Update - I thought I would let you know what finally helped me get rid of my vasospasm in case anyone is still having problems. Basically I was referred to another private LC who put me on a strict diet. The theory is that my milk was giving Pearl a sore tummy and making her chew on my nipples which was causing the spasm. After about 3 weeks on the diet I was about 95% better and totally drug free. It was such a relief after about 10weeks of pain and no solutions. The LC I spoke with was Robyn Noble she runs Bayside Breastfeeding clinic and I would recommend her for unusual BF problems and unsettled bubs.