Apno cream recipe: 59 photos

All-Purpose Nipple Ointment (APNO) – OTC Recipe - Mission of Motherhood

FAQ

Lactation APNO recipe
  1. 1% Hydrocortisone (1 tablespoon)
  2. Polysporin (1 tablespoon)
  3. Miconazole Ointment (1 tablespoon)
The APNO contains:
  • Mupirocin 2% ointment. Mupirocin (Bactroban is the trade name) is an antibiotic that is effective against many bacteria, particularly Staphylococcus aureus including MRSA (methicillin resistant Staphylococcus aureus). ...
  • Betamethasone 0.1% ointment. ...
  • Miconazole powder to a final concentration of 2%.
Dr. Jack Newman's All Purpose Nipple Ointment requires a prescription and is only available from a compounding pharmacy. If a mother is experiencing pain when breastfeeding she should contact her healthcare provider immediately and discuss her options.
Apply APNO by placing a small amount onto your nipple and areola after breastfeeding. You do not need to wash off the ointment before the next feeding. How long should I use APNO? Use APNO until your nipples are pain-free, then gradually decrease the amount you use for another 7 to 10 days.
Women in the lanolin group reported significantly higher levels of satisfaction with their breastfeeding experience (mean = 48.05, SD = 5.96) than those in the APNO group (mean = 44.93, SD = 7.73) (t143 =–2.73, p < 0.01).
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