To expect not to be told to stop breastfeeding in order to take a drug that has been classified as SAFE for breastfeeding

[BeyondTheLimitsOfAcceptability]

I have a rheum appt coming up and am psyching myself up for it. I have psoriatic arthritis and need to start DMARDs asap, however consultant refuses to prescribe them while I am breastfeeding. The paperwork I was given by the hospital says sulfasalazine is safe for BF, directly contradicting the consultant!

DS2 is 15m and on one feed a day now. I'm half tempted to say I've stopped, I won't as I don't tell lies to HCPs, but IABU to think the consultant is BU? I went in last time saying "but it says its safe" and was told I was wrong

And, what do I do? If it were a GP, I could get a second opinion easily, yes? How do I do that with an NHS specialist?

Ahh but it might....not...as it would be informed consent and so no reasonable grounds to sue on...

Seriously the misinformation surrounding bfeeding is astounding at times :(

MrButtercat "Also used formula later as using ones common sense it's a far healthier and safer food than the vast maj of foods fed to toddlers."

Nearly spat my coffee out laughing at this! Clearly things like apples, bananas and chickpeas just don't make the grade.

Just thought I would paraphrase the buttercat U-turn in case people missed it.

buttercat Don't take the drug even though it is listed as safe for BF because what if its wrong and there is a small risk...what if in the future someone finds a new risk?!?! You don't need to keep BFing you can switch to formula or cows milk.

Us: But there are actual known proven risks to giving formula and cows milk contains many drugs with at least as little or less certainty about safety as the drug in question, and it is also possible to be seriously allergic to cows milk.

buttercat yeah but the risk of anaphylaxis is tiny....only very few kids are that allergic to cows milk. Yeah there are risks to formula but its been really well scrutinised....oh and anyway I don't believe the research coz it doesn't suit me.

So in conclusion, there is no level of risk associated with BFing that buttercat finds acceptable (even in the case of fictional risks), but essentially any risk associated with formula or cows milk is fine...because it is small....

What is the cause of this blatant double think? Well it's obvious innit. buttercat feels that formula/cows milk is the default nutrition for a toddler and BM is some deviant variation...hence you just have to put up with risks inherent in cows milk, and should avoid incurring the 'unecessary' risks of BM.

Meanwhile back in reality cows milk is the deviation, BM is the default nutrition for a toddler and switching to cows milk is the risky alternative....

Buttercat seems to have disappeared....maybe to do some thinking and reading :)

Maybe. But probably not.

Back from the hospital and need to say another, even bigger THANK YOU to everyone who helped!!

Between you guys, the local lactation consultant, and Wendy the pharmacist, we won! Woop woop!!

Delighted to read that and I believe that even getting the specialist onto thepharmacist and Wendy will help him in the future with other b f patients.

nice one!

Hurrah :) That;s brilliant news. Hope the medication helps, and well done for standing your ground :)

Just caught up with this, OP. Glad it worked out for you.

So delighted! Really hope you start feeling better soon xx Is

Well done. Great news.