All-Purpose Nipple Ointment (APNO) is a combination of medications designed to help with multiple causes or aggravating factors of sore nipples. It is a compounded medication that contains three active ingredients: mupirocin 2% ointment, betamethasone 0.1% ointment, and miconazole powder to a final concentration of 2% .

Positive aspects of APNO include its effectiveness in treating sore nipples and its safety for nursing babies. It can be used for itchy, sore, cracked, bleeding, or yeasty (thrush) nipples.

Negative aspects of APNO include the fact that it is a stop-gap measure only and should not be used for an extended period of time. It is important to get good hands-on help as soon as possible, even if the ointment is helping, as sore nipples are almost always due to the babys latch not being as good as it could be.

The following is a list of the ingredients in APNO:

• Mupirocin 2% ointment
• Betamethasone 0.1% ointment
• Miconazole powder to a final concentration of 2%

It is important to note that APNO is considered a compounded medication, so prescriptions must be filled at a compounding pharmacy. Insurance coverage varies, so it is important to check with your insurance company to determine your cost. As an alternative, over-the-counter medications can be purchased from a local pharmacy and mixed together to formulate a non-prescription all-purpose nipple ointment.