All Purpose Nipple Ointment

Dr. Jack Newman’s Ointment

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This medication requires a prescription from your doctor.

All Purpose Nipple Ointment (APNO)

  • All-purpose nipple ointment (APNO) is a common compounded medication that breastfeeding mothers use for sore nipples. APNO is a combination of antibiotic, anti-inflammatory and anti-fungal medications to prevent bacterial and fungal infections. It is used to treat or prevent an infection in severely damaged nipples.
  • Antibiotic (Mupirocin 2% ointment): It treats infections of the skin.
  • Anti-inflammatory (Betamethasone 0.1% ointment): It treats swelling, itching, dryness, redness, and general irritation of the skin.
  • Anti-fungal (Miconazole 2%): It treats yeast and fungal infections of the skin.

  • How can I get APNO?
  • You need a prescription from your healthcare provider. Rock Ridge Pharmacy can prepare this medication for you.
  • How do I apply APNO?
  • Apply APNO by placing a small amount onto your nipple and areola after each breastfeeding. There is no need to wash off the ointment before the next feeding. A small amount of APNO used after each breastfeeding is safe for the baby.
  • How to store the ointment?
  • Store the compounded ointment at room temperature and throw it away when no longer needed or after the expiration date.
  • 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. You should begin to see and feel results within a few days.

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