Combiflam Tablet While Breastfeeding

Fibrocystic changes are very common and are common cause of breast pain especially cyclical. Also duct ectasia may cause pain. Some times some of the cysts may enlarge causing a lot of pain, which need to be aspirated. Spontaneous resolution is seen in around 20-50 % patients with fibrocystic changes and most of the duct ectasia and this resolution may sometimes be related to pregnancy or menopause. Evening Primrose oil (EPO) capsules contains Gamolenic acid (GLA, which is an essential fatty acid needed to regulate the tissue response to hormones. The dosage required is 240-360 mg of GLA daily (2000-3000 mg EPO. The capsule contains 40 or 80 mg GLA. Thus the no of capsules can range from 4-8 per day taken orally. Few patients (<5%) report nausea, loose motions or headaches. It is to be avoided if you are pregnant, planning to conceive or have a history of epilepsy. You need to continue the primrose oil for atleast 2-3 months to see any improvement in symptoms. If symptoms improve then you can halve the dose of primrose oil and continue for further 3 months. Some people are able to stop the capsules altogether without return of problem. Vitamin E 800 to 1200 I.U. (2-3 capsules) Daily also has been shown to work in cyclical mastalgia. The other treatment options are NSAIDS like Combiflam or enzoflam which provide symptomatic relief till the pain settles spontaneously and Antiandrogens like Danazole and anti estrogens i.e. SERM’s like Tamoxifen (?Efficacy of ormeloxifen i.e. Novex. The last 2 are quite effective but come with a lot of side effects. You may try using higher dose of evening primrose oil or Vit E before trying SERM. I have not used ormeloxifen 30 mg /wk in any Patient.

If you have felt a nodule in the breast, it is better to show it to a Breast Surgeons a Surgical oncologist. They would take a detailed history and examine you and if need be, ask for an ultrasound examination. Fibrocystic changes are very common and are common cause of breast pain especially cyclical. Some times some of the cysts may enlarge causing a lot of pain, which need to be aspirated. Also they need to rule out other causes of pain like ill fitting bra, trauma, abscess amongst a few. Spontaneous resolution is seen in around 20-50 % patients and may sometimes be related to pregnancy or menopause. Evening Primrose oil (EPO) capsules contains Gamolenic acid (GLA, which is an essential fatty acid needed to regulate the tissue response to hormones. The dosage required is 240-360 mg of GLA daily (2000-3000 mg EPO. The capsule contains 40 or 80 mg GLA. Thus the no of capsules can range from 4-8 per day taken orally. Few patients (<5%) report nausea, loose motions or headaches. It is to be avoided if you are pregnant, planning to conceive or have a history of epilepsy. You need to continue the primrose oil for at least 2-3 months to see any improvement in symptoms. If symptoms improve then you can halve the dose of primrose oil and continue for further 3 months. Some people are able to stop the capsules altogether without return of problem. Vitamin E 800 to 1200 I.U. (2-3 capsules) Daily also has been shown to work in cyclical mastalgia. The other treatment options are NSAIDS like Combiflam or enzoflam which provide symptomatic relief till the pain settles spontaneously and Antiandrogens like Danazole and anti estrogens i.e. Serm like Tamoxifen. The last 2 are quite effective but come with a lot of side effects. If you still have any queries, you may contact me directly.

Respected Madhu hi only breast pain without other chest parts discomfort is very unusual. Presently take tab Combiflam 3 times a day after meals . Local application of analgesic ointment or spray for 5 days . Later if pain consult your doctor dear thanks regards. Do not panic for heart pain

Please Avoid combiflam totally Do following. Avoid oily spicy and fast food, non veg food, processed food Take small and frequent feeds of light food Take Cap pepcia D 5 1 on empty stomach Sy Gelusil mps 2 tsf three times a day Tab himcospas by Himalaya 10 1 1.

1. Stop taking pain killers. 2. Start with Physiotherapy treatment. 3. Learn spinal exercises. 4. Don't sit on floor. 5. Don't lift heavy things. 6. Wear Lumber spine belt. 7. Do hot fermentation twice a day. 8. Apply volini cream before sleeping. 9. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month minimum.

She needs a clinical examination to rule out the cause of pain as she is having continuous pain for last one month. Also she needs a screening mammogram.

Use nip sore ointment. Clean before feeding. Apply home made ghee. And enjoy motherhood. Start taking multivitamin tabs too.

Probably baby is having recurrent episodes of throat infections.the common causes are bottle feeding.so please stop it if on bottle feeding.nasal spray and crocin is only required.if there is cough then syp levolin may be added.zinc twenty mg per day for fifteen days help to prevent further episode of throat infection