Jack Newman's APNO - has anyone had this prescribed in the UK?

[DitaVonCheese]

I have a GP appointment for possible nipple thrush tomorrow morning. I've done some quick research and it sounds as though Jack Newman's all-purpose nipple ointment is going to be a good bet. However, I was expecting it to be a kind of folky home remedy but it sounds really complicated Also not sure whether it's going to make any sense outside of the US/Canada or whether the things in it are brand names. Has anyone had any success in having it prescribed in the UK or any tips for me?

Thanks :)

The ingredients are not weird or wacky (certainly they are familiar to me, I'm a nurse), but it sounds like you would need to discuss it with a pharmacist to see if they would be happy to prepare it for you (assuming your GP is happy to prescribe)

Have you had a look at the BFN leaflet on thrush? here

I would be happy with the usual treatments as in the leaflet TBH, I would not be over keen to put Bactroban on my nipples(my experience of using it is to apply in the nostrils of MRSA patients)

But, I have a lot of faith in Jack Newman, so I am sure it's good stuff - But I would be happier to go for the standard treatment myself.

Thanks, will have a look at that leaflet. Other suggestions from what I've read so far are fluconazole (contraindicated in pregnancy - forgot to mention I'm pg - and apparently not too effective, plus doctors not keen on prescribing whole course) or gentian violet (messy!). It does sound as though a few of those ingredients would be unnecessary just for thrush (it is all-purpose after all!).

Many thanks for the reply, really appreciate it. Need help but don't hold out a lot of hope for this appt ...

High dose flucanazole not a good idea if pregnant - abnormalities have been seen after long term use - weeks and weeks rather than a few days.

A one off dose taken by accident for vaginal thrush wouldn't usually be considered a disaster, but I expect the GP would not prescribe.

I saw some discussion about it recently and the consensus seemed to be micanazole cream sparingly for you, plus the same in an oral gel for baby is the best treatment, systemic treatment with flucanazole orally only indicated if seems to be deepseated infection though - not sure if this seems to be the case for you?

Thanks so much, this is so helpful.

Not sure if mine is deep-seated or not, suspect not yet (but am scared of it) - have an earlier thread with more (poss too much!) detail here :)

Had a quick scan of the thread - didn't see it originally as skip most pregnancy stuff naughty

I would really really wonder if it might be just normal breast tenderness with being pregnant. It can be notoriously sore/tender to be feeding when pregnant I understand (no personal experience)

Only a suggestion though - see what GP says tomorrow, I will look in for an update (must go to bed ASAP!) Am a peer supporter as well so I am a bit nosy but it is sometimes handy to have the nurse background with the medicines etc

And the dots sound like they might be montgomery's tubercles?

Sorry, must go! Let us know how you get on though.

And see if you can borrow someone's/get from library a fab book called 'Mothering your nursing toddler' By La Leche League IIRC, am sure it has info on feeding in pregnancy.

Pretty sure they're not MT - they're little lumps on the aureola aren't they?

Pain is much better since squeezing out white spots so perhaps that was the problem, but will go and get miconazole x2 just in case I think.

Really want to read that book but it's something like £18 new! Am training as a BFC though and someone on my course has a copy so will see if I can borrow it :)

I'm hoping to start my BFC training by summer too! I haven't got that book yet but am planning to add it to my vast collection soon.

I am not a very good student at the moment! It is interesting though.

Have come back with miconazole cream for me and nystatin stuff for DD - is the easiest way to get it into her mouth just to put it on me pre-feed or should I be dabbing it on with a finger? Also wondering whether I can catch/have caught oral thrush from her - no symptoms but we quite often share a spoon (hadn't even thought of this before).

Had to have a breast exam which I wasn't expecting! Otherwise all fine though.

Ooh, just been nosy noticed that you're in the NW too - the tutorial group I'm in meets in south Manchester/Cheadle area if you're thinking of joining the same one :)

I would just put it directly into her mouth, just slowly so she doesn't choke on it.

Healthy adults unlikely to develop oral thrush really - usually occurs if other immune problems or if you have badly fitting dentures basically!

I am about an hr away I would guess, am going to be doing mine via ABM so home study rather than attending much in the way of lectures/study days. Am hoping to attend the conference coming up in March at Widnes though

Thanks :) Meant to come back and say ignore the question as I since opened it and discovered that it's medicine rather than the gel I was expecting

Ah, I am with NCT so probably won't be same group! Good luck with it, it's a fab thing to do I think :)