# Nipple Symptoms

- Category: acute
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: Egyptian National Drug Formulary - antimicrobial-2023.pdf, Miconazole monograph (chapter PDF p407) · Egyptian National Drug Formulary - antimicrobial-2023.pdf, Mupirocin monograph (chapter PDF p409) · World Health Organization. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: WHO; 2009. Session 7, 'Management of breast conditions and other breastfeeding difficulties', sections 7.4 (Mastitis) and 7.8 (Candida infection (thrush) in mother and baby).
- Verified date: 2026-08

## Verified against

- Egyptian National Drug Formulary - antimicrobial-2023.pdf, Mupirocin monograph (chapter PDF p409)

## Treatment metadata

- Mupirocin — topical

## Complete treatment card

```text
NIPPLE SYMPTOMS
Sources: Egyptian National Drug Formulary - antimicrobial-2023.pdf, Miconazole monograph (chapter
         PDF p407) · Egyptian National Drug Formulary - antimicrobial-2023.pdf, Mupirocin monograph
         (chapter PDF p409) · World Health Organization. Infant and Young Child Feeding: Model
         Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: WHO;
         2009. Session 7, 'Management of breast conditions and other breastfeeding difficulties',
         sections 7.4 (Mastitis) and 7.8 (Candida infection (thrush) in mother and baby).
Review status: REVIEWED against the source listed above  (2026-08)

1. MUPIROCIN                                              [2nd line]
   Adult    Apply to the affected area 2 to 3 times daily x 7 to 14 days, depending on severity; re-
            evaluate if no response after 3 to 5 days
   Peds     Infants, children, and adolescents: apply a small amount 3 times daily for 5 to 10 days;
            re-evaluate if no clinical response after 5 days.
   Source   Egyptian National Drug Formulary - antimicrobial-2023.pdf, Mupirocin monograph (chapter
            PDF p409)
   Why      For a cracked or fissured nipple that becomes secondarily infected with Staphylococcus
            aureus or Streptococcus pyogenes, matching the formulary's 'secondarily infected
            traumatic skin lesion' indication.
   Caution  Only for localized lesions up to 10 cm/100 cm2 in area per formulary indication - larger
            or worsening infection needs a different approach.
            Avoid prolonged or repeated courses (risk of resistance).
            New nipple retraction/inversion, bloody discharge, or a persistent ulcer needs referral
            to exclude breast cancer.
            Generally considered compatible with breastfeeding, but wipe residual ointment before
            the next feed.
   Egypt    BACTROFORM 2% TOP. OINT. 15 GM   WESTERN PHARM...    35.00 EGP
            MUPIROCIN SAJA 2% TOP. OINT. 15 GM BIOPHARM EGYPT > SAJA PHARMA                35.00 EGP
            MUPIRAX 2% OINT. 10 GM           GLOBAL NAPI P...    48.00 EGP
            MUPIROCIN SAJA 2% TOP. OINT. 20 GM BIOPHARM EGYPT > SAJA PHARMA                83.00 EGP
            MUPIRAX 2% OINT. 30 GM           GLOBAL NAPI P...   118.00 EGP

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement.

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