RE: [ozmidwifery] medication question
Lisa - FYI – my patient is on 500mg valproate mane as well as 500 mg valproate and 15mg Olanapine nocte. J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lisa Barrett Sent: Friday, 20 October 2006 10:07 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] medication question Thanks Tiff. I rerang the WCH (this is in Adelaide) and they still gave me the same story. Going to talk to the head honcho about this on Monday. I thought it may be related to dose as she is on a large one, but they think not. Apparently, according the them Olanzapine has very little over all research done on the effects. They also faxed me the information on it. Going to continue to follow it up as I feel very upset. We ( psychiatrist) and myself worked hard on this. We thought that the unit at the Women's would provide us with the best information and I thought I'd done my utmost to get it right. Will let you all know what they say. Lisa Barrett - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 7:56 PM Subject: RE: [ozmidwifery] medication question Thanks Shaugn, Went to the site – you are right – that IS the book! For Lisa – it says Olanzapine and valproate are okay for breastfeeding. Cheer! Tiff From: [EMAIL PROTECTED] [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Shaughn Leach Sent: Friday, 20 October 2006 8:05 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] medication question Maybe the book you are thinking of is: Medications and Mothers’ Milk 2006, 12th Edition by Thomas Hale If you want more information about this book go to www.ibreastfeeding.com and go to the Books section. Hope this helps Shaughn From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and Tiffany Sent: Friday, 20 October 2006 5:40 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] medication question HI Lisa – Am not at work until next Wednesday – but will try and get hold of the title of the book that was sent down to the ward when we had the lac consultant tut tutting that the bub wasn’t getting the expressed milk – bub is also getting valp levels, platelets and LFT’s done! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lisa Barrett Sent: Friday, 20 October 2006 8:36 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] medication question Hi Tiff I have looked after a woman taking Olanzapine for Bi Polar recently and she hasn't been able to breast feed, this information was gained through the WCH drug information service. She was changed from Sodium Valp to Olanzapine while pregnant due the the well known effects of the Sodium Valp on the baby. It was as well researched as we could make it. I worked in conjunction with the mental health service and the womens and Childrens. she had a fantastic homebirth and was gutted about the breast feeding. Who publishes the book on medications I would like to follow this up more closely. Thanks Lisa Barrett
Re: [ozmidwifery] medication question
Thanks Tiff. I rerang the WCH (this is in Adelaide) and they still gave me the same story. Going to talk to the head honcho about this on Monday. I thought it may be related to dose as she is on a large one, but they think not. Apparently, according the them Olanzapine has very little over all research done on the effects. They also faxed me the information on it. Going to continue to follow it up as I feel very upset. We ( psychiatrist) and myself worked hard on this. We thought that the unit at the Women's would provide us with the best information and I thought I'd done my utmost to get it right. Will let you all know what they say. Lisa Barrett - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 7:56 PM Subject: RE: [ozmidwifery] medication question Thanks Shaugn, Went to the site you are right that IS the book! For Lisa it says Olanzapine and valproate are okay for breastfeeding. Cheer! Tiff From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Shaughn LeachSent: Friday, 20 October 2006 8:05 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] medication question Maybe the book you are thinking of is: Medications and Mothers Milk 2006, 12th Edition by Thomas Hale If you want more information about this book go to www.ibreastfeeding.com and go to the Books section. Hope this helps Shaughn From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and TiffanySent: Friday, 20 October 2006 5:40 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] medication question HI Lisa Am not at work until next Wednesday but will try and get hold of the title of the book that was sent down to the ward when we had the lac consultant tut tutting that the bub wasnt getting the expressed milk bub is also getting valp levels, platelets and LFTs done! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lisa BarrettSent: Friday, 20 October 2006 8:36 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] medication question Hi Tiff I have looked after a woman taking Olanzapine for Bi Polar recently and she hasn't been able to breast feed, this information was gained through the WCH drug information service. She was changed from Sodium Valp to Olanzapine while pregnant due the the well known effects of the Sodium Valp on the baby. It was as well researched as we could make it. I worked in conjunction with the mental health service and the womens and Childrens. she had a fantastic homebirth and was gutted about the breast feeding. Who publishes the book on medications I would like to follow this up more closely. Thanks Lisa Barrett
RE: [ozmidwifery] medication question
Thanks Shaugn, Went to the site – you are right – that IS the book! For Lisa – it says Olanzapine and valproate are okay for breastfeeding. Cheer! Tiff From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Shaughn Leach Sent: Friday, 20 October 2006 8:05 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] medication question Maybe the book you are thinking of is: Medications and Mothers’ Milk 2006, 12th Edition by Thomas Hale If you want more information about this book go to www.ibreastfeeding.com and go to the Books section. Hope this helps Shaughn From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and Tiffany Sent: Friday, 20 October 2006 5:40 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] medication question HI Lisa – Am not at work until next Wednesday – but will try and get hold of the title of the book that was sent down to the ward when we had the lac consultant tut tutting that the bub wasn’t getting the expressed milk – bub is also getting valp levels, platelets and LFT’s done! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lisa Barrett Sent: Friday, 20 October 2006 8:36 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] medication question Hi Tiff I have looked after a woman taking Olanzapine for Bi Polar recently and she hasn't been able to breast feed, this information was gained through the WCH drug information service. She was changed from Sodium Valp to Olanzapine while pregnant due the the well known effects of the Sodium Valp on the baby. It was as well researched as we could make it. I worked in conjunction with the mental health service and the womens and Childrens. she had a fantastic homebirth and was gutted about the breast feeding. Who publishes the book on medications I would like to follow this up more closely. Thanks Lisa Barrett
RE: [ozmidwifery] medication question
Maybe the book you are thinking of is: Medications and Mothers’ Milk 2006, 12th Edition by Thomas Hale If you want more information about this book go to www.ibreastfeeding.com and go to the Books section. Hope this helps Shaughn From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and Tiffany Sent: Friday, 20 October 2006 5:40 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] medication question HI Lisa – Am not at work until next Wednesday – but will try and get hold of the title of the book that was sent down to the ward when we had the lac consultant tut tutting that the bub wasn’t getting the expressed milk – bub is also getting valp levels, platelets and LFT’s done! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lisa Barrett Sent: Friday, 20 October 2006 8:36 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] medication question Hi Tiff I have looked after a woman taking Olanzapine for Bi Polar recently and she hasn't been able to breast feed, this information was gained through the WCH drug information service. She was changed from Sodium Valp to Olanzapine while pregnant due the the well known effects of the Sodium Valp on the baby. It was as well researched as we could make it. I worked in conjunction with the mental health service and the womens and Childrens. she had a fantastic homebirth and was gutted about the breast feeding. Who publishes the book on medications I would like to follow this up more closely. Thanks Lisa Barrett
RE: [ozmidwifery] medication question
Oh – that’s right - I am pretty sure Medication and Mothers Milk was the book they sent us! It said that these meds were L1 (safe) drugs for bubs…? Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Grant and Louise McLeod Sent: Friday, 20 October 2006 8:31 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] medication question Sue try "medication and mothers milk" by Tom Hale, it should be in any maternity unit or Mothersafe 02 93826539 or 1800 647 848 ABA have a great booklet, very new and co written with PANDA about PND. It has a table of common medication groups and also a pro/con of feeding and meds. Thicker than their usual booklet, All for $5.00 Louise [EMAIL PROTECTED] ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 10/19/06 23:29:48 To: midwifery list Subject: [ozmidwifery] medication question Dear List-wives I have a new mum who normally takes Dexamphetamine for ADD (adult) and whose baby was quite growth retarded, probably as a result but no-one is saying that for sure. She has been off meds for a few weeks and is breast feeding her little bub, really wants to continue but is not doing too well off the meds and is getting quite scared of a repeat of PND that she had last time. Mimms wasn't greatly helpful apart from discouraging use in lactation and pregnancy - but as she had been using it in pregnancy anyway Do any of you have knowledge or experience of this med and effects in B/F? TIA Sue
RE: [ozmidwifery] medication question
HI Lisa – Am not at work until next Wednesday – but will try and get hold of the title of the book that was sent down to the ward when we had the lac consultant tut tutting that the bub wasn’t getting the expressed milk – bub is also getting valp levels, platelets and LFT’s done! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lisa Barrett Sent: Friday, 20 October 2006 8:36 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] medication question Hi Tiff I have looked after a woman taking Olanzapine for Bi Polar recently and she hasn't been able to breast feed, this information was gained through the WCH drug information service. She was changed from Sodium Valp to Olanzapine while pregnant due the the well known effects of the Sodium Valp on the baby. It was as well researched as we could make it. I worked in conjunction with the mental health service and the womens and Childrens. she had a fantastic homebirth and was gutted about the breast feeding. Who publishes the book on medications I would like to follow this up more closely. Thanks Lisa Barrett
Re: [ozmidwifery] medication question
Hi Tiff I have looked after a woman taking Olanzapine for Bi Polar recently and she hasn't been able to breast feed, this information was gained through the WCH drug information service. She was changed from Sodium Valp to Olanzapine while pregnant due the the well known effects of the Sodium Valp on the baby. It was as well researched as we could make it. I worked in conjunction with the mental health service and the womens and Childrens. she had a fantastic homebirth and was gutted about the breast feeding. Who publishes the book on medications I would like to follow this up more closely. Thanks Lisa Barrett
RE: [ozmidwifery] medication question
I understood Thomas Hale’s “Medication and Mother’s Milk” was the ‘bible’ when it came to meds and breastfeeding …. Debbie Slater Perth, WA From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Kate and/or Nick Sent: Friday, 20 October 2006 4:49 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] medication question I am a final year mid student. This week we had the chief pharmacist from the Adelaide WCH attend to discuss drugs in pregnancy & breastfeeding. He said MIMS and drug company info is often unhelpful, and misleading. They have a number anyone can call for information, and they strongly encourage people (inc consumers, midwives, doctors) to call re meds during pregnancy, breastfeeding and meds for children. He was awesomely helpful, and I’d give them a call. Service is Medicines and Drug Information Centre, open M-F 9-5 (Adelaide time), 08 8161 7222 Kate From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Susan Cudlipp Sent: Thursday, 19 October 2006 10:47 PM To: midwifery list Subject: [ozmidwifery] medication question Dear List-wives I have a new mum who normally takes Dexamphetamine for ADD (adult) and whose baby was quite growth retarded, probably as a result but no-one is saying that for sure. She has been off meds for a few weeks and is breast feeding her little bub, really wants to continue but is not doing too well off the meds and is getting quite scared of a repeat of PND that she had last time. Mimms wasn't greatly helpful apart from discouraging use in lactation and pregnancy - but as she had been using it in pregnancy anyway Do any of you have knowledge or experience of this med and effects in B/F? TIA Sue
Re: [ozmidwifery] medication question
Sue try "medication and mothers milk" by Tom Hale, it should be in any maternity unit or Mothersafe 02 93826539 or 1800 647 848 ABA have a great booklet, very new and co written with PANDA about PND. It has a table of common medication groups and also a pro/con of feeding and meds. Thicker than their usual booklet, All for $5.00 Louise [EMAIL PROTECTED] ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 10/19/06 23:29:48 To: midwifery list Subject: [ozmidwifery] medication question Dear List-wives I have a new mum who normally takes Dexamphetamine for ADD (adult) and whose baby was quite growth retarded, probably as a result but no-one is saying that for sure. She has been off meds for a few weeks and is breast feeding her little bub, really wants to continue but is not doing too well off the meds and is getting quite scared of a repeat of PND that she had last time. Mimms wasn't greatly helpful apart from discouraging use in lactation and pregnancy - but as she had been using it in pregnancy anyway Do any of you have knowledge or experience of this med and effects in B/F? TIA Sue
RE: [ozmidwifery] medication question
Kate – I agree MIMs can be very unhelpful at times. Where I work in Mental Health, we currently have a mum admitted with a post-partum psychosis/mania. Bubs was born at 32 weeks and is in SCBU, and mum was expressing. We were discarding her milk after she gave it to us as she was taking olanzapine (an antipsychotic) and Sodium Valproate (a mood stabilizer). MIMs said that this was not safe for bubs, however, at mums insistence (she is a doctor), we accessed a brilliant little book called Medications in Breastfeeding, which showed that these 2 meds whilst were bad in pregnancy are safe in breastfeeding. SO now bub is receiving mums expressed milk – if we had just relied on MIMs – mum AND bub would have both missed out! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Kate and/or Nick Sent: Friday, 20 October 2006 6:49 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] medication question I am a final year mid student. This week we had the chief pharmacist from the Adelaide WCH attend to discuss drugs in pregnancy & breastfeeding. He said MIMS and drug company info is often unhelpful, and misleading. They have a number anyone can call for information, and they strongly encourage people (inc consumers, midwives, doctors) to call re meds during pregnancy, breastfeeding and meds for children. He was awesomely helpful, and I’d give them a call. Service is Medicines and Drug Information Centre, open M-F 9-5 (Adelaide time), 08 8161 7222 Kate From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Susan Cudlipp Sent: Thursday, 19 October 2006 10:47 PM To: midwifery list Subject: [ozmidwifery] medication question Dear List-wives I have a new mum who normally takes Dexamphetamine for ADD (adult) and whose baby was quite growth retarded, probably as a result but no-one is saying that for sure. She has been off meds for a few weeks and is breast feeding her little bub, really wants to continue but is not doing too well off the meds and is getting quite scared of a repeat of PND that she had last time. Mimms wasn't greatly helpful apart from discouraging use in lactation and pregnancy - but as she had been using it in pregnancy anyway Do any of you have knowledge or experience of this med and effects in B/F? TIA Sue
RE: [ozmidwifery] medication question
I am a final year mid student. This week we had the chief pharmacist from the Adelaide WCH attend to discuss drugs in pregnancy & breastfeeding. He said MIMS and drug company info is often unhelpful, and misleading. They have a number anyone can call for information, and they strongly encourage people (inc consumers, midwives, doctors) to call re meds during pregnancy, breastfeeding and meds for children. He was awesomely helpful, and I’d give them a call. Service is Medicines and Drug Information Centre, open M-F 9-5 (Adelaide time), 08 8161 7222 Kate From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Susan Cudlipp Sent: Thursday, 19 October 2006 10:47 PM To: midwifery list Subject: [ozmidwifery] medication question Dear List-wives I have a new mum who normally takes Dexamphetamine for ADD (adult) and whose baby was quite growth retarded, probably as a result but no-one is saying that for sure. She has been off meds for a few weeks and is breast feeding her little bub, really wants to continue but is not doing too well off the meds and is getting quite scared of a repeat of PND that she had last time. Mimms wasn't greatly helpful apart from discouraging use in lactation and pregnancy - but as she had been using it in pregnancy anyway Do any of you have knowledge or experience of this med and effects in B/F? TIA Sue
[ozmidwifery] medication question
Dear List-wives I have a new mum who normally takes Dexamphetamine for ADD (adult) and whose baby was quite growth retarded, probably as a result but no-one is saying that for sure. She has been off meds for a few weeks and is breast feeding her little bub, really wants to continue but is not doing too well off the meds and is getting quite scared of a repeat of PND that she had last time. Mimms wasn't greatly helpful apart from discouraging use in lactation and pregnancy - but as she had been using it in pregnancy anyway Do any of you have knowledge or experience of this med and effects in B/F? TIA Sue
