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Breastfeeding Magazine

Domperidone: Should You Use it?



If you are looking to Domperidone to increase your milk supply, relactate, or to produce breast milk for an adopted child, here is some guidance on when to use it and if it is the right choice for you.

When Should You Use It?

This drug should never be used just to correct breastfeeding difficulties. Although this drug can be very effective, it should not be taken unless all other reasons for a decreased milk supply have been ruled out. It is also not officially approved for breastfeeding moms, so consult with your doctor as to the pros and cons of trying it.

Other things to try first:

• Fix an incorrect latch. For some situations, correcting the baby’s latch may be all that is necessary go from “never enough milk” to “more than enough of milk.”

• Use breast compression to increase the baby’s intake.

Pumping after feedings to increase the supply.

• Correct sucking issues.

• Stopping the use of artificial nipples.

If all of those factors have been ruled out, then it is very appropriate to talk to your doctor about prescribing Domperidone. (Your doctor may have your try other options like fenugreek first or a combination of the two.)

Situations Where Doperidome Works Well

Domperidone works particularly well to increase milk production under the following circumstances:

• A mother who is pumping for a very premature infant who is hospitalized and has seen a decrease in breast milk production. This drug generally returns the volume of breast milk pumped to higher levels.

• Sometimes when a mom starts taking combination birth control pills, she loses or sees a reduction in milk. It will often allow her to relactate and bring the breast milk supply back.

• A mom is pumping for a sick (or premature) infant and has never developed a full breast milk supply.

• Lactating for an adopted baby.

• A mother who had started using supplements and would like to return to a exclusive breastfeeding.

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