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Started By
Message
OT Parents - how would you handle receiving conflicting medical info from doctors?
Posted on 7/20/18 at 10:10 pm
Posted on 7/20/18 at 10:10 pm
Wife got diagnosed with a UTI today. Her OB prescribed Macrobid (Nitrofurantoin), which carries a warning for breast feeding. It’s considered an L2 drug and is potentially dangerous for babies less than one month old. Our baby is 10 days old.
Her OB’s nurse said it was fine and to watch for any signs of jaundice. The doctor had left for the day so we couldn’t consult with her.
My wife decided to get some other opinions.
The pharmacist said to switch to formula for seven days then go back to breast feeding after the antibiotic is over. She was concerned about a 10 day old baby getting any of the drug in her system.
The pediatrician said she recommended formula but worried about the baby not adapting to the new food and thus risking losing weight while messing up her ability to breastfeed. She said she had no problem with my wife continuing to breast feed while taking the medicine but to watch for reactions.
The hospital lactation specialist said absolutely not to taking Nitrofurantoin and breast feeding.
The Infant Risk Hotline said it was fine but mentioned that Macrobid has a half life of 30 minutes to an hour so waiting two hours before breast feeding was ideal.
I just read that Nitrofurantoin is at its peak in breast milk at 4 hours after taking the medicine.
We’re going ahead and continuing to breast feed on the medicine but it’s frustrating getting so many different opinions. How would you handle it?
Her OB’s nurse said it was fine and to watch for any signs of jaundice. The doctor had left for the day so we couldn’t consult with her.
My wife decided to get some other opinions.
The pharmacist said to switch to formula for seven days then go back to breast feeding after the antibiotic is over. She was concerned about a 10 day old baby getting any of the drug in her system.
The pediatrician said she recommended formula but worried about the baby not adapting to the new food and thus risking losing weight while messing up her ability to breastfeed. She said she had no problem with my wife continuing to breast feed while taking the medicine but to watch for reactions.
The hospital lactation specialist said absolutely not to taking Nitrofurantoin and breast feeding.
The Infant Risk Hotline said it was fine but mentioned that Macrobid has a half life of 30 minutes to an hour so waiting two hours before breast feeding was ideal.
I just read that Nitrofurantoin is at its peak in breast milk at 4 hours after taking the medicine.
We’re going ahead and continuing to breast feed on the medicine but it’s frustrating getting so many different opinions. How would you handle it?
35
Posted on 7/20/18 at 10:11 pm to StringedInstruments
Page Tiguar
Posted on 7/20/18 at 10:13 pm to StringedInstruments
Pharmacist prevent a lot of people from being killed by doctors so I would take that into consideration.
Posted on 7/20/18 at 10:16 pm to StringedInstruments
So it’s your first child, congrats. Quit googling. Your wife’s OB/GYN is calling the shots. Relax. And congrats again!
Posted on 7/20/18 at 10:16 pm to EA6B
Exactly
Go to the AU or poli board and put Tig in your subject.
He is a pharmacist at a hospital. He will help you.
Go to the AU or poli board and put Tig in your subject.
He is a pharmacist at a hospital. He will help you.
Posted on 7/20/18 at 10:16 pm to StringedInstruments
Considering that the pharmacist is gonna be the one to know the most about the medication...I would do what they recommend.
Posted on 7/20/18 at 10:17 pm to EA6B
quote:
Pharmacist prevent a lot of people from being killed by doctors so I would take that into consideration.
I thought about that but even she said that the risks were low. She just recommended formula because the baby was less than a month old.
Also, an RN friend of ours said if it was her, she would continue breast feeding as getting stuck on formula would be more detrimental than the slight risk of diarrhea and the very low risk of anemia.
Posted on 7/20/18 at 10:19 pm to StringedInstruments
quote:
getting stuck on formula
Why would that happen?
Posted on 7/20/18 at 10:21 pm to lsunurse
quote:
Why would that happen?
Seven days without breast feeding could cause latch issues. It’s been a lot of work for my wife to get her supply up and our daughter to feed as well as she does. My son had bad issues with breast feeding, so we’re trying to avoid experiencing those issues again.
Posted on 7/20/18 at 10:23 pm to StringedInstruments
Go on CL and find a wet nurse.
Posted on 7/20/18 at 10:24 pm to StringedInstruments
You are getting different opinions based on different clinicians experience with a particular drug.
I would follow the advice of the most experienced and qualified specialist you have spoken with. I would consider the info line and especially the pharmacist as the least qualified to give an opinion. All they are looking at is case reports in a database.
In short, ask the OB.
I would follow the advice of the most experienced and qualified specialist you have spoken with. I would consider the info line and especially the pharmacist as the least qualified to give an opinion. All they are looking at is case reports in a database.
In short, ask the OB.
Posted on 7/20/18 at 10:26 pm to HighAnkleSprain
quote:
So it’s your first child
had the same reaction.
He's going to be a good Dad.
Posted on 7/20/18 at 10:26 pm to StringedInstruments
quote:
Seven days without breast feeding could cause latch issues.
Do you even pump and dump brah
Posted on 7/20/18 at 10:28 pm to SECdragonmaster
quote:
In short, ask the OB.
Honestly this is where the problem started. The UTI results were from a sample given a few days ago. The OB office called to give us the report today at 11:30am. Their office closes at noon on Fridays. So we picked up a prescription soon after with a warning about breast feeding and no OB to talk to. Just the on-call nurse.
Posted on 7/20/18 at 10:28 pm to HighAnkleSprain
quote:
So it’s your first child, congrats. Quit googling. Your wife’s OB/GYN is calling the shots.
frick that. And if something goes wrong what then? Get a call three years later that you might be entitled to compensation? Hard pass.
Give the baby formula. Pump and dump.
Posted on 7/20/18 at 10:31 pm to StringedInstruments
Gotcha. We would have babies in the NICU that had to only be bottle fed formula cause they couldn't have mom's breastmilk cause mom was sick. Yet the mom wanted to eventually breastfeed when baby went home so she pumped and dumped to keep supply up.
Posted on 7/20/18 at 10:32 pm to StringedInstruments
If you are that worried then meet in the middle. Dilute the breast milk with formula.
Posted on 7/20/18 at 10:39 pm to EA6B
quote:
Pharmacist prevent a lot of people from being killed by doctors so I would take that into consideration.
I asked my doctor a super simple question one time; “can I have dairy with that medication” for the sole reason I had gotten sick from a similar one before. His answer “I’m not entirely sure, is that something you read online? I’d recommend asking the pharmacist, theyre the medicine experts”
Trust the pharmacist.
Posted on 7/20/18 at 10:42 pm to StringedInstruments
Go with the formula. When it comes to infants always err on the side of caution
Posted on 7/20/18 at 10:42 pm to StringedInstruments
Listen to the pharmacist.
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