase it.
I spoke with Susan about it and she prescribed me metoclopramide. I didn't even bother to ask her if this would harm my baby because I was EBFing. She obviously knew I was breastfeeding so I figured she wouldn't prescribe me something that would have THIS much effect on my baby and me.
I took them for two days and not only did it make me extremely exhausted but it also made my, at the time, 3 month old extremely exhausted and his behavior changed alot; going from being happy and full of energy to very exhausted and cranky all of the time.
So I stopped taking that medicine after 2 days of using it.
Fast forward to last Thursday, which is when I had my annual exam with Susan.
On Friday I received a phone call from my OB's office and I spoke with a nurse named Danielle she said that I have bacterial vaginosis. But she was working along side with Susan (who is C.N.M)
Danielle was explaining to me how it's a common disease for women to have. And she gave me an option of either taking a pill or a gel.
I decided to take a pill. She prescribed me a pill called Flagyl but the generic for it is Metronidazole. I asked Danielle if it's safe to take because I'm breastfeeding. She put me on hold so she could ask Susan. Danielle told me that Susan said it's completely safe to take while breastfeeding.
So I went to pick up my prescription at my pharmacy and I second guessed Susan (because of the drug she gave me before) and decided to ask the pharmacist if this drug was ok to take while breastfeeding.
Well.....she told me differently. She said no and she also gave me 3 sheets to explain why it's not ok to take.
It says in the paperwork that "metronidazole is excreted into break milk. Breastfeeding is not recommended by the manufacturer during treatment."
I'm suppose to take this for 7 consecutive days. I'm very concerned and I'm wondering if I should just request seeing Jan from now on instead of Susan. What do you think?
It says, "The American Academy of Pediatrics (AAP) has stated that if a single 2g oral dose is given for trichomoniasis, then nursing may be resumed in 12-24 hours. Otherwise, if other dosage regimens are used, nursing may be resumed within 24-48 hours after the last dose of treatment is completed. In a study of 3 patients that received a single 2g oral dose, peak milk concentrations ranged between 50-60 mcg/ml at 2-4 hours after the dose. If breastfeeding were to continue, the estimated infant exposure during the next 48 hours would be 25.3 mg; if breastfeeding was interrupted for 12 hours, the estimated 48 hour exposure would be 9.8mg and if breastfeeding was interrupted for 24 hours the estimated 48 hour exposure would be 3.5 mg."