Breastfeeding and meds ?

[Meenah]

First, I am my daughters Primary. She has an ulcer in her mouth and I can't think of anything to give her for the pain because she is allergic to Carafate, and she is breastfeeding. She tried letting a Tums dissolve and it doesn't help. Her Pediatrician told her to call her Primary!!!! Any thoughts from you ladies? Clearly I don't have many breastfeeding patients.

[diggitydot]

Have her swish some liquid antacid in her mouth and spit it out a couple times a day. DH gets canker-sores like crazy and it's the only thing that helps alleviate the pain and give them a chance to heal.

For whatever reason, chewing up an antacid tablet or letting it dissolve doesn't work anywhere near as well as the liquid.

[HouseofWool]

When Sophie had herpangaina (sp) they recommended mixing liquid antacid and liquid benedryl and applying it to the sores. It seemed to help a bit and her case was pretty bad - the roots of her teeth were exposed.

[spotty_dog]

First, I am my daughters Primary. She has an ulcer in her mouth and I can't think of anything to give her for the pain because she is allergic to Carafate, and she is breastfeeding. She tried letting a Tums dissolve and it doesn't help. Her Pediatrician told her to call her Primary!!!! Any thoughts from you ladies? Clearly I don't have many breastfeeding patients.

http://www.infantrisk.com/ is a solid resource. Also http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT

[Bittersweet]

I've had great luck with Magic Mouthwash (prescribed by a doc and mixed by a pharmacist). I'm pretty sure it included Maalox, benedryl and lidocaine. No clue if those are safe for breastfeeding but thought I'd throw it out as an option.

[Thirteen]

I was going to suggest LacMed (I think that's how it's spelled) - DH uses it for lactating mothers. It might be just an app, so I'd double check.
Also, if you're kinda crunchy, you might suggest L-Lysine (amino acid): you can pick it up at Whole Foods or any health food store, and dosing is on the back. For whatever reason, HSV hates that stuff. Ulcers/cold sores heal faster with it, IMO.
In addition, avoid nuts, dairy & citrus until it's healed: those tend to aggravate it more.

[Michele]

Dr Hale also has a book for milk safe meds. But I use LactMed the most to double check safety.

I had a dentist prescribe me some paste like ointment for aphthous ulcers once that was amazing!!! I wish I knew the name.

[Meenah]

It was probably kenalog paste, which they told her not to use while breastfeeding. I totally forgot about the magic mouthwash. I'll check on the ingrtedients. Thanks so much.

[Michele]

Google images of kenalog looks similar. It was 10+ yrs ago. Yeah, not recommended for BF.

[samssugarmomma]

I was going to suggest magic mouthwash. We use that on our study patients that get mouth ulcers.