For the prescription medication to work best, we recommend using it on its own as other products may get in the way it doing its best job.

We do not recommend using the prescription for uses other than recommended by your medical provider.

Our service includes a visit with a licensed doctor and when appropriate will send a prescription to the compounding pharmacy for your All-Purpose Nipple Ointment. Our compounding pharmacy partner will ship the medication directly to your door.

Apply a pea sized amount to each affected nipple after each feeding. All Purpose Nipple Ointment (APNO) ointment should be fully absorbed prior to next feeding. If it is not, we recommend gently wiping the area clean prior to the feed and reapplying after feeding is complete.

Our All Purpose Nipple Ointment (APNO) contains ingredients that are only available with a prescription from a licensed physician and made by a licensed compounding pharmacy. Our prescription-grade ingredients empirically promote healing through fighting infections and reducing inflammation. Our exclusively formulated All Purpose Nipple Ointment (APNO) is only available from us and cannot be compounded by other pharmacies due to the unique base that contains natural ingredients carefully selected by our pharmacists, chemists and lactation consultants.

It is best to allow the medication to partially absorb to allow for the ingredients to promote healing of the sore area. If feeding is required right after application or before a reasonable amount of time has passed since application, you can remove excess medication with a mild soap and water. Be careful not to irritate the sensitive area. Apply additional medication after feeding.

The prescription APNO can be used safely for a long period of time, we recommend using the medication for 2 weeks before taking a break. However, after the resolution of your symptoms, it is recommended to use less medication or stop the use of the medication. If symptoms return, reach out to your medical provider.

Store the All Purpose Nipple Ointment (APNO) in a cool, dry location away from heat and humidity. We don't recommend storing the All Purpose Nipple Ointment (APNO) in a bathroom. Avoid storing the ointment in temperatures greater than 86F. If the medication has frozen or been heated, allow to come back to room temperature prior to use.

Our pharmacists and formulation scientists took into consideration every ingredient in our medication including the inactive ones, but it is always best to use all products with caution when breastfeeding or pregnant. We recommend to avoid purposeful exposures and ingestion when possible.

Yes, some parents prefer to order APNO in advance so that it is immediately available if or when nipple pain starts. The APNO is good for up to 6 months from the date it is compounded.

The Academy of Breastfeeding Medicine recommends all feeding people to consult with an IBCLC before applying a product to a sore or cracked nipple. An IBCLC will utilize their training to determine the best course of action, only sometimes this is a prescription medication.

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We believe APNO is appropriate when recommended by an expert in lactation like an IBCLC.

Our all purpose nipple ointment consists of an exclusive base containing Butyrospermum Parkii (Shea) Butter, Caprylic/capric triglycerides, Cocos Nucifera (Coconut) Fruit Extract, Polyglyceryl-3 Beeswax, Punica Granatum Sterols, and Simmondsia Chinensis (Jojoba) Seed Oil, with mupirocin, hydrocortisone and miconazole to empirically protect, and reduce pain and infections. Other APNO formulations provided by other pharmacies are different and do not contain the ingredients mentioned here. We try to use ingredients that are of natural origin and do not contain known allergens or contaminants.

Side effects are rare. In rare cases, the All Purpose Nipple Ointment (APNO) may cause a rash or irritation if you are sensitive to any of the ingredients.

A compounded medication is a customized pharmaceutical product created to meet the unique needs of an individual patient. This process involves altering, combining, or mixing various ingredients by a pharmacist, in accordance with a prescription from a healthcare provider. Compounding is used when standard, commercially available drugs do not meet patients' specific health needs, such as requiring a different dosage, avoiding certain ingredients due to allergies, or needing a different form of the medication (like a liquid instead of a pill). Compounded medications are especially beneficial for patients with unique health conditions that cannot be addressed by standard, off-the-shelf medications. Compounded products have not been approved by the FDA. The FDA does not verify the safety or effectiveness of compounded drugs.

When purchasing the prescription All Purpose Nipple Ointment (APNO), you receive an online telehealth visit with a licensed family medicine physician, a 2oz tube of your personalized APNO and shipping directly to your door.

Hydrocortisone is a mild steroid medication that helps reduce swelling, redness, and itching. When it's applied to the nipples, it can help new moms who have nipple soreness or irritation. This could be due to various issues like cracked nipples from breastfeeding, a rash, or an allergic reaction.

Miconazole is a medicine that helps fight against certain types of fungi and yeasts. Moms may use it on their nipples if they get a yeast infection called "thrush" from breastfeeding. It's like having a sore throat, but on your nipples. It can make breastfeeding painful. The medicine helps to get rid of the fungus that causes thrush, restoring comfort during nursing.

Mupirocin is an antibiotic ointment. It is used on the skin to treat or prevent certain kinds of bacterial infections. If a new breastfeeding mom has a bacterial infection on her nipples, such as impetigo, her healthcare provider might suggest using mupirocin. When applied to the nipples, mupirocin stops bacteria from growing and spreading, helping to clear up the infection. This can decrease redness, swelling, and pain, making breastfeeding more comfortable.

GetAPNO is not able to accept any prescription medication(s) for return, exchange or refund under any circumstances. Due to FDA regulations, once a prescription has left the pharmacy it may not be returned for resale.

Tailor Made Compounding Pharmacy is located at 200 Moore Dr. Nicholasville, KY 40356. They can be contacted at 1 (844) TLR MADE. They are able to dispense medications and maintain a license in 46 US states. Unfortunately, they do not have a license in the following US states: Arkansas, Alabama, Minnesota, North Carolina

If your nipple condition worsens or shows no improvement after 4 weeks, we recommend seeking in person care for a physical evaluation with your primary postpartum care provider. If you or your baby experience a reaction to the medication, contact your primary medical provider. If this is an emergency or a life threatening reaction, please dial 911 and seek emergency medical assistance.

Using our All Purpose Nipple Ointment (APNO) formulation frequently allows the medication inside to get to work. If you miss an application, just apply some when you remember.

APNO is currently available in the following states:

Alaska, Arizona, California, Colorado, Connecticut, Delaware, Washington D. C, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

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APNO is NOT available in:

Alabama, Arkansas, Minnesota, North Carolina, Kansas, Mississippi, and New Mexico.

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We are working hard to deliver APNO in all 50 states. Check back soon for updates.

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If you or your baby is allergic to any of the ingredients in the All Purpose Nipple Ointment (APNO), you shouldn't use it. If you have a bacterial infection on your nipples or in your breast, you might need a different treatment. It can help with some infections, but not all. If you have certain medical conditions, especially those that might be affected by steroids or antibiotics, it's best to talk to your doctor first. Please be sure to list all conditions you may have when completing your medical evaluation.

APNO is intended for people that are breastfeeding, to empirically treat sore or painful nipples. In many cases, our APNO may help reduce pain quickly.

Our clinical providers are Beluga Health c/o Jonah Mink MD. Feel free to contact them at info@belugahealth.com. Beluga Health, P.A., a Florida professional corporation, has its office located at 1321 Upland Dr., Suite 18399, Houston, TX, 77043

Our All Purpose Nipple Ointment (APNO) is a compounded prescription, specially designed and made by experienced pharmacists. Our pharmacy partner is a LegitScript certified multi-state licensed compounding pharmacy.