re: OT Parents - how would you handle receiving conflicting medical info from doctors?

A quick google search gives the same warning to Macrobid as it does to Bactrian and Cipro.

I would not formula feed a 10 day old for 7 days. Do they have a culture and sensitivity? Is the organism sensitive to another antibiotic such as augmentin?

Call the office again and speak with a physician. I doubt any OB practice doesn’t have a doctor on call over the weekend. If they don’t have a doctor on call, find a new OB group for the next baby.

It's a UTI, not aids. Tell your wife to drink some cranberry juice and keep drugs out of her milk.

Here's the big picture. Macrodantin has never ever cured a UTI. It works great in a Petrie dish but in a real bladder it sucks.

She needs Bactrim DS. I have no idea how safe it is for breastfeeding (again ask your pharmacist) but I would do whatever is necessary to make sure she got the Bactrim

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The hospital lactation specialist said absolutely not to taking Nitrofurantoin and breast feeding.

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I understand your concern but please don’t base your decision off of a lactation specialist. Those broads are wacko.

Congratulations on learning you can go to 10 different pediatricians and you’ll get 10
Different diagnosis. Actually, not much different with general physicians as well.

For the record, I would not breastfeed while on that medicine. What would be the reason to do so?

Listen to the MDs.

quote:

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Macrodantin has never ever cured a UTI. It works great in a Petrie dish but in a real bladder it sucks.

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Retard.


Any way, nitrofurantoin is barely absorbed and barely excreted in breastmilk. Primary concern is kids <1m old breasfeeding and kids with a specific genetic deficiency. You're probably fine if kid is >1m but it's not a bad idea to just be safe and feed formula for a few days.

eta: I saw your kid is 10 days old. Avoid, as your pharmacist and lactation specialist advised

It also showed near identical cure rates to bactrim for uncomplicated cystitis in multiple studies.

There's actually some data these days saying the crcl thing isn't as big of a deal as we thought. Manufacturer says avoid <60 but some studies are showing above 30 is fine. But I just avoid it in elderly or renally impaired anyway.

These are a lot of opinions. It's difficult to know who exactly knows best.

As a physician myself, I tend to take a pediatrician's word on breastfeeding safety above the rest of these folks. The OBs try and do a pretty good job, especially with things like antibiotics for common illnesses (like a UTI).
The pediatrician, though, sees a whole lot of babies that have had a whole lot of complications from medications while breastfeeding. It may be comforting to know that even though this is a labeled side effect, the expert who takes care of the affected has never seen it happen. The rest are a bit less experienced on the actual frequency and severity of the clinical outcome at hand. They are definitely correct that caution is needed, but I would tend to trust the Pediatrician's calculated caution.




Now, the big reason for this in particular is that it's a relatively rare side effect. It's an observation. There isn't great data available because we tend to not subject babies to clinical trials. For that reason, I'd trust the most experienced of the bunch.


I do hope that the explanation doesn't seem like the other opinions should be disregarded. Everyone, the pediatrician included, seem to agree that their is risk involved (everyone saying it is ok gives a recommendation on what to look for or when to feed to avoid risks). Some just think the risk is greater than others.