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#11
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Immodium and breastfeeding
Hi Jeni,
Nice to hear it again from you... Glad you're ok now cheers, nessia a.k.a groovy mommy http://groovymommy.insparenting.com wrote: groovy mommy wrote: When I was breastfeeding, I tried to always avoid any medicine at all. Thank God, I didn't have to go through what you did. By the way, have you contacted your doctor? What did he give you? I didn't get to my GP as I am getting much better today thank goodness. I was able to feed him fine last night and this morning and even help with his brekkie, which was nice for me. Jeni |
#13
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Immodium and breastfeeding
Sarah Vaughan wrote:
wrote: Linz wrote: Talk to your local pharmacist, but remember that nearly all medicines will say that on the instructions to cover the makers' arse. Piriton says it, my calcium supplement says it, migraine tablets say it, but every time I've checked the advice has been "go ahead". It seems like that is probably the case. If the issue comes up again asking the pharmacist is a very good idea, thanks! Hmmmm.... actually, I think you might just run into the same problem. Pharmacists aren't authorised to go outside the product licence of anything, and are stuck with the same CYA way of doing things. (Then again, I'm automatically getting a skewed picture because I see all the people who asked the pharmacist and were told that they had to ask their doctor. If there's anybody out there who asked a pharmacist about something and was given the OK about using it, I'm probably not going to see them. ;-) ) Your last point is very pertinent! I will stand up as a very happy user of pharmacy expertise - I've avoided trips to the doctor to check drug usage and, on one occasion, an eye infection, by talking to the pharmacist. In fact, I only check drug usage with the GP if I'm already there. The pharmacists I've used have generally taken the time to check how old my BF baby is, how often they're nursing, and how often I would be taking the drug, to work out whether or not it's okay. |
#14
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Immodium and breastfeeding
Linz wrote:
I will stand up as a very happy user of pharmacy expertise - I've avoided trips to the doctor to check drug usage and, on one occasion, an eye infection, by talking to the pharmacist. In fact, I only check drug usage with the GP if I'm already there. The pharmacists I've used have generally taken the time to check how old my BF baby is, how often they're nursing, and how often I would be taking the drug, to work out whether or not it's okay. That's excellent to hear! All the best, Sarah -- http://www.goodenoughmummy.typepad.com "That which can be destroyed by the truth, should be" - P. C. Hodgell |
#15
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Immodium and breastfeeding
"Sarah Vaughan" wrote
If there's anybody out there who asked a pharmacist about something and was given the OK about using it, I'm probably not going to see them. ;-) ) My GP phoned the pharmacy to check on suitable medication for PND for me as she wasn't sure herself :-). Jean -- LeinsterFreecycle Co-moderator http://groups.yahoo.com/group/LeinsterFreecycle/ DD June '02 DS May '05 |
#16
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Immodium and breastfeeding
My GP phoned the pharmacy to check on suitable medication for PND for me as she wasn't sure herself :-). which is really good practice, shame it doesn't happen more often, a psychiatrist eventually did that for me after I'd nearly died and I ended up on the classic sertaline (Zoloft), that information is widely available if you look or ask, but few doctors seem to do that Anne |
#17
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Immodium and breastfeeding
"Anne Rogers" wrote in message ... In the end the only reliable source is Hales, it's just a shame it's very expensive, so not something many breastfeeding mothers are going to own, it doesn't seem to be something that any of the helplines in the UK reliably have access to and the drugs and breastfeeding line run by the breastfeeding network is only staffed by one person, so there can be quite a delay in her getting back to you. I've been really lucky this year in having a breastfeeding drop in clinic very very locally (for a while we were talking 200m away, now it's a massive 600m) where they have the book, but it's still only a 1.5hr slot once a week and if the need for a drug develops the following day, it's a long time to wait. I'm trying to think of solutions, both locally and nationally! In Australia we have something called MIMS. And it's really not all that expensive. It's available in both electronic and book forms. Of both forms, there's also the full version and the abbreviated version. When I worked for health services we used to get quite a few abbreviated book versions delivered to the Mental Health Centre, almost enough for 1 per staff member. But that was years ago. When I go for my Midwife Clinic at the hospital (I'm pregnant), I can ask them about any medication I want and they have access to the electronic version, so the hospital must buy a subscription, or maybe it's the Area Health Service that does. Seems that most pharmacies I've been to have access to either the book or electronic form. I've never asked a question about meds at a pharmacy and been told to check with the doctor. We also have a drug info helpline that is run out of a hospital and we can call 24 hours a day. As a pregnant woman and a breastfeeding mother I have never felt the need to have a personal copy of MIMS at home. If I want to find out about a particualr medication I can fire up Google and type "drug name pregnancy" or "drug name" breastfeeding" and a number of pages come up. I've bookmarked a couple of useful drug info sites so I don't have to keep trawling thorugh Google. MIMS also supplies a free to use website called www.myDr.com.au which has a search by drug name or medical condition and gives abbreviated drug information. The only solution is for the price of Hales to come down enough to make is possible for pharmacies, doctors and helplines to have that information on hand. The MIMS annual costs $AU176.00, while the smaller bi-monthly abbreviated MIMS costs $AU164.00 for a 1 year subscription. There's also a PDA electronic version, also around $AU160 or thereabouts. The electronic version subscription is not prohibitive, either, at approx $AU300 per annum - a pharmacy or medical practice should be able to afford this quite easily. Heck, if I was a health care professional and eligible to subscribe, I could afford this on my normal salary, even without the help of running a health care business! The way your health care system is structured and where the funding goes could be another problem. While Australian hospitals tend to have reasonable resources (yes, I know not everyone has an MRI machine and nurses keep striking due to low wages - I'm just saying they have access to basic stuff like drugs and drug information, ultrasounds, x-rays, etc) and mental health centres tend to fare reasonably OK as well (or at least used to when I was working in one years ago), the care of babies and their mothers is really not well resourced. At the Early Childhood Centre where I go with DS and will with DD when she is born, the three staff have 2 offices (they work between 2 centres so are part time at each centre), no computer and share a copy of abbreviated book form MIMS. Such appalling resources for child and mother care from a government that gives us a $AU4000.00 windfall on the birth of each child as an incentive to "go forth and multiply". My hospital experience was great, the early childhood nurses are great and do great work in spite of their appalling resources - just my heart breaks when I see what they have to contend with to deliver a reasonable standard of care. And because of the way the health care system is structured, care of healthy people is not likely to receive the sort of funding that care of the unhealthy does. But the least they could do would be to supply them with some MIMS and maybe 1 computer per centre, surely? |
#18
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Immodium and breastfeeding
Engram wrote:
The only solution is for the price of Hales to come down enough to make is possible for pharmacies, doctors and helplines to have that information on hand. The MIMS annual costs $AU176.00, while the smaller bi-monthly abbreviated MIMS costs $AU164.00 for a 1 year subscription. Hale's is only thirty bucks. Pharmacies and docs tend not to have one because they don't know about it, not because they can't afford it. Lara |
#19
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Immodium and breastfeeding
On Fri, 09 Jun 2006 21:36:01 +0100, Sarah Vaughan
wrote: Linz wrote: I will stand up as a very happy user of pharmacy expertise - I've avoided trips to the doctor to check drug usage and, on one occasion, an eye infection, by talking to the pharmacist. In fact, I only check drug usage with the GP if I'm already there. The pharmacists I've used have generally taken the time to check how old my BF baby is, how often they're nursing, and how often I would be taking the drug, to work out whether or not it's okay. That's excellent to hear! I heart my pharmacist. I also heart my GP but I know what I can go to see him about and what the pharmacist is able to deal with. I am middle class, see! -- Linz YB: 2 years, 11.5kg, 83cm, still breastfed. |
#20
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Immodium and breastfeeding
In Australia we have something called MIMS. And it's really not all that
expensive. It's available in both electronic and book forms. Of both forms, there's also the full version and the abbreviated version. When I worked for health services we used to get quite a few abbreviated book versions delivered to the Mental Health Centre, almost enough for 1 per staff member. What does MIMS stand for, from the other things you've said I'm guessing it's a general drugs thing, not a breastfeeding mums thing. We have BNF, British National Formulary, it's also available online at bnf.org, but it has mostly very general information, thinks like "passes to breastmilk, manfacturer advises avoid", which isn't really what you need to know, most medicines past to the breastmilk, it's how much that you really need to know. You also need to know if a drug has an effect on milk production some do, decreasing it and some increase it, particularly Zoloft interestingly! Like Lara says, for agencies, the cost of Hale is not a problem, it's accepting it's need. But for charities the cost is a problem, because unless you equip every volunteer with it, the information isn't going to be available when it is needed, because if you ring a generic number and get through to a volunteer who doesn't have it, you're stuck. In the UK a lot of places have a breastfeeding clinic, but usually only once a week, some drugs can wait that long, others can't. Anne |
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