DD, 8 weeks, has been incredibly unsettled since birth. She has been prescribed gaviscon for reflux and whilst this improved things a bit, she was still very collicky at times. HV recommended giving colief a go, which worked wonders instantly. The HV also spotted a tongue tie which we also recently had corrected, but tbh doesn't seem to have made that much difference, her lacth is definitly better but her symptoms haven't really improved. Though with the gaviscon and colief alone she has some nights been sleeping from 10 pm til 5 am, which for her was miraculous!
Thing is GP refuses to prescribe colief. It costs £10.99 a bottle. Apparently it can only be prescribed for babies with lactose intolerance which she won't have as she is gaining weight. However, I have read in journals on pubmed that lactase enzyme (colief) is an effective treatment for colic caused by transient lactase deficiency/lactose overload, i.e. baby produces too little lactase to cope with volume of lactose in my milk, which is clearly what dd has.
Last saturday night we ran out and I attempted to feed her without it, she was so distressed and clealry in agony, I had to drive to boots midnight pharmacy. Last night the same thing happened. So, definitely not an option to drop it, and a bottle lasts less than a week. I have tried block feeding but this seemed to reduce my supply and led to her being unsettled for that reason. She feeds little and often because of the reflux so I think she rarely drains the full breast. I can only give gaviscon 6 times a day, and she feeds more than this, so the feeds where she can't have the gaviscon she is refluxy and distressed. I am also constantly watching the clock and trying to work out how many doses she has had etc. I tried sticking to 6 set times for feeds and "stretch her out" in between but this led to the most unsettled night ever as she clearly hadn't had enough in the day. Using the colief is a faff. You have to use in before every feed and first you must hand express some milk (has to be warm so can't use previously expressed milk), mix it in and feed it to her in a syringe. The gaviscon is given after the feed and must be mixed with cooled boiled water in a pot and also syringed. So if she falls asleep at the breast I have to wake her and give it to her and she hates it and screams - it tastes horrible and she spits most of it out so we go through bibs/clothes like nobody's business. If I don't give it though, it is only a matter of time before she wakes in pain from reflux. And my nights are spent washing and sterilising pots and syringes and traipsing up and down the stairs to get colief which has to be kept in the fridge btw.
I am just completely sick to death with bfing tbh. I can't get any real practcial advice from anyone, neither gp or hv seems to be able to advise on feeding routines/block feeding etc. I am thinking of switching to lactose free formula as it will be cheaper than using the colief. All the pros of breastfeeding don't apply to me. It is not convenient or cheap. And it feels like I am doing it all wrong anyway, as it doesn't seem to be doing her much good or making her very happy. And I'd like a break and god forbid, even get pissed! 
Sorry to moan on. I feel so selfish as I know there are people with far worse problems. Just really fed up tbh. 