sad about stopping BF

[MumNWLondon]

DS2 is now 12 weeks old and feeds really well.

I went to see a consultant last night as I have a recurrant anal fissure. The cream I was given last time apparently can't be used when breastfeeding (anoheal- Diltiazem hydrochloride 2%), consultant quite sure said my problem was not uncommon after a VD so he had looked into this previously. As an alternative he can try botox but again not whilst breastfeeding.

I am going back to work in October when DS2 is 6 months old so was going to introduce day time formula feeds then anyway. The doctor said he was very sorry but I would just have to deal with it (the fissure) until I was ready to stop feeding.

Anyway worth dealing with the pain for now, esp as DS2 so little and EBF but can't help feeling that by 6 months my needs (to be free of pain) will outweigh his need for breastmilk. Just sad that the time is numbered IYSWIM.

Have you looked here

Listed as usually compatible with breastfeeding.

I'd ring the bfn drugs helpline if I were you to confirm. Have you their number?

Very poor advise, generally you get low levels of topical drugs (ie creams)in the plasma and therefore in the breast milk, diltiazem is also listed as suitable for use in Breastfeeding on the United Kingdom Medicines Information Pharmacist website.

Thanks, both. TBH I thought it was a bit strange that a topical cream, esp one thats only used in tiny quantities twice a day would be a problem.

Have sent email to the BFN.

It was a private consultation so easy to call the consultant back if I can find its ok.

Diltizem is generally taken orally (for other conditions) and the anal fissure cream is a new use for the drug and its not get licensed. I imagine the amount getting into the breastmilk from a cream would be less than if taking orally?

Pispy, do you have a link for that so I can send it to the Dr's secretary?

www.ukmicentral.nhs.uk/drugpreg/antihypertensives.asp this is a respected NHS source

The source OgreRebel has also quoted is internationally respected and used here by NHS pharmacists.

Ring your local hospital and ask to speak to the medicines information pharmacist if you need further advise.

Thanks have contacted the consultant. Will also print that all off and go to GP (who would have to prescribe it in anycase).