Safety of All Purpose Nipple Ointment (APNO)

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Wed, 07/22/2020 - 11:33
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Christie Tran
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Joined: 06/19/2018 - 15:05
Safety of All Purpose Nipple Ointment (APNO)

APNO is a recommended therapy by various breastfeeding organizations for breastfeeding moms to apply to the nipples after feedings. The ingredients are miconazole, betamethasone, and mupirocin.

I was unable to find safety data for possible exposure of the neonate/infant. My biggest concern is for oral absorption of topical betamethasone by the baby.

Our hospital has been compounding this for use in our patients, but I have some concerns given there isn't any true evidence of efficacy or safety.

I would appreciate any help or insight on this. Thank you.

Christie

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