When Lucy was 2 weeks old, I got mastitis, horrible nipple "trauma" (lol), and I'm pretty sure I had thrush also. I got some suggestions for Dr. Jack Newman's All Purpose Nipple Ointment (APNO). My lactation consultant agreed it was the best thing and would help my nipple pain immensely. My MW put a call into a compound pharmacy and I finally had some relief. A friend of mine just had a baby and she is dealing with the same issues :( I suggested the APNO, but she has yet to get it because it's a bit of hassle having to get a prescription & then go to a compound pharmacy. I then remembered a friend who gave me the OTC ingredients so that you can make it yourself. Hopefully the new Mommy will have some relief soon!
Here are Jack Newman's ingredients (compound pharmacy necessary)-Mupirocin 2% ointment (15 grams)
-Betamethasone 0.1% ointment (15 grams)
-To which is added miconazole powder so that the final concentration is 2% miconazole. This combination gives a total volume of just more than 30 grams. Clotrimazole powder (not as good as miconazole) to a final concentration of 2% may be substituted if miconazole powder is unavailable, but both exist (the pharmacist may have to order it in, but compounding pharmacies almost always have it on hand). Using powder gives a better concentration of antifungal agent (miconazole or clotrimazole) and the concentrations of the mupirocin and betamethasone remain higher. Sometimes we will add ibuprofen powder to a final concentration of 2%.
Here are the OTC ingredients and supposedly it works just as well :)
Mix equal portion and store in an airtight container 1% hydrocortizone cream
Clomitrazole cream (such as the brand name Gynelotramin)
Lanolin (lansinoh is good b/c it is sterile)
Neosporin (you can use with or without the pain killer)